320697 01/11/18 �.`y u.CggMf(
�, CITY OF CARMEL, INDIANA VENDOR: 079150:
® i. ONE CIVIC SQUARE DONLEY SAFETY CHECK AMOUNT: $*****1,280.00*
=q CARMEL, INDIANA 46032 5546 ELMWOOD AVE CHECK NUMBER: 320697
9"�'irnN E°' INDIANAPOLIS IN 46203 CHECK DATE: 01/11/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 R4356003 100987 48279 1,280.00 HELMETS RECRUITS
h
VOUCHER NO. WARRANT NO. Prescribed,by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 079150
DONLEY SAFETY IN SUM OF$ CITY OF CARMEL
5546 ELMWOOD AVE 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.
INDIANAPOLIS, IN 46203
Payee
$1,280.00
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
100987 48279 43-560.03 $1,280.00 1 hereby certify that the attached invoice(s),or 12/28/17 48279 $1,280.00
1120 Encumbered 101 Prior Year 1120 101
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,January 05,2018
David Haboush
Fire Chief
r
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
120—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk Treasurer
- INVOICE
Please.visit is on the web at www.donleysafety com.
_- DATE INVOICE#.
Phone 397-786-2268
5546 Elmwood Ct. Fax 317-786-2632
Indianapolis,7N 46203 12/28/2017: ':48279
BILL TO SHIP-TO
CARMEL_FD JJ TO DELIVER
2 CIVIC SQUARE
CARMEL,.IN 46032.
P.O.NO. TERMS SALES ORDER# Rep SHIP VIA . . FOB . Order Date .
:100987. -NET 30 '. 18303. H, SALESMAN.- :DESTINATI...
Prev.... Ordered Shipped. B/O Item Description _ Unit Price UOM Amount
0 5' 5 .
C-TRD11221221A... 1010 HELMET 256:00 :1;280,00.
THERE WILL BE A 3%CONVENIENCE FEE FOR ALLSubtotal $1;280.00
CREDIT OR DEBIT CARD PAYMENTS"OVER$250
Sales Tax 7.0% $0.00
PRICE DISCREPANCIES OR SHIPMENT ERRORS MUST BE �, ). .
REPORTED WITRIN 30 DAYS TO RECEIVE CREDIT.
RMA.REQUIRLD PRIOR TO ALL RETURNS. Total $1'280.00
If you have questions about this..Invoice;please.611317-786-2268