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193264 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: 00350198 Page 1 of 1 ONE CIVIC SQUARE ZESCO PRODUCTS CHECK AMOUNT: $641.60 CARMEL, INDIANA 46032 640 N CAPITOL AVE PO BOX 6157 CHECK NUMBER: 193264 INDIANAPOLIS IN 46206 -6157 CHECK DATE: 12/22/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4463000 S100182406 641.60 FURNITURE FIXTURES Page: 1 59 In l Invoice Number: S100182406 ,Your #1.Source`FLr Food 5ervlce £qulprrzene' &'Supp/les Sold To Ship To CARMEL FIRE DEPT HEADQUAR. CARMEL FIRE DEPT STATION #4 ACCOUNTS PAYABLE MARK CALLHAHAN 2 CIVIC SQUARE 5032 E. 131ST STREET CARMEL, IN 46032 CARMEL, IN 46033 US US Customer No. Customer P.O. No. Taken By Order Date Type Date C00074856 24128 MIKEK 10/05/10 Invoice 12115(10 Order Number Shipment Method Shipped Via ype S0178505 Pre-Arranged ESTES LTL Drop Shi Salesperson Terms Phone No. Mike Kidd Net 30 1 3175712600 Item Qty Ord Qty B Ord Qty Inv Unit Product Code Kit I #em No. Description Unit Price Amount Tax 10000 8 8 EA 395FO73 -GR1 BANQUET STCK CHR,2pcARCHD 67.70 541.60 N BACK W /CONCEALED FSTNRS H 30000 FRAMES: STARDUST SILVER #30 UPHOLSTERY. ROYAL'BLUE VINY 45000 PLEASE MARK ALL BOXES WITH: 48750 PO #24128 50000 1 1 FEE FREIGHT -PRE PRE ARRANGED FREIGHT 100.00 100.00 N CHARGE 51000 56406 Subtotal: 641.60 Total Sales Tax: 0.00 Order Payments 0.00 eceived By Please pay from this invoice, 1 112 added to past due invoices- Total Amou Due 641.6 Back ordered items will be shipped as soon as possible and invoiced at that time. See warranties and important information at esco.co or in the front pages of your Zesco catalog. t Zesco Products Local Indianapolis, Inc. (317) 269 -9300 Local Fax (317) 269 -9022 640 North Capitol Avenue Toll Free Nationwide (800) 729 -5051 Toll Free Fax (800) 537 -9335 Indianapolis, IN 46204 Online Catalog www.zesco.com Customer Copy VOUCHER NO. WARRANT NO. ALLOWED 20 Zesco IN SUM OF 640 N. Capitol Avenue Indianapolis, IN 46204 $641.60 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 24128 S100182406 102- 630.00 $641.60 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 DEC 2 0 MO. 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)) S100182406 $641.60 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