189499 08/31/2010 CITY OF CARMEL, INDIANA VENDOR: 359261 Page 1 of 1
0 ONE CIVIC SQUARE SAFETY SYSTEMS CHECK AMOUNT: $470.44
CARMEL, INDIANA 46032 4113 TURNER ROAD
RICHMOND IN 47374 CHECK NUMBER: 189499
CHECK DATE: 8/31/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 1081612 110.44 REPAIR PARTS
1120 4237000 1081814 360.00 REPAIR PARTS
Safety Systems N M WO M-�9 1E
4113 Turner Road
Richmond, IN 47374 Invoice Number: 1081612
Invoice Date: Aug 16, 2010
Page: 1
Voice: 765 -935 -3566 Duplicate
Fax: 765- 935 -9713
.Bill To: Ship to:
carmel fire dept
2 civic square
Carmel, IN 46032
Customer 1D Customer PO Payment Terms
carmel f. d. Net 30 Days
Sales Rep ID Shipping Method ,Ship Date Due Date
UPS Ground 9115110
Quantity item Description Unit: Price Amount
3.00 01 -0461 403 -OON 34.50 103.50
1.00 shipping shipping 6.94 6.94
Subtotal 110.44
Sales Tax
Total Invoice Amount 110.44
Check /Credit Memo No: Payment /Credit Applied
TOTAL 110.44
Safety Systems d
4113 Turner Road
Richmond, IN 47374 Invoice Number: 1081814.
I nvoice Date: Aug 18, 2010
Page: 1
Voice: 765 -935 -3566 Duplicate
Fax: 765 -935 -9713
Bill To: Ship to:
carmel fire dept.
2 civic square
Carmel, IN 46032
Customer ID Customer PO Payment Terms
carmel f.d. Net 30 Days
Sales Rep.ld Shipping Method Ship Date Due Date
UPS Ground 9117110
Quantity Item Description Unit Price Amount
2.00 UTX -S 180.00 360.00
Subtotal 360.00
Sales Tax
Total Invoice Amount 360.00
Check /Credit Memo No: Payment /Credit Applied
TOTAL 360.00
VOUCHER NO. WARRANT NO.
Safety Systems ALLOWED 20
IN SUM OF
4113 Turner Road
Richmond, IN 47374
$470.44
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 1081814 42- 370.00 $360.00 1 hereby certify that the attached invoice(s), or
1120 1081612 42- 370.00 $110.44 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
rG 3 0 2910
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))
1081814 $360.00
1081612 $110.44
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