321671 02/13/18 CITY OF CARMEL, INDIANA VENDOR: 079150
j, ONE CIVIC SQUARE DONLEY SAFETY CHECK AMOUNT: $**...**285.60*
q. CARMEL, INDIANA 46032 5546 ELMWOOD AVE CHECK NUMBER: 321671
INDIANAPOLIS IN 46203 CHECK DATE: 02/13/18
iDN�p
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION_
1120 4237000 4373 211.50 REPAIR PARTS
1120 4237000 48368 74.10 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 079150
DONLEY SAFETY IN SUM OF$ 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
$285.60
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
4373 42-370.00 $211.50 1 hereby certify that the attached invoice(s),or 2/5/18 4373 $211.50
1120 101 1120 101
48368 42-370.00 $74.10 bill(s)is(are)true and correct and that the 2/5/18 48368 $74.10
1120 1 1 101 1 materials or services itemized thereon for 1120 101
which charge is made were ordered and
received except
Tuesday, February 06,2018
David Haboush
Fire Chief
hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordancewith IC 5-11-10-1.6
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
INVOICE
Dl�'WLIT Please visit us on the web at www.donleysaf+ety com
DATE INVOICE#
Phone 317-786-2268
5546 Elmwood Ct. Fax 317-786-2632
Indianapolis, IN 46203 1/29/2018 48368
BILL TO SHIP TO
CARMEL FD JJ DELIVERED
2 CIVIC SQUARE
CARMEL,IN 46032
P.O. NO. TERMS SALES ORDER# Rep SHIP VIA FOB . Order Date
57593 NET 30 18371 H SALESMAN DESTINATI...
Prev.... Ordered Shipped B/O , Item Description Unit Price UOM . Amount
0 6 6 RP20Y LIME/YELLOW REFLEXITE 12.35 74.10
TETRAHEDRONS,20 PER
SHEET
THERE WILL BE A 3%CONVENIENCE FEE FOR ALL Subtotal $74.10
CREDIT OR DEBIT CARD PAYMENTS OVER$250
PRICE DISCREPANCIES OR SHIPMENT ERRORS MUST BE Sales Tax (7.0%) $0.00
REPORTED WITHIN 30 DAYS TO RECEIVE CREDIT.
RMA REQUIRED PRIOR TO ALL RETURNS. Total $74.10
If you have questions about this invoice,please call 317-7864268,,
DONLEY SAFETY
5546 ELMWOOD COURT
INDIANAPOLIS, IN 46203
317-786-2268 / Fax: 317-786-2532
ACCT# INVOICE #4373 02/01/18 TL$ DUE$211.50 Mileage Out, 1
Work 317-571-2600 .*NONE
Fax 317-571-2615
CARMEL FD 2011
2 CIVIC SQUARE
CARMEL, IN 46032 PARTS SALE
SCOTT FROM CARMEL. FD CALLED AND ORDERED AN 02 REGULATOR
CINCINATTI CAB PROD# 63298
GENERAL WORK Group Total 211:50
M1-540-P *50 PSI PRESET REGULATOR FOR 02 TANK 1.00 @ 191:05 191.05
SL-1 1-40 *DOOR HOLD OPEN, GAS 1.00 @ .20:45 . 20.45
Parts Sub-Total 211.50
PARTS 211. 50
.NO TAX >> . .
TOTAL WORK ORDER 211 .50