187060 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 358570 Page 1 of 1
ONE CIVIC SQUARE TOWERS FIRE APPARATUS, INC
O 502 SOUTH RICHLAND CHECK AMOUNT: $258.00
CARMEL, INDIANA 46032
FREEBURG IL 62243 CHECK NUMBER: 187060
CHECK DATE: 6/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4239099 76756 258.00 OTHER MISCELLANOUS
Invoice 76756
Tower's Fire'Apparatus, Inc. Date 6114/2010
502 South Richland Page 1
Freeburg, II., 62243
618- 539 -3863 Phone 618- 539 -4850 Fax
Bill To: Ship To:
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
Purchase Order;No.....1 �Customer.ID ;Y= Sales �erson ID Shi in �Methact Parent Terms.: `'•Re' -Shi Date Master, No..
GARY CARTER 001499 136 ANDY PLOFKIN Net 30 5/21!2010 72,138
,Ordered` Shi ed,_BIO. 7terii Number a Descri tion.. �`�,p. Discount Unit Price; Ext: Pnce
1 1 0 710 -035 CASE OF SMOKE FLUID $0.00 $258.00 $258.00
�5ubtotal. $258.00
LATE PAYMENT CHARGE OF 1.5% PER MONTH, NO RETURNS Vi C
$0.00
AFTER 45 DAYS OR FOR SPECIAL ORDERS, RESTOCK FEE Tax y $0.00
MAY APPLY ON RETURNS, MAJOR CREDIT CARDS ACCEPTED, !Freight $0.00
$25.00 FEE CHARGED FOR RETURNED CHECKS.
Trade Discount $0,00
Total $258.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Towers Fire Apparatus
IN SUM OF
502 South Richland
Freeburg, IL 62243
$258.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE= NO, ACCT #!TITLE AMOUNT
Board Members
1120 76756 42- 390.99 $258.00 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
J ,qN 212010
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))
76756 $258.00
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
za
Clerk- Treasurer