184249 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 079150 Page 1 of 1
ONE CIVIC SQUARE DONLEY SAFETY
CARMEL, INDIANA 46032 CHECK AMOUNT: $282.00
554fi ELMWOOD AVE
INDIANAPOLIS IN 46203 CHECK NUMBER: 184249
CHECK DATE: 4/1412010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 26155 282.00 REPAIR PARTS
a.
DONLEY INVOICE
Please visit us on tJte web at www.donleysafety.coin
DATE INVOICE
Phone 317 -786 -2268
5546 Elmwood. Ct. fax 317 786.2632
3/25/2010 26155
Indianapolis, IN 46203
BILL TO SHIPTO
CARMEL, FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL IN. 46032 CARMEL, IN. 46032
ATTN: GARY CARTER
P.O. NO. TERMS SALES ORDER Rep SHIP VIA Order Date FOB
NET30 6750 GI -1 BEST WAY AV... SHIP POINT
Prev. Inv... Ordered Shipped BIO Item Description Unit Price UOM Amount
0 3 3 7503 3M 1/2 FACEPIECE, ULTIMATE, 42.00 126.00
SIZE LARGE
0 2 2 7502 3M 1/2 FACEPIECE, ULTIMATE, 42.00 84.00
SIZE MEDIUM
0 8 I 8 2097 3M P100 FILTER, 2 /PK 9.00 72.00
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PRICE DISCREPANCIES, RETURN REQUESTS OR SHIPMENT
ERRORS MUST BE BE WITHIN 30 DAYS TO RECEIVE Subtotal $282.00
CREDIT.
Questions about this invoice? Please call 317- 786 -2268 Sales Tax (7.0%) $0.00
Total $282.00
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Donley; Safety
IN SUM OF
5546 Elmwood Court
Indianapolis, IN 46203
$282.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# I Dept. INVOICE NO. ACCT #ITITLE AMOUNT
Board Members
1120 26155 42- 370.00 $282.00 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
APR 12 2010
t a
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor 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 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))
26155 $282.00
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