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CITY OF CARMEL, INDIANA VENDOR: 358990
ONE CIVIC SQUARE MUNICIPAL EMERGENCY SERVICES CHECK AMOUNT: $*****1,753.40*
r a CARMEL, INDIANA 46032 75 REMITTANCE DRIVE CHECK NUMBER: 332320
SUITE 3135 CHECK DATE: 11/13/18
CHICAGO IL 60675
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 1276016 82.00 REPAIR PARTS
1120 4356003 1276207 1,248.00 SAFETY ACCESSORIES
1120 4237000 1277674 160.00 REPAIR PARTS
1120 4356003 1278865 263.40 SAFETY ACCESSORIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 358990 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
MUNICIPAL EMERGENCY SERVICES IN SUM OF$ 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
$1,753.40
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
1278865 43-560.03 $263.40 1 hereby certify that the attached invoice(s),or 11/6/18 1278865 Spanner Wrenches $263.40
1120 101 1120 101
1276207 43-560.03 $1,248.00 bill(s)is(are)true and correct and that the 11/6/18 1276207 Gloves $1,248.00
1120 101 1 materials or services itemized thereon for 1120 101
1276016 42-370.00 $82.00 11/6/18 1276016 Hose adapters $82.00
1120 101 which charge is made were ordered and 1120 101
1277674 42-370.00 $160.00 received except 11/6/18 1277674 Pak Tracker Batteries $160.00
1120 101 1120 101
Tuesday, November 6,2018
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
Invoice
LTIES
Date 11/01/2018
Invoice# IN1278865
MUNICIPAL EMERGENCY SERVICES Terms Net 30
6975 Hillsdale Court Due Date 12/01/2018
Indianapolis, IN 46250 Customer# C30195
PO# RES-Q-RENCH
Sales Rep
Tracking# 459661620054
Order Sales Order#SO1219852
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
tkt .i
RES-Q-RENCH ; WRENCH SPANNER FOLDING TOOL 12 i _ 01 ^ 21.951 26 0
i
Subtotal 263.40
Shipping Cost(FedEx-Ground) 0.00
Total 263.40
Amount Due $263.40
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.
Invoice
'T A E Date 10/30/2018
Invoice# IN1277674
MUNICIPAL EMERGENCY SERVICES Terms Net 30
6975 Hillsdale Court Due Date 11/29/2018
Indianapolis,IN 46250 Customer# C30195
PO# PAK TRACKER BATTERIES
Sales Rep
Tracking# 459661619359
Order Sales Order#SO1215974
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
1 -0 BATTERY ASSEMBLY,SSRI 2
# i i � 01 80.00� 160.00
i
I � f
I
-----_ _.
Subtotal 160.00
Shipping Cost(FedEx Ground) 0.00
Total 160.00
Amount Due $160.00
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.
Invoice
ES Date 10/25/2018
Invoice# IN1276016
MUNICIPAL EMERGENCY SERVICES Terms Net 30
6975 Hillsdale Court Due Date 11/24/2018
Indianapolis, IN 46250 Customer# C30195
PO# Adapters
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
35R2525 ADAPTER 2.5X2.5NH RL DBL F SWL � 2 ` '
' .00
36R2525 ADAPTER 2.5X2.5 DBL M I 2 94.50 29.00
t
Subtotal 82.00
Shipping Cost(Customer Pick Up) 0.00
Total 82.00
Amount Due $82.00
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.
Invoice
Date 10/25/2018
Invoice# IN1276207
MUNICIPAL EMERGENCY SERVICES Terms Net 30
6975 Hillsdale Court Due Date 11/24/2018
Indianapolis, IN 46250 Customer# C30195
PO# extrication
Sales Rep Schultheis, Kevin M
Tracking# 783434216411
Order Sales Order#SO1207569
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
---
Im
s
2500-Medium XTRICATION GLOVE _v,ak 12 W 0i 52.00 € 624.00 t
2500-Large XTRICATION GLOVE g 6 i 0 52.001 312.00
2500-X-Large XTRICATION GLOVE 6 j 0 52.00 312.00
{ { ! e I
Subtotal 1,248.00
Shipping Cost(FedEx Ground) 0.00
Total 1,248.00
Amount Due $1,248.00
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.