HomeMy WebLinkAbout194158 02/03/2011 CITY OF CARMEL, INDIANA VENDOR: 079150 Page 1 of 1
ONE CIVIC SQUARE DONLEY SAFETY CHECK AMOUNT: $118.47
CARMEL, INDIANA 46032 5546 ELMWOOD AVE
INDIANAPOLIS IN 46203 CHECK NUMBER: 194158
CHECK DATE: 2/312011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 29344 118.47 AUTO REPAIR MAINTEN
Please visit us on the web at www.donleysafety.com Invoice
Phone 317.796 -2268 Date Invoice
5546 Elmwood Ct. Fax 317.786.2632
Indianapolis, IN 46203
12/10/201.0 29344
Bill To Service Info
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL, IN 46032 CARMEL, IN. 46032
USA
S.O. No. Terms Rep Vehicle Mileage VIN Shop R.O.
14588 Due on receipt FS 1670 1083 1GDE4V1978F418435 1614
Quantity Description Rate UOM Amount
0.5 HIGH WIND CAUGHT DOOR AND BENT GAS SPRING. 80.00 LABOR FIRS 40.00
REPLACED DOOR SPRING.
1 10009821 GAS SPRING 73.67 73.67
1 MISC. SHOP SUPPLIES, CLEANING SUPPLIES, ETC. 4.80 4.80
Sales Tax (7.0 $0.00
PRICE DISCREPANCIES, RETURN REQUESTS OR Total $118.47
SHIPMENT ERRORS MUST BE REPORTED WITHIN
30 DAYS TO RECEIVE CREDIT. Ifyou have questions
about this invoice, Please call Debra O'Dair
317 786 -2268 or email to dodair@donleysafety,com
VOUCHER NO. WARRANT NO.
ALLOWED 20
Donley Safety
IN SUM OF
5546 Elmwood Court
Indianapolis, IN 46203
$11 8.47
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# l Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 I 29344 j 43- 510.00 I $118.47 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
JAN 3 1 2011
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))
29344 $118.47
1 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