184925 04/27/2010 CITY OF CARMEL, INDIANA VENDOR: 359261 Page 1 of 1
ONE CIVIC SQUARE SAFETY SYSTEMS
CHECK AMOUNT: $162.56
CARMEL, INDIANA 46032 4113 TURNER ROAD
RICHMOND IN 47374 CHECK NUMBER: 184925
CHECK DATE: 4/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 1041319 162.56 REPAIR PARTS
Saf y..Systems M W(D) C
4113 Turner Road
Richmond, IN 47374 Invoice Number: 1041319
Invoice Date: Apr 13, 2010
Page: 1
Voice: 765 935 -3566 Duplicate
Fax: 765- 935 -9713
Bill To: Ship to:
carmel fire dept.
2 civic square
carmel, IN 46032
Customer ID Customer PO Payment Terms
carmel f.d. Net 30 Days
Sales Rep ID Shipping Method Ship Date Due Date
UPS Ground 5113110
Quantity Item Description Unit Price Amount
2.00 60C OOVCR 76.80 153.60
1.00 shipping shipping 8.96 8.96
Subtotal 162.56
Sales Tax
Total Invoice Amount 162.56
Check /Credit Memo No: Payment /Credit Applied
TOTAL 162.56
VOUCHER NO. WARRANT NO.
ALLOWED 20
Safety Systems
IN SUM OF
4113 Turner Road
Richmond, IN 47374
$162.56
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO, ACCT #/TITLE AMOUNT Board Members
1120 1041319 42- 370.00 $162.56 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 2 6 2010
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))
1041319 $162.56
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