187357 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 00352211 Page 1 of 1
ONE CIVIC SQUARE KNOX CO
CARMEL, INDIANA 46032 1601 W DEER VALLEY ROAD CHECK AMOUNT: $182.01
PHOENIX AZ 85027
CHECK NUMBER: 187357
CHECK DATE: 7/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 00367209 182.01 REPAIR PARTS
K N ox Invoice
Number INV00367209
Date 6/21/2010
The Knox Company Page l of 1
1601 W Deer Valley Road Sales order SO0001099710
Phoenix, AZ 85027 Requisition PO# 12799
Telephone (800) 552 -5669 Your ref.
Fax (623) 687 -2290 Our ref. MM002
Payment Net 30
Invoice account CUS104304
Mode of delivery FXG
Invoice address Delivery address
Carmel Fire Dept Carmel Fire Dept Bruce Knott
2 Civic Sal Bruce Knott
Carmel, IN 46032 2 Civic Square
Carmel, IN 46032
Disc. pct.iber Description QuantityUnit Unit price Discount Amount
3770 PADLOCK, EXTERIOR, 7/16 DIAX 1 7/8" SS 2.00EA 85.00 170.00
SHACKLE, DC SOOT
PS -29- 0031 -10 -89
Quantity: 1.00 Serial number: PN439648 -1
Quantity 1.00 Serial number: PN439648 -2
Installation address: 2 Civic Sq, Carmel IN, 46032
Please pay this invoice to Knox address above. Service charge of 1 1/2% will be charged per month after due date.
Misc. charges
Transaction text value
Shipping Handling 12.01
Sales balance Total discount Misc. charges Sales tax Round -off Total
170.00 0.00 12.01 0.00 0.00 1 82,0
Payment per 7/21/2010
E:
VOUC NO. WARRAN N
ALLOWED 20
Knox Company
IN SUM OF
1601 West Deer Valley Road
Phoenix, AZ 85027
$182.0
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 00367209 42- 370.00 $182.01 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
JUL 2 2090
d
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,
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))
00367209 $182.01
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