192914 12/15/2010 CITY OF CARMEL, INDIANA VENDOR: 359261 Page 1 of 1
ONE CIVIC SQUARE SAFETY SYSTEMS
CARMEL, INDIANA 46032 4113 TURNER ROAD CHECK AMOUNT: $6,312.60
RICHMOND IN 47374
�a CHECK NUMBER: 192914
CHECK DATE: 12/15/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4467099 24162 101207110 1,737.00
102 4467099 24162 10120718 2,370.00
102 4467099 24162 10120719 2,205.60
Safety Systems0
4113 Turner Road
Richmond, IN 47374 Invoice Number: 10120718
Invoice Date: Dec 7, 2010
Page: 1
Voice: 765 -935 -3566 Duplicate
Fax: 765 935 -9713
Bill To: Ship to:
Carmel fire dept ATTN:Bob Van Voorst
2 civic square
Carmel, IN 46032
Customer ID Customer PO Payment Terms
Carmel f.d. 2008 dodge durangos Net 3 Days
Sales Rep ID Shipping Method Ship Date Due Date
Hand Deliver 116111
Quantity item Description Unit Price Amount
2.00 Federal Legend Lightbars 1,185.00 2,370.00
Subtotal 2,370.
Sales Ta
Total Invoice Amount 2,370.00
Check /Credit Memo No: Payment/Credit Applied
TOTAL 2,370.00]
VO NO. WARRANT NO.
ALLOWED 20
Safety Systems
IN SUM OF
4113 Turner Road
Richmond, IN 47374
$6,312.60
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# 1 Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
24162 101207110 102 670.99 $1,737.00 1 hereby certify that the attached invoice(s), or
24162 10120719 102- 670.99 $2,205.60 bill(s) is (are) true and correct and that the
24162 10120718 1 102- 670.99 $2,370.00
materials or services itemized thereon for
which charge is made were ordered and
received except
DEC 13 2010
V y
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))
101207110 $1,737.00
10120719 $2,205.60
10120718 $2,370.00
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