HomeMy WebLinkAbout192239 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 364900 Page 1 of 1
ONE-CIVIC SQUARE SEALS AMBULANCE SERVICE CHECK AMOUNT: $800.00
CARMEL, INDIANA 46032 PO BOX 175
FORNILLE IN 46040 CHECK NUMBER: 192239
CHECK DATE: 11/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4467099 8275 800.00 OTHER EQUIPMENT
Seals Ambulance Service Invoice
700 West Broadway
Date Invoice
P.O. Box 175
Fortville, Indiana 46040 11/16/2010 8275
Bill To
Carmel Fire Department
2 Civic Square
Carmel, IN 46032
P.O. No. Terms Project
Quantity Description Rate Amount
I Misc charges 800.00 800.00
Stryker MX Pro SN 070339520
Thank you For using Seals Ambulance. 11 you have questions, please call Randy Seals at 31.7. 541.1200
Total $800.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Seals Ambulance Service
IN SUM OF
PO Box 175
Fortville, IN 46040
$800.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #f lTLE AMOUNT Board Members
1120 8275 102 670.99 $800.00 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
7
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))
8275 $800.00
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