191861 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 360767 Page 1 of 1
0 ONE CIVIC SQUARE TERMINAL SUPPLY CO CHECK AMOUNT: $69.11
CARMEL, INDIANA 46032 PO BOX 1253
TROY MI 48099 CHECK NUMBER: 191861
CHECK DATE: 11/10/2010
DEPARTMENT A PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 89262 69.11 REPAIR PARTS
1800 THUNDERBIRD INVOICE
C TROY, MICHIGAN 48084 5 PAGE 0
Since 1966 (248) 362 -0790 (800) 989 -9632
FAX (248) 362 -0824 REMIT TO:
S' rjpp GQ zoww.Termna SupplyCo.com TERMINAL SUPPLY CO.
P.O. BOX 1253
TROY, MI 48099
O 13.'.2 H 13222
L CARMEL FIRE DEPT I CARMEL FIRE DEPT
D 2 CIVIC SQUARE P 2 CIVIC SQUARE
T T
0 ARMEL IN 46032 0 CARMEL IN 46032
DATE TSC ORDER NO. F.O.B. CUSTOMER P.O. NO. INVOICE NO.
alzz 1D 165096 SHIPPING POINT .JASON
DATE SHIPPED SHIPPED VIA TERMS ACCOUNT NO. SLSM
in,7 i rra
NET 30 DAYS
DESCRIPTI QUANTITY
ORDERED SHIPPED BACKORDERED IOO 1Cf4 7; F--187 •20° EL NYLON FULLY INSULATED W 2O. 72/ C 20.'2
I 1 TS- 289 -4400 LED SUBMERSIBLE TAIL LI 41.60 /EA 41.60
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We certify that these goods were produced in compliance with all applicable re- SALES TAX FREIGHT
quirements of Sections 6, 7 and 12 of the Fair Labor Standards Act, as amended, and SUB
of Regulations and orders of the United States Department of Labor issued under TOTAL
Section 14 thereof. All material on this invoice is on consignment until invoice is paid .00 6 .79
6 32
in full. A re- stocking charge may apply.
ORIGINAL INVOICE I SO 9002 Certified THANK YOU AM °DUE 1
REV, 712003
PLEASE PAY LAST AMOUNT IN THIS COLUMN I
VOUCHER NO. WARRANT NO.
ALLOWED 20
Terminal Supply
IN SUM OF
P.O. Box 1253
Troy, MI 48099
$69.11
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 89262 42 370.00 $69.11 1 hereby certify that the attached invoice(s), or
bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Nny X10
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a
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))
89262 $69.11
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