195422 03/16/2011 CITY OF CARMEL, INDIANA VENDOR: 363862 Page 1 of 1
0 ONE CIVIC SQUARE JASON FORCE
CARMEL, INDIANA 46032 30 SLEEPY HOLLOW COURT CHECK AMOUNT: $437.40
WESTFIELD IN 46074
CHECK NUMBER: 195422
CHECK DATE: 3/16/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A MOUNT DESCRIPTION
1120 4350900 437.40 OTHER CONT SERVICES
MAR- 08- 2011(TUE) 09:10 GILLETTE 6ENERATORS (FAX)574 262 1840 P.001/001
INVOICE
A GILLETTE GENEXXTORS, INC. 0047369 -IN 1
v v 1340 WADE DRNE
EIN #35- 1284397
ELIUMT, IN 46514 USA
(800) 777 -9639
www.,qilleiie_qezierafors.com
CITY OF CARMEL DlMFT CITY OF CARIVV= FIRE DEPT
2 CIVIC SOURS 2 CIVIC SOURS
CARNIEL, IN 46032 CAEN=, IN 46032
TRA=r' r ummis:
cus�,o}v ch °a13 a� r s pt"1" f fi x1 �7eliii"1h7 E� t F ''i' .��i i 3 asrrr *ox JPRM4
JASON VISA COLLECT 3/8/2011
GILL=GENM:,IAT ORS CUST PI UP H030701 PARTS
ON
1 1 0 715500 298.30 298.30
STATOP, 9.OKW 5 1/2"
1 1 0 270718 54.60 54.60
CIRCUIT B REAKER 35 AMP, 2 POLE
MAGNETIC
1 1 0 241001 24.50 24.50
BALL BEARING, DOUBLE ROW(BDN)
/M 60.00
1 1/2 FLOUR LABOR AT $40.00
PER FLOUR
NO RETURNS ACCEPTED WITHOUT RGA APPROVAL NUMBER- 433,40
ALL CLAIMS MUST BE MADE VVITHix 10 DAYS OF RECk:wT OF GOODS. 0.00
TITLE TO THE GOODS HEREBY SOLD SHALL REMADt IN G ILL EWE rE GENERATORS, INC.
UNriI, THE BUYER HAS PAID THE PURCHASE PRICE IN FULL, 0.00
c
MINIMUTVI BILLING OF $28.00 APPLIES ON ALL ORDERS. 437.40
GILL "E GENERATORS, INC. Page 1 of 1
1340 WADE DRIVE PICKING SHEET
ELKHART, IN 46514 USA ORDER DATE: 3/7/2011
PH: (800) 777 -9639 ORDER NUMBER: H030701
FX: (574) 262 -1840
Sold To: Ship To:
CITY OF CARMEL FIRE DEPT CITY OF CARMEL FIRE DEPT
2 CIVIC SQURE 2 CIVIC SQURE
CARMEL, IN 46032 CARMEL, IN 46032
Customer P.O. JASON
Ship VIA F. O. B. Terms
CUST PICK UP COLLECT VISA
Item Number Unit Ordered Shipped Backordered
715500 1.00
STATOR, 9.OKW 5 1/2" j
270718 1.00 I
CIRCUIT BREAKER, 35 AMP, 2 POLE
MAGNETIC j
241001 1.00 1
BALL BEARING, DOUBLE ROW(BDN)
/M
1 1/2 HOUR LABOR AT $40.00
PER HOUR
VOUCHER NO, WARRANT NO.
ALLOWED 20
Jason Force
IN SUM OF
$4
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 I I 43- 509.00 I $437.40 I 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
A
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))
Reimburse for Generator Repair $437.40
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