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322691 03/12/18 ,��(�' Coq "V u,��"�F� CITY OF CARMEL, INDIANA VENDOR: 079150 ''r: ONE CIVIC SQUARE DONLEY SAFETY CHECK AMOUNT: $""'2,895.26} 9, CARMEL, INDIANA 46032 5546 ELMWOOD AVE CHECK NUMBER: 322691 Fy roN.moo` INDIANAPOLIS IN 46203 CHECK DATE: 03/12/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4356003 101277 48349 2,220.66 HELMETS 1120 4356003 48432 674.60 SAFETY ACCESSORIES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 079150 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER DONLEY SAFETY IN SUM OF$ 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 $674.60 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 48432 43-560.03 $674.60 1 hereby certify that the attached invoice(s),or 3/4/18 48432 $674.60 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 Sunday, March 04, 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 , 2C Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer 'i ON INVOICE. D � Please visit us on the web at www.donleysafetycom DATE INVOICE# Phone 317-T86-2268 5546 Eimwood CL Fax .317-786-2532 Indianapolis,IN 46203 2/26/2018 48432 BILL TO SHIP TO CARMEL FD - JJ DELIVERED 2 CIVIC SQUARE CARMEL,I.N.46032 . P.O. NO. TERMS- SALES ORDER# Rep SHIP VIA FOB Order Date 57687 NET 30 .18459. JJ: SALESMAN: DESTINATI... Prev.... Ordered Shipped B/O Item Description Unit Price UOM Amount 0 10 10 10046712 CHINSTRAP FOR 880.W/QR&PS 35:33 353.30 . 0 10 10 C922P NOMEX CHINSTRAP W/QUICK 32:13 321.30 RELEASE' FOR CAIRNS 660 THERE WILL BE A 3%CONVENIENCE FEE FOR.-ALL Subtotal $674.60 CREDIT OR DEBIT CARD PAYMENTS OVER$250 PRICE DISCREPANCIES OR SHIPMENT ERRORS MUST BE Sal@s Tax .(7. .0%),. $0.00 REPORTED WITHIN30 DAYS TO RECEIVE CREDIT. RMA REQUIRED PRIOR TO ALL RETURNS. Total $674.60 If you.have questions about thisinvoice,please call 317-786-2268 VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 079150 DONLEY SAFETY IN SUM OF$ 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 $2,220.66 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 101277 48349 43-560.03 $2,220.66 1 hereby certify that the attached invoice(s),or 3/4/18 48349 $2,220.66 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 Sunday, March 04,2018 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 DONLEYINVOICE Please visit us on the web at www.donleysafety.com INVOICE# Phone 317-786-2268 5546 Elmwood CL Fax 317-786-2532 1/29/2018 48349 Indianapolis, IN 46203 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 57621 NET 30 18402 JJ SALESMAN DESTINATI... Prev.... Ordered Shipped B/O Item Description Unit Price UOM Amount 0 4 4 C-TRD11221221A... 1010 HELMET 256.00 1,024.00 0 2 2 C-TRD 122212221... 1010 CAIRNS HELMET(RED) 256.00 512.00 0 3 3 C-TRD522212221... 880 CAIRNS HELMET(RED) 228.22 684.66 THERE WILL BE A 3% CONVENIENCE FEE FOR ALL Subtotal $2,220.66 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 $2,220.66 If you have questions about this invoice,please call 317-786-2268