HomeMy WebLinkAbout197276 05/11/2011 CITY OF CARMEL, INDIANA VENDOR: 176650 Page 1 of 1
ONE CIVIC SQUARE KOORSEN PROTECTION SERVICE, INC CHECK AMOUNT: $512.50
CARMEL, INDIANA 46032 2719 N ARLINGTON AVE
INDIANAPOLIS IN 46218 -3300 CHECK NUMBER: 197276
CHECK DATE: 5111/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350000 2375126 512.50 EQUIPMENT REPAIRS M
REMIT 70:
INVOICE
Koorsen Fire &Security
Kd
2719 N Arlington Avenue
Indianapolis, IN 46218 -3322
F SE C U R IT Y Pfease include invoice number on check
IL 2375126 r2123699 04/15/11 18191
04/19/2011 05/14/2011
SOLD TO: C U s t. ID 01 C C P 10 5 5 1 TR-(u- R y" ey D B# S E R V I C E 01 SOB NAME 8 LOCATION 1
CARMEL CLAY PARKS 1 1427 CLAY PARKS
1427 E 116TH 1
CARMEL, IN 46032 CARMEL, IN 46032
��a
01 -FAUST 01- 000693 TKO1 -07
APRIL ANNUAL FIRE EXTINGUISHER INSPECTION
35.00 INSP -FE -A INSPECTION OF FIRE EXTINGUISHER ANNUAL 4.00 140.00
2.00 SIX -DC10 SIX YEAR MAINTENANCE DRY CHEM 10# STORED PRESSURE 28.00 56.00
2.00 DR6092A VALVE STEM RPLCMNT AMEREX DC /HALON ALUM P5 10.45 20.90
2.00 BROR27 O -RING REPLACEMENT AM5241, 131316370, 20745.. P10 3.95 7.90
2.00 CIKLO11 -01 LABEL, INSPECTION, HYDROTST 6YR, SLVR, INDPLS
35.00 CIKTO01 TAG,INSPECTION- KOORSEN *F /E PAPER-- YEL P50
35.00 CIKTO03 TAG,OSHA- KOORSEN PAPER MONTHLY INSPECT -BUFF P50 1.00 35.00
2.00 CIKTO23 COLLAR, SERVICE VERIFICATN SM P100 .75 1.50
2.00 BRNPP PULL PIN NEW TYPE P100 3.95 7.90
35.00 BRKSW SEAL,TAMPER KOORSEN LOGO YEAR 2011 WHITE P1000
3.00 99EX5ABC -H EXCHANGE EXTINGUISHER 5# ABC HYDRO TESTED 45.20 135.60
1.00 99EXIOABC -H EXCHANGE EXTINGUISHER 10# ABC HYDRO TESTED 57.75 57.75
1.00 99SCE1 SERVICE CALL FIRE EXTING UISHER 1 45.00 45.00
1.00 99FUELSC FUEL SURCHARGE TEMPORARY T 4.95 4.95
1. 00 PAY ON LINE WWW. KOCRSEN. COM IT'S EASY!
TOTAL SALES /SERVICES 512.50
7,00% INDIANA SALES TAX on 316. 50 22.
TOTAL 3 6
Purchase
Description
P.O. P OX
G. L. 13�C�
Budget
Line Descr
Purchaser pate
Approval Date
TOTAL SALES TAXABLE SALES TAX AMOUNT HIPPING ARGE
512.5 316.5 CH
22. 16 534. 66
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
176650 Koorsen Fire Security Terms
2719 N Arlington Avenue
Indianapolis, IN 46218 -3322
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
4/19/11 2375126 Extinguisher service 28429 512.50
Total 512.50
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
Voucher No. Warrant No.
176650 Koorsen Fire Security Allowed 20
2719 N Arlington Avenue
Indianapolis, IN 46218 -3322
In Sum of
512.50
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 2375126 4350000 512.50 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
4 -May 2011
Signature
512.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund