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192096 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 363941 Page 1 of 1 0 ONE CIVIC SQUARE HARRINGTON, INC CARMEL, INDIANA 46032 2630 W 21ST STREET CHECK AMOUNT: $59.99 ERIE PA 16506 CHECK NUMBER: 192096 CHECK DATE: 11/23/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4237000 092342 59.99 REPAIR PARTS In�oiceDate NOV 09 2010 Harrinoton, Inc. LDH System Specialists No CARD 0 011 I nvo,.e e Invoice N© 092342 2630 West 21st Street Erie, PA 16506 A086751 Ord�rNo, (814) 838 -3957 OR 1 -800- 553 -0078 FAX (814) 838 -7339 Page No A 1 s a h9 a y a c x 5. a F 3 r��7Ult� T a� I t" Sh1p rI`Q �Fe,.s CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT 2 CIVIC SQUARE 2 CIVIC SQUARE CARMEL IN 46032 ATTN: BOB VANVOORST CARMEL IN 46032 Customer P.O. Number VERBAL BOB INVOICE `Salesman`s TermsDueEDate iw 5111) Dat S:I e 3111pV1a s [MAIN] Net 30 12/09/10 11/09/10 UPS 1, e i a 3,. F 4 -yt� d 1. A ''w oe5 i -4 r Qtt Ord Qty Shlp:n B/O bv�T Part;Numbe'r I UescrEpt�on w Wfit rice xAm ©unt s a3a s w iW 1 EA AWG50176570 PROFILE GASKET DN50 (H400/ 54.60 EA 54.60 [Tracking #:122421560349350768 Subtotal 54.60 Freight 5.39 FIFTY NINE 99/100 DOLLARS TOTAL 59.99 CALL FOR RGA BEFORE RETURNING ANY ITEMS. COPY OF PACKING LIST MUST ACCOMPANY RGA. RETURNS MUST BE MADE WITHIN 30 DAYS AFTER RECEIPT OF ITEMS. Thank You! Harrington, Inc. Appreciates Your Business! VOUCHER NO. WARRANT NO. ALLOWED 20 Harrington, Inc. IN SIAM OF 2630 West 21 st Street Erie, PA 16506 $59.99 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1120 092342 42- 370.00 $59.99 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 NOV 2 2 2010 Iy 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)) 092342 $59.99 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