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162715 08/20/2008 a CITY OF CARMEL, INDIANA VENDOR; 079150 Page 1 of 1 ONE CIVIC SQUARE DONLEY SAFETY CARMEL, INDIANA 46032 P 0 Box 33396 CHECK AMOUNT: $615.40 INDIANAPOLIS IN 46203 CHECK NUMBER: 162715 CHECK DATE: 8/20/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DE SCRIPTION 1120 4237000 19585 162.76 REPAIR PARTS 1120 4237000 19586 452.64 REPAIR PARTS I 4 ONLEY psm INVOICE Please visit us on the web at www.donleysafety.coin 1718 VILLA AVE. Phone 317- 786 -2268 Date Invoice P.O. BOX 33396 Fax 317- 786 -2532 8/8/2008 19585 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 Bro Item Number Description Unit Price UOM Ext. Price 1 1 0 040271 V 'TURN SIGNAL TILT SWITCH 157.30 157.30 1 1 0 SFREIGI -IT SHIPPING HANDLING 5.46 5.46 i Sales Tax (7.0 $0.00 PRICE DISCREPANCIES, RETURN REQUESTS OR Total SHIPMENT ERRORS MUST BE REPORTED WITHIN 30 $162.7G DAYS TO RECEIVE CREDIT. Questions about this invoice? Please call 317 -786 -2268. D ORLEY INVOICE Please visit us on the web at www. donleysafety. coin 1718 VILLA AVE. Phone 317 786 -2266 Date Invoice P.O. BOX 33396 Fax 317- 786 -2532 8/8/2008 19586 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 Due on receipt DG WILL CALL Ordered snipped Bio Item Number Description Unit Price UOM Ext. Price 2 2 0 MS 100 100W SPEAKER 202.50 405.00 2 2 0 018290V001 WINDOW CRANK 21.09 42.18 1 S- INBOUND INBOUND FREIGHT FOR SPECIAL 5.46 5.46 ORDER ITEM Sales Tax (7.0 $0.00 PRICE DISCREPANCIES, RETURN REQUESTS OR Total SHIPMENT ERRORS MUST BE REPORTED WITHIN 30 $452.64 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)) 19586 E46, Stock $452.64 19585 Turn Signal Part R45 $162.76 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. WARRAN NO. ALLOWED 20 Donley Safety IN SUM OF P.O. Box 33396 Indianapolis, IN 46203 $615.40 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 19586 42- 370.00 $452.64 1 hereby certify that the attached invoice(s), or 1120 19585 42- 370.00 $162.76 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 Title Cost distribution ledger classification if claim paid motor vehicle highway fund