193063 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: 358585 Page 1 of 1
ONE CIVIC SQUARE CERTIFIED FIRE SYSTEMS CONSULTANTg
CARMEL, INDIANA 46032 358 W OLD SOUTH STREET
BARGERSVILLE IN 46106 CHECK AMOUNT: $165.00
CHECK NUMBER: 193063
CHECK DATE: 12/22/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4351501 1482 165.00 EQUIPMENT MAINT CONTR
Certified Fire System Consultants
358 West Old South Street Invoice
Bargersville, In- 46106
Number: 1482
317 -422 -0893 Office
317 -422 -0894 Fax Date: December 09, 2010
Bill To: Ship To:
Jeff Barnes
Carmel Civic Center
1 Civic Square
Carmel, 1N 46032
I
PO Number Terms
verbal net 30
Date Description Quantity Price Amount
12/08/10 Quarterly Fire Sprinkler System Inspection 1.00 165.00 165.00
1
Lr--J 13J
D
L'LC U 2010
By
Total $165 00
Email Address cfscinc @comcast.net
0 30 days 31 60 days 61 90 days 90 days Total
$165.00 $0.00 $0.00 $0.00 $165.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Certified Fire System Consultants
IN SUM OF
358 West Old South Street
Bargersville, IN 46106
$165.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Administration
PO# Dept. INVOICE NO. ACCT# /TITLE AMOUNT Board Members
1205 I 1482 I 43- 515.01 1 $165.00 I hereby certify that the attached invoice(s), or
I 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
,/Monday, December 20, 2010
Director, Administration
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))
12/09/10 1482 $165.00
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with €C 5- 11- 10 -1.6
20
Clerk Treasurer