165202 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: 079150 Page 1 of 1
ONE CIVIC SQUARE DONLEY SAFETY CHECK AMOUNT: .$3,616,01
CARMEL, INDIANA 46032 P 0 BOX 33396
INDIANAPOLIS IN 46203 CHECK NUMBER: 165202
CHECK DATE: 10/29/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 20169 51.04 REPAIR PARTS
1T20 42 °37000 20229 .138.57 REPAIR PARTS
1,120 42,37000 20263 401.22 REPAIR PARTS
1120 4237000 CR19877 13.25 REPAIR PARTS
1120 4351000 W3462 2,388.67 AUTO REPAIR MAINTEN
1120 4351000: W3486 649.76 AUTO REPAIR MAINTEN
m
_D 0 1 W NOW YOU CAN SHOP ON LINE A T I n v oice
WWW.DONLEYSAFETY.COM
Date Invoice
171$ VILLA AVE. rnone ai 1 rao -«a n
P.O. BOX 33396 Fax 317.766 -2532
INDIANAPOLIS, IN. 46203 10/6/2008 W3462
Bill To Service Info
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL, IN. 46032 CARMEL, IN. 46032
S.O. No. Terms Rep Vehicle Mileage VIN
2930 Due on receipt FS </'J 68684 1K9AF4285VN058491
�n
Item Quantity Description Rate UOM Amount
LABOR 1.5 FRONT SUCTION WILL NOT OPEN OR CLOSE; BAD 78.00 FIR 117.00
AIR CONTROL SWITCH. INSTALLED
CUSTOMER PROVIDED SWITCH.
LABOR 4.5 RIGHT SIDE MIV VALVE WILL NOT CLOSE ALL THE 78.00 HR 351.00
WAY; MOTOR WEAK. PULLED SIDE PANEL,
REMOVED MOTOR AND CONTROLS. TESTED AND
OUNF MOTOR WEAK. INSTALLED NEW MOTOR,
CLEANED ALL PARTS AND ADJUSTED SWITCHES.
CHASSIS 1 CHASSIS SERVICE 250.00 250.00
LABOR 0.5 INSTALLED NEW LIGHT BAR LENSES 78.00 HR 39.00
LABOR 0.5 SERVICED AIR DRIER 78.00 HR 39.00
REPAIR PARTS 1 200 1250 -50 -0 MOTOR 828.94 828.94
S- INBOUND 1 INBOUND FREIGHT FOR MOTOR 33.09 33.09
51748XD 1 OIL FILTER 39.70 39.70
33405 1 FILTER FUEL WATER 11.86 11.86
33231 1 FUEL FILTER 26.80 26.80
24070 1 WATER/COOLANT FILTER 9.76 9.76
15W40 OIL 9 15W40 OIL 11.60 104.40
46891 1 AIR FILTER 121.04 121.04
DQ6026 I DRIER CARTRIDGE 159.24 159.24
T02102 2 TOP OUTBOARD LENS, RED 38.05 76.10
T02131 1 CENTER COVER FOR CODE 3 LIGHT BAR 28.75 28.75
T02132 2 RED LENS 28.75 57.50
S- INBOUND 1 INBOUND FREIGHT FOR LENSES 5.89 5.89
HAZMAT FEE I HANDLING AND DISPOSAL OF HAZARDOUS 10.00 10.00
MATERIALS
SHOP 1 MISC. SHOP SUPPLIES, CLEANING SUPPLIES, ETC. 79.60 79.60
Sales Tax (7.0
PRICE DISCREPANCIES, RETURN REQUESTS OR Total $2,388.67
SHIPMENT ERRORS MUST BE REPORTED WITHIN
30 DAYS TO RECEIVE CREDIT. If you have questions
about this invoice. Please call Debra O'Dair n
317- 786 -2268 or email to dodair@ donleysafety.com
ONLEY NOW YOU CAN SHOP ON LINE AT INVOICE
Im WWW,DONLEYSAFETY.COM
Date Invoice
1718 VILLA AVE, rnone J I r- fOU -G16i5
P.O. BOX 33396 Fax 317 -786 -2532
INDIANAPOLIS, IN. 46203 10/7/2008 20229
Bill To Ship To
CARMEL FIRE DEPAR'T'MENT CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL, IN. 46032 CARMEL, IN. 46032
P.O. Number Terms Salesperson Ship Via F.O.B. Order Date
NFT30 DG WILL CALL
Ordered Shipped B/o Item Number Description Unit Price UOM Ext, Price
4 4 0 68- 1181363 -5S RED LENS W /SEAL, 64 SERIES 24.86 99.44
2 2 0 P -8Y HANDLE W /SCREWS FOR LIGHTS 13.59 27.18
1 1 0 S- INBOUND INBOUND FREIGHT FOR SPECIAL 11,95 11.95
ORDER ITEM
Sales Tax (7.0 $0.00
PRICE DISCREPANCIES, RETURN REQUESTS OR Total
SHIPMENT ERRORS MUST BE REPORTED WITHIN 30 $138.57
DAYS TO RECEIVE CREDIT."
Questions about this invoice? Please call 317 -786 -2268.
D ONLEY NOW YOU CAN SHOP ON LINE AT INVOICE
sm WWW.QONLEYSAFETY. COM
171$ VILLA AVE. rnone sip- iao -ttna Date Invoice
P.O. BOX 33396 Fax 317 786 -2532
INDIANAPOLIS, IN. 46203 10/1/2008 20169
Bill To Ship To
CARMEL FIRE DEPARTMENT CARMEL, FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL, IN. 46032 CARMEL, IN. 46032
P.O. Number Terms Salesperson Ship Via F.O.B. Order Date
VERBAL NEI'30 DG WILL CALL,
Ordered Shipped Bio Item Number Description Unit Price UOM Ext. Price
2 2 0 T02302 RED LENS 25.52 51.04
Sales Tax (7.0 $0.00
PRICE DISCREPANCIES, RETURN REQUESTS OR Total
SHIPMENT ERRORS MUST BE REPORTED WITHIN 30 $51.04
DAYS TO RECEIVE CREDIT.
Questions about this invoice? Please call 3 l 7- 786 -2268.
D OILEY NOW YOU CAN SHOP ON LINE AT Credit M e m o
aw W WW. DONLEYSAFETY. COM
Date Credit No,
1718 V I L L A AVE, rnone o i r- roo -cmn
P.O. BOX 33396 Fax 317.786 -2632 10/21/2008 CR 19877
INDIANAPOLIS, IN. 46203
Customer Ship To
CARMEL FIRE DEPARTMENT CARMEL FIRF' DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL, IN. 46032 CARMEL, IN. 46032
P.O. No. Rep Project
VERBAL DG
Item Description Qty Rate UOM Amount
CREDIT FOR ITEM RETURNED:
546 1420 -05 -0 PV /PVG "O" RING REPAIR KIT -1 13.25 -13.25
Subtotal 13.25
Sales Tax (7.0 $0.00
Total 13.25
iD&M NOW YOU CAN SHOP ON LINE AT INVOICE
WWW. DONLEYSAFETY. COM
1718 VILLA AVE. rnone o i r- rot)-crow
Date Invoice
P.O. BOX 33396 Fax 317. 786 -2632
INDIANAPOLIS, IN. 46203 10/17/2008 20263
Bill To Ship To
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL, IN. 46032 CARMEL, IN. 46032
P.O. Number Terms Salesperson Ship Via F.O.B. Order Date
NET30 DG WILL CALL
Ordered Shipped BIO Item Number Description Unit Price UOM Ext. Price
I 1 0 91663964 GAUGE 311.68 311.68
1 1 0 14BV DRAIN ASSEMBLY 25.00 25.00
2 2 0 68- 1181363 -5S RED LENS W /SEAL 64 SERIES 24.86 49.72
1 1 0 S- INBOUND INBOUND FREIGHT FOR SPECIAL 14.82 14.82
ORDER ITEMS
Sales Tax (7.0 $0.00
PRICE DISCREPANCIES, RETURN REQUESTS OR Total
SHIPMENT ERRORS MUST BE REPORTED WITHIN 30 $401.22
DAYS TO RECEIVE CREDIT.
Questions about this invoice? Please call 317 -786 -2268.
"DOMLEY NOW YOU CAN SHOP ON LINE AT Invoice
KqW WWW.DONLEYSAFETY.COM
Date Invoice
1718 VILLA AVE, rnone .31 1-100-L coa
P.O. BOX 33396 Fax 317 -786 -2532
INDIANAPOLIS, IN. 46203 10/17/2008 W3486
Bill To Service Info
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL, IN. 46032 CARMEL, IN. 46032
S.O. No. Terms Rep Vehicle Mileage VIN
K92637 Due on receipt FS ENG 42 42314 47_3HAAA843RK9263
Item Quantity Description Rate UOM Amount
CHASSIS I CHASSIS SERVICE 250.00 250.00
LABOR 0.7 REBUILT PRIMER CONTROL 78.00 HR 54.60
LABOR 0.5 SERVICED AIR DRIER 78.00 FIR 39.00
24073 1 WATER/COOLANT FILTER 19.33 19.33
33406 1 FUEL FILTER 14.99 14.99
.57746XD l- OIL FILTER 46.47 46.47
107794X i AIR DRYER CART. 56.50 56.50
546 1420 -05 -0 1 PV /PVG "O" RING REPAIR KIT 13.24 13.24
15W40 OIL 9 15W40 OIL 1 1.60 104.40
HAZMAT FEE 1 HANDLING AND DISPOSAL OF HAZARDOUS 10.00 10.00_
MATERIALS
SHOP 1 MISC. SHOP SUPPLIES, CLEANING SUPPLIES, ETC. 41.23 41.23
Sales Tax (7.0 $0.00
PRICE DISCREPANCIES, RETURN REQUESTS OR Total $649.76
SHIPMEXr ERRORS MUST BE REPORTED WITHIN
30 DAYS TO RECEIVE CREDIT. If you have questions
about this invoice, Please call Debra O'Dair a
317- 786 -2268 or email to dodair @donleysafety.com
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))
W3486 Repair E42 $649.76
W3462 Repair E43 $2,388.67
20169 Repair Parts E42, E44, L41 $51.04
20229 Repair Parts E42, E44, L41 $138.57
CR 19877 Credit ($13.25)
20263 Misc. Repair Parts $401.22
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. WAR NO.
ALLOWED 20
Donley Safety
IN SUM OF
P.O. Box 33396
Indianapolis, IN 46203
$3,616.01
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
1120 W3486 43- 510.00 $649.76 I hereby certify that the attached invoice(s), or
1120 W3462 43- 510.00 $2,388.67 bill(s) is (are) true and correct and that the
1120 20169 42- 370.00 $51.04
materials or services itemized thereon for
1120 20229 42- 370.00 $138.57
1120 CR19877 42- 370.00 ($13.25) which charge is made were ordered and
1120 20263 42- 370.00 $401.22 received except
OCT 2 7 2006
4 9
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund