182087 02/03/2010 CITY OF CARMEL, INDIANA VENDOR: 00353046 Page 1 of 1
I.(:,' ;j ONE CIVIC SQUARE SIMPLEXGRINNELL LP CHECK AMOUNT: $1,470.00
CARMEL, INDIANA 46032 DEPT CH 10320
o--5:00,, PALATINE IL 60055 -0320 CHECK NUMBER: 182087
CHECK DATE: 2/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 W09081 73382172 1,470.00 RENEWAL
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D -U -N -S 09- 4738007 e V l 3 h 1 `,124 p i ,l
FED. ID se -z6O88 1 OIGE9N INVOICEIDATE ,w 0 a C s g
SinlplexGrinneff BE SAFE. 73382172 s 01 -07 -10 W09081
A Tyco international Company n, GONTTRAGTee MODIFIER 0
District 331 811292 �R01-SEP -2009
11820 PENDLETON PIKE
INDIANAPOLIS, IN 46236 -3929 7:9 d'd
317- 826-2130 y 0 PAWP'1VT"TERM.S A, a;
Bill ,To: 331 01725554
Due upon receipt
City Of Carmel Water Utilities Ship 331- 01725554
3450 W 131st St City Of Carmel Water Utilities
WESTFIELD IN 46074 -0000 3450 W 131st St
WESTFIELD IN 46074 -0000
Requestors:Name: Pace, Tom
�i [X 3 „aix °r I UM e j la N� �x a M sM �c`,` �t r ,�d 6`', rr ;i it"' a :M Esc v
3 g t z ..CONTRACT GONT1?AGT
'CONTRACT DESCRIP s w a `c i e ®g gyreµ �?w�E a� w e 1P sa ��k d 4 t ,u y sue»
Nomm �m n n,E ;.i.�F, 65 tgai. q 9°a e m'��, H a,.o a. w .a $TART DATE END DATE
CITY OF CARMEL WATER UTILITIES 3450 W 131 ST, CARMEL, IN 01- JAN -10 31- DEC -10
aya m a a �t t- s a y a R "vy
I NVOI C E EM a A N 8 fi�. a a
b a a a F i.��� <;t .4l':. e�wu.'Cr:.. a A 1i ti a A a 4 e"2mvv
Total Contract Amount $1,470.00 Amount Of Current Invoice $1,470.00
Sales Tax
Total Amount Included $1,470.00
Payment Received $0.00
mr-.l Amrn,r,fi n..c
Situp!exG171,11eII BE SAFE.
District 331 43�
DICE NO 4
.A,TycO International Company 11820 PENDLETON PIKE
INDIANAPOLIS, IN 46236 -3929 73382172
317- 826 -2130
DATE OFSINUOICE
azure i .z»xa
01 -0 -10
INVOICE CONTRACT DETAIL
Pl.d ..V
"d`
m S hip Address "e Covered' Proc3uct,.II Qty" Amount
3] @�2
SPRINKLER -TEST 01- JAN -10 31- DEC -10 3450 W 131st St, SYSTEM -SP -WET SPRINKLER 1 WET SPRINKLER SYSTEM $254.00
INSPECT WESTFIELD, IN
ALARM DETECTION- 01- JAN -10 31- DEC -10 3450 W 131st St, SYSTEM -FA- SIMPLEX 4010 1 SIMPLEX PROG 4010 $1,216.00
TEST INSPECT WESTFIELD, IN SYSTEM
VOUCHER 094199 WARRANT ALLOWED
287350 -"tip" IN SUM OF
SIMPLEX GRINNELL
DEPT CH 10320
PALATINE, I L 60055 -0320 fib R K1/4N.
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
T yy
73382172 01- 6360 -06 $1,470.00
Voucher Total $1,470.00
~'Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
287350
SIMPLEX GRINNELL Purchase Order No.
DEPT CH 10320 Terms
PALATINE, IL 60055 -0320 Due Date 1/25/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/25/2010 73382172 $1,470.00
1 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
,7
i
Date Officer