163709 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: 079150 Page 1 of 1
ONE CIVIC SQUARE DONLEY SAFETY CHECK AMOUNT: $676.01
j CARMEL, INDIANA 46032 P 0 BOX 33396
i? INDIANAPOLIS IN 46203
CHECK NUMBER: 163709
CHECK DATE: 9/17/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 19877 194.55 REPAIR PARTS
1120 4351000 W3403 481.46 AUTO REPAIR MAINTEN
i
D ONLEY NOW YOU CAN SHOP ON LINE AT Invoice
aw WWW.DONLEYSAFETY. COM
Date Invoice
1718 VILLA AVE. rnone ai "n -czoa
P.O. SOX 33396 Fax 317.766 -2532
INDIANAPOLIS, IN. 46203 8/27/2008 W3403
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
5340 Due on receipt FS ENG 45 31641 1 K9AF4288NO58675
Item Quantity Description Rate UOM Amount
LABOR 1 4" PASSENGER SIDE DISCHARGE LEAKS: WE JUST 72.50 HR 72.50
PUT NEW SEALS IN 1T. PULLED APART FLAT
BALI SCORED TOO BADLY TO SEAL. ORDERED NEW
KIT AND FLAT BALL AND INSTALL. REMOVED
VALVE AND SAND BLASTED IT CLEAN.
LABOR i TANK F1LL'VALVE LEAKiivG: RF BIL T VALVE. 72.50 HR 72.50
91660001 1 KIT 112.63 112.63
118154 1 AKRON T BALL 140.94 140.94
S- INBOUND I INBOUND FREIGHT FOR SPECIAL ORDER ITEM 16.00 16.00
REPAIR PARTS 1 797726 KIT 52.39 52.39
SHOP I MISC. SHOP SUPPLIES, CLEANING SUPPLIES, ETC. 14.50 14.50
Sales Tax (7.0 $0.00
PRICE DISCREPANCIES, RETURN REQUESTS OR TOM $481.46
SHIPMEN'r ERRORS MUST BE REPORTED WITHIN
30 DAYS TO RECEIVE CREDIT. Ifyou have'questions
about this invoice, Please call Debra O'Dair (a
317- 786 -2268 or email to dodair a donieysafety.com
D ORLEY NOW YOU CAN SHOP ON LINE AT INVOICE
WWW. DONLEYSAFETY. COM
1718 VILLA AVE. r-none r- r+sn -«oo Date InvOlCe
P.O. BOX 33396 Fax 317- 786 -2532
INDIANAPOLIS, IN, 96203 9/9/2008 19877
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 NET30 DG WILL CALL
Ordered Shipped Bro Item Number Description Unit Price UOM Ext. Price
2 2 0 "102102 TOP OUTBOARD LENS, RED 38.05 76.10
1 1 0 546- 1420 -05 -0 REPAIR KIT 13.25 13.25
1 1 0 T02131 CENTER COVER FOR CODE 3 28.75 28.75
LIGHT BAR
2 2 0 T02132 RED LENS 32.86 65.72
1 1 0 S- INBOUND INBOUND FREIGHT FOR SPECIAL 10.73 14.73
ORDF_R ITEM
Sales Tax (7.0 $0.00
PRICE DISCREPANCIES, RETURN REQUESTS OR Total
SHIPMENT ERRORS MUST BE REPORTED WITHIN 30 $194.55
DAYS TO RECEIVE CREDIT.
Questions about this invoice? Please call 317 786 -2268.
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))
19877 Repair Parts $194.55
08/27/08 W3403 Repair E45 $481.46
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
V000HER NO. WA NO.
ALLOWED 20
Donley Safety
IN SUM OF
P.O. Box 33396
Indianapolis, IN 46203
$676.01
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 19877 42- 370.00 $194.55 1 hereby certify that the attached invoice(s), or
1120 W3403 43- 510.00 $481.46 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
EP 15 200
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund