185866 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 196325 Page 1 of 1
ONE CIVIC SQUARE MCDANIEL FIRE SYSTEMS
CARMEL, INDIANA 46032
39493 TREASURY CENTER CHECK AMOUNT: $506.00
CHICAGO IL 60694 CHECK NUMBER: 185866
CHECK DATE: 5/26/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350100 21887 63763 506.00 FLOW SWITCH
Send Remit \Correspondence To: Invoice
MONIEL McDaniel. Fire Systems, LLC
1055 West Joliet Rd
Valparaiso, IN 46385
Toll Free: 800.611.2906 Fax: 219.548.5135 Federal ID 4 80- 0230325
Bill To: CARMEL POLICE DEPARTMENT Invoice: 63763
3 Civic Square Invoice Date: 5/7/2010
Carmel, IN 460320000
Customer 1D: 258
Attn: ACCOUNTS PAYABLE Customer Reference: 21887
Job Site: CARMEL POLICE DEPARTMENT Invoice Due Date: 6/6/2010
Payment Terms: NET 30 DAYS
3 CIVIC SQUARE
CAMOEL, iN 46032 Jab 61- 0486 CARMEL POLICE DEPARTMENT
Service work performed per proposal number 26874
TOTAL THIS INVOICE 506.00
Send ALL Payments
Correspondence To:
Summary McDaniel Fire Systems
1055 West Joliet Road
TOTAL THIS INVOICE Valparaiso, IN 46385 506.00
CURRENT DUE: 506.00
I NDIANA RETAIL. TAX EXEMPT PAGE ��}�}'��j CERTIFICATE NO. 003120155 002 0 d 1
C
J+L �IJLJI PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 218
301[E.CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A1P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
Ap ril 20, 4020 flow switch
VENDOR McDaniel Fire Systems, Inc SHIP City of Carmel Police Department
1055 West Joliet Road TO 3 Civic Square
Srelparaiso, IN 46385 Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
replace faulty flow ,itch 506.00
e
c
City of Carmel Poe rt
Send Invoice To: ATTN s Teresa Anders w
I
3 Civic Square
CCarmel, IN 46032
PLEASE INVOICE IN DUPLICATE
,f
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 501 building repairs aita nd inte nance
PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
JJ NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
t x VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS f I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS AP ROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
%/'f� /f
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY f �Li Y[ _`.i,/�Q.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL f
SHIPPING LABELS. Chief of Police f
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
f 0 CLERK TREASURER
DOCUMENT CONTROL NO -A -P COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. 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
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995
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
McDaniel Fire Systems, LLC Purchase Order No. 21887F
1055 West Joliet Road Terms
Valparaiso, IN 46385 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
637 63 t for replaci replacing faulty flow switch 506.00
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
M cDaniel Fire Systems,LLC IN SUM OF
1055 West Joliet Road
Valparaiso, IN 46385
506.00
ON ACCOUNT OF APPROPRIATION FOR
p olice general fu
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
21887F 63763 501 506.00 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 17 20 10
Signature
Assistant Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund