HomeMy WebLinkAbout185877 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 364197 Page 1 of 1
ONE CIVIC SQUARE MODELTECH INTERNATIONAL
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CARMEL, INDIANA 46032 4820 ROUEN STREET CHECK AMOUNT: $10,000.00
MONTREAL OC H1V3T4 CHECK NUMBER: 185877
CHECK DATE: 5/26/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
851 4359019 10,000.00 LIBERTY MUTUAL GRANT
An AEF
d r e
4820 Rouen St., Montreal, QC H1 V 3T4 (800) 686 -8009 FAX (514) 255 -9129
www.modeltech.com
INVOICE KCO52110 DATE: May 21, 2010
SOLD TO: SHIP 7O 'tf. difterent from'BillingAcidress)`
NAME KEITH FREER COMPANY:
COMPANY: CARMEL FIRE DEPT ADDRESS:
ADDRESS: 2 CIVIC SQ
CARMEL, IN 46032 CITY:
USA STATE:
ZIP:
PHONE: (317)571 -4245 FD -KF TELEPHONE NUMBER:
(317)571 -4371 FAX NUMBER:
(317)571 -2662 DIR -BK ATTN:
FAX: (317)571-2615
OTHERINF:;QRMAT10Ns��
PO (if available):
As per Quote
EIN# (Federal Tax ID):
QUANTITYT' ";MODEL, °M DES:CRIPTIQN', PRICE 7EA,.'.,
1 FHH22,1 Hazard House Large Group Vers.
1 Wireless Remote Control
1 Home Risk Illustrations Pkg
1 Senior Citizens Risk Package
1 Protective cover
1 One Year Extended Warranty
DEMO UNIT 10,000.00
Free S/H
NOTE: THIS FORM MUST BE FAXED IN WITHIN
5 DAYS TO BE VALID.
Payment On Delivery
TERMS CONDITIONS: SEE PAGE 2 TOTAL 10,000.00
The ordering party acknowledges that the above listed items are being ordered and will respect all order terms.
We will agree to the amount of $10,000.00 for this FHH22,2 simulator along with the items fisted below Demo Unit
provided that a check in the amount of $10,000.00 is available upon delivery.
Delivery to be made before end of June 2010.
All orders are subject to shipment invoicing in whole or in part at the option of Modeltech International.
Ownership of the goods will be transferred to the buyer on reception of the full invoice payment by Modeltech
International.
17
(signature) (print)
For: 0,ft07?n
(company department name) (date)
2
VOUCHER NO. WARRANT NO.
ALLOWED 20
Modeltech International
IN SUM OF
4520 Rouen Street
Montreal, QC H1V3T4
$10,000.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO #IDept. INVOICE FTCr ACCT /TITLE AMOUNT Board Members
gza $10,000.00
I 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
MAY 242010
1117
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))
$10,000.00
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