189791 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 364689 Page 1 of 1
0 ONE CIVIC SQUARE GEM SENSORS INC
CARMEL, INDIANA 46032 PO BOX 96860 CHECK AMOUNT: $36.25
CHICAGO IL 60693 CHECK NUMBER: 189791
CHECK DATE: 9/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4237000 565173 36.25 REPAIR PARTS
Invoice Numher
Co gas ciisors Inc. LcL 860 -747 -3000 bG5 i 73 1 of i
199 F 'jvlc K oad Fax: 860 -7 -4244
`F154iville, CT 06062
TM Customer Purchas Order 5 1o�a 238 .08
Sensors Controis p 1 ;rlvr >icc gate
Sa Older No.
CARMEL CLAY PARKS E RECREATION Gerrls Sensors inc. r 251212 _j C3 20/ i 0
1427E 116 L ST �'O o P.O. Sox 96860 L
IATr TODD SI lYDEF Chicago, IL 60693 Carrlcr
r UPS GROIN iD
(CARMEL IN 46032
United States 1 reigill H�nrilia n
6 I N FreigF.I cpaid
Terri s.
CARMEL CLAY PARKS &RECREATION 0. 1 0 N 3t 30
141 E 116TH ST Ca reer Nu:nbti:r�
CARMEL IN 46032
United States p
I N V V 1 C E Bill T c_�__ I
I L 5283-'
ee A' e e�_ .sly. p e
F j ci.,:_
317- 573 -4026
i INTfD177151
1 167364 EA 08/26/10 08/2.6/10 1 1 $25.00 $25.00
Shipment 73858
HPR KIT RFS /0- 25000- PS- 1 1R(STKu
2 SHIPPING HANDLING 08/26/10
Shipment 7385
!7.017710030
UPG GRD -PPD
i
Purchase
Description C70. -1 Y r�
P.O.0 38 q, P Olt—
ML 1 I��- o00
uns 2� P,a.ezS
Pun laser Dace
Date
r.-.
Page Total:
r,
i Product Totals: $25.0Q
Freight Totals: $11.25
Tax:
Order Total: $36.25
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Gems Sensors Inc. Terms
P.O. Box 96860
Chicago, IL 60693
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
8126110 565173 Sensor repair kit 23889 36.25
Total 36.25
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20_
Clerk Treasurer
Voucher No. Warrant No.
Gems Sensors Inc. Allowed 20
P.O. Box 96860
Chicago, IL 60693
T In Sum of$
36.25
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 565173 4237000 36.25 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
9 -Sep 2010
Signature
36.25 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund