183960 03/29/2010 CITY OF CARMEL, INDIANA VENDOR: 358570 Page 1 of 1
ONE CIVIC SQUARE TOWERS FIRE APPARATUS, INC
CARMEL, INDIANA 46032 502 SOUTH RICHLAND CHECK AMOUNT: $1,640.00
FREEBURG IL 62243 CHECK NUMBER: 183960
CHECK DATE: 3/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4467099 12750 75087 1,640.00 CRIBBING
i
75087
Towers.: sire Apparatus, Inc. ;Date 1 3/10/2010
502,South Richland Page 1
Fre6burg, II., 62243
618 -539 -3863 Phone 618- 539 -4850 Fax
(618) 539 -3863
Bill To: Ship To:
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
Purchase Order No. Customer ID 'x a i�; ;Sales erson ID Shi in Method Pa Wm`ent Terms Re Shi Date Master No
GARY CARTER 10i ANDY PLOFKIN Net 30 2/23/2010 70,735
Ordered Shi ed 1310 ItetriNuitSber Descr lion' Discount Unit Price Ext. Price°
8 8 0 SRK -S STANDARD SHARK CHOCK $0.00 $205.00 $1,640.00
1 1 0 FREIGHT INCLUDED $0.00 $0.00 $0.00
;Subtotal, $1,640.00
LATE PAYMENT CHARGE OF 1.5% PER MONTH, NO RETURNS Misc $0.00
AFTER 45 DAYS OR FOR SPECIAL ORDERS, RESTOCK FEE Tax $0.00
MAY APPLY ON RETURNS, MAJOR CREDIT CARDS ACCEPTED, Freight $0.00
$25.00 FEE CHARGED FOR RETURNED CHECKS.
Trade.Discount $0.00
,Total. $1
VOUCHER NO. WARRANT NO,
ALLOWED 20
Towers Fire Apparatus
IN SUM OF
502 South Richland
Freeburg, IL 62243
$1,640.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
12750 75087 102 670.99 $1,640.00 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
r ppp MAR 2 6 2010 4
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts d- pity 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 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))
75087 $1,640.00
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
20
Clerk- Treasurer