188984 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 359261 Page 1 of 1
0 ONE CIVIC SQUARE SAFETY SYSTEMS
,o CARMEL, INDIANA 46032 4113 TURNER ROAD CHECK AMOUNT: $127.24
RICHMOND IN 47374 CHECK NUMBER: 188984
CHECK DATE: 8/18/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 10802111 127.24 REPAIR PARTS
Safety Systems M
4113 Turner Road
Richmond, IN 47374 Invoice Number: 1080211
Invoice Date: Aug 2, 2010
Page: 1
Voice: 765 935 -3566 Duplicate
Fax: 765 935 -9713
,Sill To: Ship to:
carmei fire dept.
2 civic square
ca rmel, IN 46032
Customer ID Customer PO Payment Terms
carmel f.d. Net 30 Days
Sales Rep 1D Shipping Method Ship Date Due Date;
UPS Ground 911110
Quantity Item Description Unit Price Amount,
1.00 01- 0283460 -55E red LED 4X6 118.30 118.30
1.00 shipping shipping 8.94 8.94
Subtotal 127.24
Sales Tax
Total Invoice Amount 127.24
Check /Credit Memo No: Payment /Credit Applied
TOTAL 127.24
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Safety Systems
IN SUM OF
4113 Turner Road
Richmond, IN 47374
$127.24
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 10802111 42- 370.00 $127.24 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
AUG 16 2010
A
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))
10802111 $127.24
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