186793 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 079150 Page 1 of 1
0 ONE CIVIC SQUARE DONLEY SAFETY CHECK AMOUNT: $287.77
CARMEL, INDIANA 46032 5546 ELMWOOD AVE
INDIANAPOLIS IN 46203 CHECK NUMBER: 186793
CHECK DATE: 6/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 26870 99.15 REPAIR PARTS
1120 4237000 26871 188.62 REPAIR PARTS
BMW INVOICE
P SW
Tease visit us on the web at www.donleysafety.corn
Phone 317 -786 -2268 Date Invoice
5546 Elmwood Ct Fax 317- 786 -2632
Indianapolis, IN 46203 6/14/2010 1 26870
Bill To Ship To
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL. IN 46032 CARMEL. IN 46032
P.O. Number Terms Salesperson Ship Via F.O.B. S.O.
NET30 GH UPS Ground Origin 99025
Ordered Shipped Bro Description Unit Price UOM Ext. Price
3 02840860 RH OFFSET ROTARY LATCH 19.83 59.49
2 02840861 LH OFFSET ROTARY LATCH 19.83 39.66
Sales Tax (7.0 $0.00
PRICE DISCREPANCIES, RETURN REQUESTS OR Total $99.15
SHIPMENT ERRORS MUST BE REPORTED WITHIN 30
DAYS TO RECEIVE CREDIT.
Questions about this invoice? Please call 317 -786 -2268.
ORLEY INVOICE
Please visit us on the web at www.donleysafety.com
Phone 317 786 -2268 Date Invoice
5546 Elmwood Ct. Fax 317- 786 -2532
Indianapolis, IN 46203 6/14/2010 26871
Bill To Ship To
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL, IN 46032 CARMEL, IN 46032
P.O. Number Terms Salesperson Ship Via F.O.B. S.O.
NET30 GI -1 UPS Ground Origin 99026
Ordered Shipped Blo Description Unit Price UOM Ext. Price
I 025998V VELCRO STRAP, 2 PC SUCTION HOSE ILLrJ 101.48 101.48
HOLD
DOWN Note: SET OF 4 0 Y0
1 02840863 HANDLE ASSEMBLY RE 21 87.14 87.14
Sales Tax (7.0 $0.00
PRICE DISCREPANCIES, RETURN REQUESTS OR Total
SHIPMENT ERRORS MUST BE REPORTED WITHIN 30 $188.62
DAYS TORECEIVE CREDIT.
Questions about this invoice? Please call 317- 786 -2268.
s.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Donley Safety
IN SUM OF
5546 Elmwood Court
Indianapolis, IN 46203
$287.77
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
1120 26871 42- 370.00 $188.62 1 hereby certify that the attached invoice(s), or
1120 26870 42- 370.00 $99.15 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
JUN 2 'a 2f11i1
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))
26871 E45 A44 $188.62
26870 A44, Stock $99.15
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