189728 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 358585 Page 1 of 1
ONE CIVIC SQUARE CERTIFIED FIRE SYSTEMS CONSULTANTg
CK AMOUNT: $375.00
CARMEL, INDIANA 46032 358 W OLD SOUTH STREET CHE
yi o co BARGERSVILLE IN 46106 CHECK NUMBER: 189728
CHECK DATE: 9/1412010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4351501 1397 375.00 EQUIPMENT MAINT CONTR
ZvS
Certified Fire System Consultants
358 West Old South Street Invoice
Bargersville, IN 46106
Number: 1397
317 -422 -0893 Office
317 422 -0894 Fax Date: August 25, 2010
Bill To: Ship To:
Jeff Barnes
Carmel Civic Center
1 Civic Square
Carmel, IN 46032
PO Number Terms
verbal net 30
Date Description Quantity Price Amount
08/24/10 Annual Fire Sprinkler System Inspection w/ Dry Valve Trip Test 1.00 375.00 375.00
FP Q D
1 u
13 2010
By
Total $375.00
New Email Address cfscinc@comcast. net
0 30 days 31 60 days 61 90 days 90 days Total
$375.00 $0.00 $0.00 $0.00 $375.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Certified Fire System Consultants
IN SUM OF
358 West Old South Street
Bargersville, IN 46106
$375.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Administration
PO Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1205 I 1397 I 43- 515.01 $375.00 1 hereby certify that the attached invoice(s), or
I 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
Monday,, September 13, 2010
Director, Administration
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 N (or note attached invoice(s) or bill(s))
08/25/10 1397 $375.00
1 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
1 20
Clerk- Treasurer