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CITY OF CARMEL, INDIANA VENDOR: 00350143 Page 1 of 1
ONE CIVIC SQUARE MORRELL INC
CHECK AMOUNT: $348.30
o CARMEL, INDIANA 46032 DEPT20301
,,,o PO BOX 67000 CHECK NUMBER: 182017
o
DETROIT MI 48267 -0203
CHECK DATE: 2/312010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 776476 -001 348.30 REPAIR PARTS
INVOICE
MAIL REMITTANCE TO: ENTERING OFFICE INVOICE NUMBER TRAN
!r o rre I 1 DEPT. 20301 CODE
776476 -001 DI
L1EPT'20301 MORRELL INCORPORATED INVOICE DATE PAGE
MORRELL INCORPORATED P.O. BOX 67000
t
DETROIT MI 48267-0203 01/12/10 1
P.O. BOX 67000
DETROIT, MI 48267 -0203 Any different or additional terms that may be embodied In your purchase order are hereby objected to. If your order is not an
acceptance of our proposal, this will operate as an acceptance of your order only in the event you agree to the terms hereof.
The terms and conditions contained above and attached shall apply.
Quantrly
LINE PART Nt M8E:Ft UNIT Of MEASURE UNIT P LICE EXTENIDE_1
TOTAL, BACK THEE
NO ORpE;fi�P 2QROEEj�[) $PIIP11lIF;N7„ .DESCfEIPTION PRt}AUCT V DISC4UIHT`4'o AMOiJN'F
10 1 1 HAY-003111 324.3920 324.39
10724 2HA EA
WE ACCEPT AMERICAN EXPRESS /MASTER CARD /VISA
FOLD
CUST. NO. ORDER DATE TERR PC ORD Written By DATE SHIPPED WHSE l AMOUNT 324.39
C1533 12/08/09 50 05 S LES 01/07/10 05
f FAGH" /INS /HNDL 23 :91
Carrier: UPS FOB: SP,FNA,PREPAID ORIGINAL INVOICE
SALES TAX .00
Tracking:
Terms of Payment: CUST FAX INVOICE TOTAL 348.30
NET 30 DAYS Please Pay This Amount
ORDER ISSUED IN: INDIANAPOLIS
PHONE: 31 7 -849 -7007
Customer PO No. VERBAL /BOB VAN VOORST Mark No. VERBAL /BOB. VAN VOORST
s CITY OF CARMEL FIRE DEPT s CITY OF CARMEL FIRE DEPT
o 2 CIVIC SQUARE H 2 CIVIC SQUARE
P BOB VAN VOORST /MA1NT CHF
T CARMEL IN 46032 T CARMEL IN 46032
o
0
VOUCHER NO. WARRANT NO.
ALLOWED 20
Morrell ncorporated
IN SUM OF$
P.O. Box 67000
Detroit, MI 48267
$348.30
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 776476 -001 42- 370.00 $348.30 I hereby certify that the attached invoice(s), or
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
FEB -1 20i0
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. ?91 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
776476 -001 $348.30
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
Clerk- Treasurer