HomeMy WebLinkAbout198257 06/06/2011 CITY OF CARMEL, INDIANA VENDOR: 359261 Page 1 of 1
ONE CIVIC SQUARE SAFETY SYSTEMS
CHECK AMOUNT: $300.82
CARMEL, INDIANA 46032 4113 TURNER ROAD
RICHMOND IN 47374 CHECK NUMBER: 198257
CHECK DATE: 6/612011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 1153114 300.82 REPAIR PARTS
Safety Systems UWUMC
4113 Turner Road
Richmond, IN 47374 Invoice Number: 1153114
Invoice Date: May 31, 2011
Page: 1
Voice: 765 -935 -3566 Duplicate
Fax: 765 935 -9713
Bill To: Ship to:
Carmel Fire Dept.
2 Civic Square
Carmel, IN 46032
Customer ID Customer PO Payment Terms
Carmel f.d. Net 30 Days
Sales Rep ID Shipping Method Ship Date Due Date
UPS Ground 6/30/11
Quantity Item Description'," Unit ?rice° Amount
2.00 QL64Z- BACKUP 146.25 292.50
1.00 shipping shipping 8.32 8.32
Subtotal 300.82
Sales Tax
Total Invoice Amount 300.82
Check /Credit Memo No: Payment/Credit Applied
TOTAL 300.82..
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))
1153114 $300.82
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Safety Systems
IN SUM OF
4113 Turner Road
Richmond, IN 47374
$300.82
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 I 1153114 42- 370.00 I $300.82 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
JUN -6 20tt
tj
3
A
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund