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HomeMy WebLinkAbout190730 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 079150 Page 1 of 1 ONE CIVIC SQUARE DONLEY SAFETY CHECK AMOUNT: $163.36 CARMEL, INDIANA 46032 5546 ELMWOOD AVE INDIANAPOLIS IN 46203 CHECK NUMBER: 190730 CHECK DATE: 10/13/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4237000 28129 163.36 REPAIR PARTS ORLEY INVOICE Please visit us on the web at www.donleysafLty.com Phone 317. 786 -2268 Date Invoice 5546 Elmwood Ct. Fax 317 786 -2532 Indianapolis, IN 46203 9/27/2010 28129 Bill To Ship To CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT 2 CIVIC SQUARE 2 CIVIC SQUARE CARMEL, IN 46032 CARMEL, IN 46032 USA USA P.O. Number Terms Salesperson Ship Via F.O.B. S.Q. Due on receipt FS UPS Ground Origin 99082 Ordered Shipped BIO Description Unit Price UOM Ext. Price 1 I 040271 V TURN SIGNAL TILT SWITCH 157.30 157.30 1 S- INBOUND INBOUND FREIGHT FOR SPECIAL 6.06 6.06 ORDER ITEM(S) Sales Tax (7.0% 0.00 PRICE DISCREPANCIES, RETURN REQUESTS OR Total SHIPMENT ERRORS MUST BE REPORTED WITHIN 30 $163.36 DAYS TO RECEIVE CREDIT. Questions about this invoice? Please call 317 -786 -2268. VOUCHER NO, WARRANT NO. ALLOWED 20 Donley Safety IN SUM OF 5546 Elmwood Court Indianapolis, IN 46203 $163.36 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1120 28129 42- 370.00 $163.36 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 OCT 1. 1 2010 c 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)) 28129 E45 $163.36 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