308604 02/28/17 (9,
CITY OF CARMEL, INDIANA VENDOR: 369829
ONE CIVIC SQUARE MCINTIRE BRASS WORKS CHECK AMOUNT: S`""19,000.00•CARMEL, INDIANA 46032 14 HORACE STREET CHECK NUMBER: 308604
SOMERVILLE MA 02143 CHECK DATE: 02/28/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 R4467099 24930 10102 19,000.00 FIREPOLE STATION 44
VOUCHER NO. WARRANT NO. Prescribed by State Hoard of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 369829
MCINTIRE BRASS WORKS IN SUM OF$ CITY OF CARMEL
14 HORACE STREET An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
SOMERVILLE, MA 02143
Payee
$19,000.00
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
24930 10102 44-670.99 $19,000.00 I hereby certify that the attached invoice(s),or 2/17/17 10102 $19,000.00
1120 Encumbered 102 1120 102
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, February 17,2017
�
V40D
David Haboush
Fire Chief
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
,20 '
Cost distribution ledger'classifcation if claim paid motor vehicle highway fund. Clerk-Treasurer
MCINTIRE BRASS WORKS,INC. Invoice
14 Horace Street
Somerville,MA 02143 Date Invoice#
Phone: 617-547-1819 Fax: 617-547-4466 1/13/2017 10102
SHIP TO:
SOLD TO: Fire Department
City of Carmel 2 Civic Square
Fire Department Carmel,IN 46032
2 Carmel Civic Square
Carmel,Indiana 46032
P.O. Number Terms Via F.O.B.
24930 Net 30 C.H.Robinson Somerville MA
Quantity Description Price Each Amount
1 Model 20 Slide Pole Unit 18,500.00 18,500.00
Freight 500.00 500.00
Sales Tax (6.25%) $0.00 Payments/Credits $0.00 Balance Due $19,o00.00