HomeMy WebLinkAbout334128 01/04/19 ( " CITY OF CARMEL, INDIANA VENDOR: 369736
® ONE CIVIC SQUARE OHIO DEPT OF PUBLIC SAFETY CHECK AMOUNT: $*******264.17*
CARMEL, INDIANA 46032 ATTN:REMITTANCE DEPT 0725 CHECK NUMBER: 334128
PO BOX 182081 CHECK DATE: 01/04/19
COLUMBUS OH 43218
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 RAD19-0013 264.17 OTHER CONT SERVICES
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995)
Vendor# 369736 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
OHIO DEPT OF PUBLIC SAFETY IN SUM OF$ CITY OF CARMEL
ATTN: REMITTANCE DEPT 0725 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
PO BOX 182081 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
COLUMBUS, OH 43218
Payee
$264.17
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
RAD19-0013 43-509.00 $264.17 1 hereby certify that the attached invoice(s),or 12/20/18 RAD19-0013 Calibrate Radiological Monitor $264.17
1120 101 Prior Year 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
Thursday,January 3,2019
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
'�� OHIO DEPARTMENT
I�� OF PUBLIC SAFETY INVOICE
wwSAFETY • SERVICE • PROTECTION
RAD INVOICE
CARMEL FIRE DEPT. Station 45 Invoice Date: 12/20/2018
ACCOUNTS PAYABLE Invoice No.: RAD19-0013
2 CMC SQUARE Status: Open
CARMEL,IN 46032 Due Date: 12/19/2018
State of Ohio Federal Tax ID: 31-1334820
# Name/Description Quantity Unit Price Amount
--—Calibrate Ludlum 14C,Seriai`#-179669 - - — - - --- --1 $62.39— -- $62.39 -—
1
Calibrate extra probe,Serial#179669 1 $15.40 $15.40
2
3 Calibrate Ludlum 2241-3+1 channel,Serial#267141 - 1 $62.39 $62.39
4 Calibrate extra channel,Serial#267141 3 $15.40 $46.20
5 Calibrate Ludlum 2241-2+1 channel,Serial#217802 1 $62.39 $62.39
Amount Paid:$0.00 -Item List Continued Next Page-
Comments
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Inquiries should be directed to:
OHIO EMERGENCY MANAGEMENT
AGENCY
FISCAL(614)889-7175
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