321220 01/25/2018 < CITY OF CARMEL, INDIANA VENDOR: 371689
d "�I ONE CIVIC SQUARE RESCUEGEAR, INC. CHECK AMOUNT: $******,*190.45*
CARMEL, INDIANA 46032 5909 BURNET ROAD CHECK NUMBER: 321220
AUSTIN TX 78757 CHECK DATE: 01/25118
DEPARTMENT ACCOUNT PO NUMBER. INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 14076 190.45 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 371689 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
RESCUEGEAR, INC. IN SUM OF$ CITY OF CARMEL
5909 BU RN ET ROAD 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.
AUSTIN, TX 78757
Payee
$190.45
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
14076 42-370.00 $190.45 1 hereby certify that the attached invoice(s),or 1/22/18 14076 $190.45
1120 101 1120 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday,January 22,2018
U®r '_Z�-
David Haboush
Fire Chief
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Ft
AFR'.
1-800-321-8022 - .5909 BURNET RD. AUSTIN, TX 78757 - RESCUEGEAR.COM
Invoice # INV14076
Bill to: Ship To: Invoice Date: Customer PO#
12/19/2017 cc
Carmel Fire Dept Carmel Fire Dept Sales Rep: Payment Terms:
2 Civic Square 2 Civic Square Chris Baker. Net 30
Carmel IN 46032 Carmel IN 46032
Questions regarding invoice:Accounting@RescueGear.com
Memo:
Item Item Description QTY Orig$ Disc% Price Ext P$
QFK-scba Quick Fill Kit(SCBA) 1 $149.95 5% $180.45 $180.45
Subtotal: $180.45
Tax: $0.00
Freight: $10.00
Invoice Total: $190.45
Payments Applied: $0.00
Balance Due: $190.45
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