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Home My WebLink About328178 07/25/18 CITY OF CARMEL, INDIANA VENDOR: 358990 ® ONE CIVIC SQUARE MUNICIPAL EMERGENCY SERVICES CHECK AMOUNT: $********29.13* CARMEL, INDIANA 46032 75 REMITTANCE DRIVE CHECK NUMBER: 328178 SUITE 3135 CHECK DATE: 07/25/18 CHICAGO IL 60675 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4237000 IN1245485 29.13 REPAIR PARTS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 358990 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER MUNICIPAL EMERGENCY SERVICES IN SUM OF$ 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 $29.13 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 IN1245485 42-370.00 $29.13 1 hereby certify that the attached invoice(s),or 7/24/18 IN1245485 $29.13 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 Tuesday,July 24,2018 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 5-11-10-1.6 120- Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Invoice Date 7/18/2018 kAES Invoice# IN1245485 MUNICIPAL EMERGENCY SERVICES Terms Net 30 6975 Hillsdale Court Due Date 8/17/2018 Indianapolis,IN 46250 Customer# C30195 PON osborne Sales Rep Schultheis,Kevin M Tracking# 124422350301830785 Order Sales Order#SO1192864 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 ELKHART 63708000 1 0 9.11 r 9.11 Repair/Part ELKHART Repair/Part SCREW HANDLE PIVOT SS r 61286000 ACTUATOR SHAFT SCREW SS 2 0 4.44 ' 8.88 - i ' I ! Subtotal 17.99 Shipping Cost(Freight Fee) 11.14 Total 29.13 Amount Due $29.13 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.