HomeMy WebLinkAbout197171 05/11/2011 �.qhf CITY OF CARMEL, INDIANA VENDOR: 365283 Page 1 of 1
ONE CIVIC SQUARE FIRE SERVICE INC
4 i CHECK AMOUNT: $392.57
CARMEL, INDIANA 46032 9545 N INDUSTRIAL DR
o S7 JOHN IN 46373 CHECK NUMBER: 197171
CHECK DATE: 5111/2011
DEPAR A CCOUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTIO
1120 T 4237000 3540 392.57 REPAIR PARTS
Fire Service Inc Invoice: 3540
Name, City of Carmel Fire Dept. Contact Created 04/29/11
Address;' One Civic Square Address 2 i' 2 Civic Square Time 11:27 AM
Carmel, IN 46032 Carmel, IN 46032 Advisor Tim S
Home Bob Division Si
317 -664 -0958 PO# E42
Fax
Page#`
Part Number r Descriptiorti QTY PrtceEachztendel Prtc
XL LT178720744 Receptacle -Male 12 pin 1 $383.63 $383.63
Inbound Freight N/A $8.94 $8.94
Invoice `Notes
Ordered by Bob
9545 N. Industrial Dr. I St. John, IN 46373
219 -365 -7157 1 Fax 219- 365 -8572 1 www.fireserviceinc.com
2% Interest Per Month On All Past Due Account Over 30 Days Old,
Plus Any Legal Fee Due To Legal Action.
Tot:als
Part s $383.63
Subtotal $392.57
Tax $0.00
Totat.1 $392.57
VOUCHER NO. WARRANT NO.
ALLOWED 20
Fire Service Inc.
IN SUM OF
9545 N. Industrial Drive
St. John, IN 46373
$39 2.57
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 I 3540 I 42- 370.00 I $392.57 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
MAY 12011
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by Slate 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))
3540 E42 $392.57
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