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® `. CITY OF CARMEL, INDIANA VENDOR: 358990
ONE CIVIC SQUARE MUNICIPAL EMERGENCY SERVICES CHECK AMOUNT: $*******180.00*
CARMEL, INDIANA 46032 75 REMITTANCE DRIVE CHECK NUMBER: 326955
'y,�TON SUITE 3135 CHECK DATE: 06/29/18
CHICAGO IL 60675
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4239099 1206319 180.00 OTHER MISCELLANOUS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20
Vendor# 358990 ACCOUNTS PAYABLE VOUCHER
MUNICIPAL EMERGENCY SERVICES IN SUM OF$ CITY OF CARMEL
75 REMITTANCE DRIVE An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
SUITE 3135 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
CHICAGO, IL 60675
Payee
$180.00
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
1206319 42-390.99 $180.00 1 hereby certify that the attached invoice(s),or 6/20/18 1206319 $180.00
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
Wednesday,June 20,2018
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Invoice
Date 2/28/2018
ES Invoice# IN1206319
MUNICIPAL EMERGENCY SERVICES Terms Net 30
Due Date 3/30/2018
Customer# C30195
PO# None
Sales Rep Schultheis, Kevin M
Tracking#
Bill To Ship To
CARMEL FD CARMEL FD
2 CARMEL CIVIC SQUARE 2 CARMEL CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
United States United States
LOGISTICS Custom LOGISTICS SUPPLY CORPORATION 2 90.00 180.00
G 4
Subtotal 180.00
Shipping Cost(Customer Pick Up) 0.00
Total 180.00
Amount Due $180.00
All returns must be processed within 30 days of receipt and require a return authorization number and are subject to a restocking fee.
All payments must be clearly marked with the Customer and Invoice numbers. Payments not marked will be applied to the oldest
invoice first.