189959 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 355226 Page 1 of 1
0 ONE CIVIC SQUARE PUBLIC SAFETY CENTER, INC CHECK AMOUNT: $396.78
CARMEL, INDIANA 56032 PO BOX 2370
EUGENE OR 97402 CHECK NUMBER: 189959
CHECK DATE: 911412010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 209913IN 396.78 SPECIAL DEPT SUPPLIES
Public Safety Center, Inc.
P.O. Box 2370 Invoice
PSC "Electronic Transfer"
OR 97402
Eugene, ACH only (no wire transfers!) Invoice Date Invoice
Pay directly from your bank to ours!
866 -646 -4434 Use our routing 123205135 9/1/2010 209913IN
and our account 20025714
Bill To Ship To
Carmel Fire Dept Carmel Fire Dept
Attn: Accounts Payable Attn: Mark Hulett
2 Civic Sq 540 W 136 St
Carmel IN 46032 Carmel IN 46032
S.O. No. 508881
P.O. Number Terms Rep Name Ship Date Ship Via Customer Phone
Net 30 Ilean 9/1/2010 Ground (317) 571 -2600
Ordered Shipped B/O Item Code Description Price Each Amount
200 200 0 17350 Hand Cleaner, Safetec Rio (4 1.66 332.00
oz)
1 1 I Shipping Processing 64.78 64.178
1 1 FedEx Ground Tracking
Number(s): 073671580292053
1 ST COPY CUSTOMER ANY ITEMS RETURNED 60 DAYS OR MORE AFTER RECEIPT ARE SUBJECT TO A 10% RESTOCK FEE,
2ND COPY- ACCOUNTING
Check out our new website at
www.publicsafetycenter.com Total X396.78
VOUCHER NO. WARRANT NO.
ALLOWED 20
Public Safety Center
IN SUM OF
8248 W. Doe Avenue
Visalia, CA 93291
$396.78
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 209913IN 102 390.11 $396.78 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
13 2 0 1 153
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))
209913IN $396.78
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