163178 09/03/2008 CITY OF CARMEL, INDIANA VENDOR: 079150 Page 1 of 1
ONE CIVIC SQUARE DONLEY SAFETY
s CHECK AMOUNT: $2,087.95
CARMEL, INDIANA 46032 P O BOX 33396
INDIANAPOLIS IN 46203 CHECK NUMBER: 163178
CHECK DATE: 9/3/2008
DEPARTM ACCOUNT PO N INVOIC NU MBER AMOUNT DESCRIPTION
1120 4237000 19731 130.16 REPAIR PARTS
1120 4351000 W3396 1,957.79 AUTO REPAIR MAINTEN
D ONLEY NOW YOU CAN SHOP ON LINE AT Invoice
WWW.DONLEYSAFETY.COM
Date Invoice
1718 VILLA AVE. rnone si f Tao -ccoa
P.O. BOX 33396 Fax 317 786 -2532
INDIANAPOLIS, IN. 46203 8/25/2008 W3396
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
10579 Due on receipt FS AMB 45 78015 3FI'I'MNAALX3N585816
Item Quantity Description Rate UOM Amount
AMBULANCE 1 AMBULANCE SERVICE 200.00 200.00
LABOR I CHANGED OUT AIR DRYER 72.50 HR 72.50
LABOR 2.5 FRONT BRAKES WORN OUT. INSTALLED 72.50 HR 181.25
CRYO TREATED DRUMS AND NEW PADS.
46870 l AIR FILTER 50.10 50.10
51799 1 OIL FILTER 23.13 23.13
33232 l FUEL FILTER 28.07 28.07
33403 1 FUEL FILTER 9.64 9.64
15W40 OIL 6 15W40 OIL 11.60 69.60
109477X 1 AIR DRIER 318.38 318.38
VHD9064 2 BRAKE KIT 9.91 19.82
3070EX 4 BRAKES, ROCKWEI.I. 15X4 22.90 91.60
REPAIR PARTS 2 3054X DRUMS 242.69 485.38
3574X 2 CRYO TREATMENT OF BRAKE DRUM 176.47 352.94
HA7_MAT FEE 1 HANDLING AND DISPOSAL OF 1-IAZARDOUS 10.00 10.00
MATERIALS
SHOP 1 MISC. SHOP SUPPLIES. CLEANING SUPPLIES. ETC. 45.38 45.38
Due to rising costs, our shop labor rate will increase to Sales Tax (7.0 $0.00
$78.00 effective September 1, 2008.
PRICE DISCREPANCIES, RETURN REQUESTS OR Total
SHIPMENT ERRORS MUST BE REPORTED WITHIN $1,957.79
30 DAYS TO RECEIVE CREDIT. If you have questions
about this invoice, Please call Debra O'Dair u
317- 786 -2268 or email to dodairadonleysafety.com
ORLEY YOU CAN SHOP ON LINE AT INVOICE
UFM WWW. DONL EYSAFET Y. COM
1718 VILLA AVE. rnone -31 -f 00-zzou Date Invoice
P.O. BOX 33396 Fax 317 786 -2532
8/22/2008 19731
INDIANAPOLIS, IN. 46203
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 S50386M INTERSECTION LIGHT/NO BULB 79.50 79.50
1 1 0 S17163M MOTOR/REFLECTOR/ROTATOR 45.65 45.65
ASSEMBLY
1 1 0 S- INBOUND INBOUND FREIGHT FOR SPECIAL 5.01 5.01
ORDER ITEM
Sales Tax (7.0 $0.00
PRICE DISCREPANCIES, RETURN REQUESTS OR Total
SHIPMENT ERRORS MUST BE REPORTED WITHIN 30 $130.16
.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))
19731 Repair Parts $130.16
W3396 PM Repair A45 $1,957.79
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 N
ALLOWED 20
Donley Safety
IN SUM OF
P.O. Box 33396
Indianapolis, IN 46203
$2,087.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# 1 Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 19731 42- 370.00 $130.16 1 hereby certify that the attached invoice(s), or
1120 W3396 43- 510.00 $1,957.79 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
AUG 2 9 2008
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund