190232 09/29/2010 ^5. CITY OF CARMEL, INDIANA VENDOR: 00351587 Page 1 of 1
0 ONE CIVIC SQUARE CODE 3 PUBLIC SAFETY EQUIPMENT, %HECK AMOUNT: $134.00
CARMEL, INDIANA 46032 PO BOX 957237
`a ST. LOUIS MO 63195 -7237 CHECK NUMBER: 190232
CHECK DATE: 9/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 789884RI 134.00 REPAIR PARTS
cam us
1. E 5 r-
A PUBLIC SAFETY LOUIPMENT COMPANY if 1
Remit To: P.O. BOX 957237. ST. LOUIS, MO 63195 -7237 (314) 426 -2700. FAX: (314) 426 -1337
INVOICE PAGE NO.: 1
S CARMEL FD (IN) S CARMEL FD (IN)
O 2 CIVIC SQUARE H 2 CIVIC SQUARE
L CARMEL IN 46032 I ATTN: BOB VANVOORST
CARMEL IN 46032
D P
CUSTOMER PHONE: 317 57.12600
CUSTOMER FAX: 651 7652660 EMAIL:
SHIPPER'S NO. PURCHASE ORDER NO. CUST. NO. SALESMAN DATE SHIPPED INVOICE DATE INVOICE NO,
1196813 SW 207600 00007946 09/08/10 09/10/10 789884 RI
TERMS: Net 30 Days
Ow 0, e O 7 u, s"s
P;RODU,CT Cp.pE a' g C2UANTITY r istt t m 6 3 zg a tx5
_MQpEL,NUMBER y, HIPPED, 'a DES,CRIPTI'6N �s' 3 r tJN_IT PRICE gz., AMOUNT!
S x
CCCR1 1.0 V -Can Siren Incld S &H 134.0000 134.00
Standard Repair Charge
Not Eligible for Discount
1.0 FREIGHT .0000
Not Eligible for Discount
Total Order 134.00:
Refer to order acknowledgement for order details
Form 423 Rev 0 (1 111 312 0 0 6) R
VOUCHER NO. WARRANT NO,
Cod "e 3 ALLOWED 20
IN SUM OF
P.O. Box 957237
St. Louis, MO 63195 -7237
'$134.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 789884RI 42- 370.00 $134.00 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
SEP 2 7 2010
r r
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 209 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized most 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))
789884RI 0323 $134.00
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