183778 03/29/2010 CITY OF CARMEL, INDIANA VENDOR: 079150 Page 1 of 1
ONE CIVIC SQUARE DONLEY SAFETY
A CHECK AMOUNT: $200.43
CARMEL, INDIANA 46037 5546 ELMWOOD AVE
r INDIANAPOLIS IN 46203 CHECK NUMBER: 183778
CHECK DATE: 3/2912010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 26013 200.43 REPAIR PARTS
�4
INVOICE
Diff Please visit us on the web at www.donleysafety.com
Phone 317- 786.2268 Date Invoice
5546 Elmwood Ct. Fax 317- 786 -2532
Indianapolis, IN 46203 3/9/2010 26013
Bill To Ship To
CARMEL FIRE DEPT. CARMEI- FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL, IN. 46032 CARMEL, IN. 46032
P.O. Number Terms Salesperson Ship Via F.O.B. Order Date
VERBAL NET30 FS WILL CALL
Ordered Shipped s/0 Item Number Description Unit Price UOM Ent. Price
1 1 0 10004858 HIGH PRESSURE TRANSDUCER 200.43 EA 200.43
Sales Tax (7.0 $0.00
PRICE DISCREPANCIES, RETURN REQUESTS OR Total
SHIPMENT ERRORS MUST BE REPORTED WITHIN 30 $200.43
DAYS TO RECEIVE CREDIT.
Questions about this invoice? Please call 317 786 -2268.
VOUCHER. NO. WARRA NO.
Donle Safety ALLOWED 20
IN SUM OF
5546 Elmwood Court
Indianapolis, IN 46203
$20 0.43
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 26013 42- 370.00 $200.43 1 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
MAR 2 6 2010
s
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form Nq, 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 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))
26013 A44 $200.43
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