161338 07/11/2008 CITY OF CARMEL, INDIANA VENDOR: 079150 Page 1 of 1
ONE CIVIC SQUARE DONLEY SAFETY CHECK AMOUNT: $176.21
CARMEL, INDIANA 46032 P O BOX 33396
INDIANAPOLIS IN 46203 CHECK NUMBER: 161338
CHECK DATE: 7/11/2008
DEPARTMENT ACCOUNT PO NUMB INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 19289 176.21 REPAIR PARTS
i
I
D ORLEY INVOICE
Mw Please visit us on the web at www.don /eysafety.coin
1718 VILLA AVE. Phone 317- 786 -2268 Date Invoice
P.O. BOX 33396 Fax 317- 786 -2532
INDIANAPOLIS, IN, 46203 6/20/2008 19289
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
Net 30 DG WILL CALL
Ordered Shipped B/o Item Number Description Unit Price UOM Ext. Price
2 2 0 110527 3/4" AIR DRAIN ASSEMBLY 84.50 169.00
1 1 0 S- IN130UND INBOUND FRI IGI IT FOR SPECIAL 7.21 721
ORDER ITEM
Sales Tax (7.0 $0.00
PRICE DISCREPANCIES, RETURN REQUESTS OR Total
SHIPMENT ERRORS MUST BE REPORTED WITHIN 30 $176.21
DAYS TO RECEIVE,CREDIT.
Questions about this invoice? Please call 3'17- 786 -2268.
Prescribed by State Board of Accounts City Form No. 201 (F3ev. 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))
06120/08 19289 Drain Assembly Stock $176.21
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
VOUC'NER NO. WARRANT NO,
ALLOWED 20
Donley Safety
IN SUM OF
P.O. Box 33396
Indianapolis, IN 46203
$176.21
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO, ACCT /TITLE AMOUNT Board Members
1120 19289 42- 370.00 $176.21 1 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
1
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund