186934 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 196325 Page 1 of 1
ONE CIVIC SQUARE MCDANIEL FIRE SYSTEMS
39493 TREASURY CENTER CHECK AMOUNT: $1,600.00
�+o CARMEL, INDIANA 46032
CHICAGO IL 60694 CHECK NUMBER: 186934
ON
CHECK DATE: 6/2312010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351501 21886 63944 1,600.00 CONTRACT RENEWAL
Send Remit \Correspondence To: Invoice
McDaniel Fire Systems, LLC
1055 West Joliet Rd
Valparaiso, IN 46385
Toll Free: 800.611.2906 Fax: 219.548.5135 Federal ID 80- 0230325
S ill To: CARMEL POLICE DEPARTMENT Invoice: 63944
3 Civic Square Invoice Date: 6/4/2010
Carmel, IN 460320000 Customer ID: 258
Attn: ACCOUNTS PAYABLE Customer Reference: PO 21886
J ob Site: CARMEL POLICE DEPARTMENT Invoice Due Date: 7/412010
Payment Terms: NET 30 DAYS
3 CIVIC SQUARE
CARMEL, IN 46032 Job 63- 0451 CARMEL POLICE DEPARTMENT
FIRE PROTECTION SYSTEM SERVICE AGREEMENT 63- 0451
PROPOSAL MKO70109 AUTHORIZED BY TERESA ANDERSON PO 21886
1 YEAR CONTRACT
EFFECTIVE 7/2/10
ANNUAL BILLING
ANNUAL BILLING 1,600.00
Send ALL Payments
Correspondence To:
Summary McDaniel Fire Systems
ANNUAL BILLING 1055 West Joliet Road 1,600.00
Valparaiso, IN 46385
CURRENT DUE: 1,600.00
INDIANA RETAIL TAX EXEMPT PAGE
Ci Carmel CERTIFICATE NO. 003120155 002 0
PURCHASE ORDER NUMBER
Police. Departuatit FEDERAL EXCISE TAX EXEMPT
35- 60000972 2 Rh
3AIVE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
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
April 20 2010 contract renewal
VENDOR McDaniel 'Fire Systems, Inc SHIP Clty of Cmu mel., Police .Department
1055 West Joliet Road TO 3 Civic Sqq re
Valparaiso, IN 46385 Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
contract renewal 1,600.00
k v
City of Carmel Po irwr
Send Invoice To: ATTN: Teresa And er o
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 515-01 maintenance coittr cts F yiT ENT t
AlP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
r NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR. THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY tY.1
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2 8 13 A.P. CLERK- TREASURER
DOCUMENT CONTROL NO COPY SIGN AND RETURN TO CLERIC OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
k
Board Members
PO# or INVOICE NO. ACCT #MTLE 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 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 1 r�
McDaniel. Fire Systems, LLC Purchase Order No. �uC
1055 West Joliet Road Terms
Valparaiso, IN 46385 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6 /4/10 63944 annual payment 1,600.00
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 caniel Fire Systems, Inc. IN SUM OF
1055 West Joliet Road
Valparaiso, IN 46385
1,600.00
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
j 63944 515 -01 1,600.00 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
June?14 20 10
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund