190917 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 252310 Page 1 of 1
ONE CIVIC SQUARE PRO AIR INC
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CARMEL, INDIANA 46032 1126 AIR DRIVE CHECK AMOUNT: $5.00
BLOOMINGTON IN 47404 CHECK NUMBER: 190917
CHECK DATE: 10/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 2232291 5.00 REPAIR PARTS
Oct. 6. 2010q g:490 KOORSEN PROTECTION SERVICES EVV RENo.2184 i
r s IL i INVOICE Koorsen Fire Security, Inc
2719 N. Arlington Ave.
ee www.koorsen.com Indianapolis, IN 4621$ -3322
w e sill Please include invoice
INC.
Number on check. A DIVf 2232291 SIQN OF KOORSEN INVOICE SER E 08/30/201 cusT.
NUMBER P.O. NO.
Phone 812- 336 -4022 INVOICE 09/09/2010 15233 10/04/2 010
nr�ay� DATE DATE Dl1E
To r 4� 2 L?� 00002 RV
Invoice to: TERMS: Net 25 Days Job
CARMEL FIRE DEPT 3ervierLocjFipMRMEL FIRE DEPT RESCUE 45
2 CIVIC so 10701 N COLLE=GE AVE
CARMEL., IN 46032 INDIANAPOLIS, IN 46280
21-HOUSE 21- 371549 STOCK21
r UANT ITY ITEM DESC UNIT PRICE TOTAL
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1�OQJ COM9403 KIT,REPAIR,LINE VLV 3506- 10,G01 5.00 5.a0
TOTAL SALES /SERVICES �5.00-
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TOTAL_ 5.00
REMINDER
Amy Kost
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(Phone) 800 /234-3891 x 1053
j (0irect) 8 -9105
I (Fax) 812f423 -2118
ALKOST 134 K.0r,,N93EN. 0,0M
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i To pay by credit card, please phone or return to us:
Card number
i
Ci visa MasterCard American Express
Name on card Expiration date
Signature X I
TOTAL SALES TAXABLE SALES TAX AMOUNT SHIPPING CHARGE
5.00 0.00 as PLEASE PAY
aderal IOU 3 5 1 153549 A service charge of 11-% per month (18% annual) will be charged on p THIS MOUNT aQ
ast due acco unts. UNT
WA 001 (8108) CUSTOMER COPY
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pro-Air
IN SUM OF
1126 Air Drive
Bloomington, IN 47404
$5.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 2232291 42- 370.00 $5.00 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
OCT 112010
�n
1
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))
2232291 Cascade $5.00
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