158367 04/15/2008 CITY OF CARMEL, INDIANA VENDOR: 079150 Page 1 of 1
j Qo r ONE CIVIC SQUARE DONLEY SAFETY CHECK AMOUNT: $3,119.72
CARMEL, INDIANA 46032 P 0 BOX 33396
INDIANAPOLIS IN 46203 CHECK NUMBER: 158367
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CHECK DATE: 4/15/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUM BER AMOUNT DESCRIPTION
1120 4237000 18332 7.72 REPAIR PARTS
1120 4351000 W3178 3,112.00 AUTO REPAIR MAINTEN
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D oaff Invoice
Please visit us on the web at www.donleysafety.corn
1718 VILLA AVE. Phone 317- 786 -2268
Date Invoice
P.O. BOX 33396 Fax 317 786 -2532
INDIANAPOLIS, IN. 46203 3/12/2008 W3178
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
18125 Due on receipt FS LADDER 41 38561 1G9ACDDT2JR088012
Item Quantity Description Rate UOM Amount
LABOR 24 RIGHT EXTEND- RETRACT CYLINDER LEAKING: BAD 72.50 HR 1.740.00
SEAL. REMOVED 42" LONG SYLINDER AND SENT OUT
FOR REPAIR. CLEANED UP HYDRAULIC FLUID ON TOP
OP TRUCK AND IN CYLINDER TRACK. REINSTALLED
CYLINDER AND CHECKED OPERATION.
-'LABOR 1 LADDER SER\clCE -CLEANED AND SER \ilrED 375.n0 375.00
HYDRAULICS AND LADDER. DID NOT CHANGE FLUID
AND ONLY CLEANED FLITER.
SUBLET I CYLINDER REPAIR 750.00 750.00
REPAIR PARTS 1 SOLVENT 25.50 25.50
HAZMAT FEE 1 HANDLING AND DISPOSAL OF HAZARDOUS 10.00 10.00
MATERIALS
SHOP I MISC. SHOP SUPPLIES. CLEANING SUPPLIES, E'I'C. 211.50 211.50
Sales Tax (6.0 $0.00
PRICE DISCREPANCIES. RE'T'URN REQUESTS OR Total $3.112.00
SHIPMENT ERRORS MUST BE REPORTED WITHIN
30 DAYS TO RECEIVE CREDIT. If you have questions
about this invoice, Please call Debra O'Dair cr
317- 786 -2268 or email to dodair a donleysafety.com
ONLEY INVOICE
Im Please visit us on the web at www.donleysafety.com
1718 VILLA AVE.
Phone 317 786 -2268 Date Invoice
P.O. BOX 33396 Fax 317 786 -2532
INDIANAPOLIS, IN. 46203 3/24/2008 18332
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
1 1 0 10006593 CHROME DOOR LOCK LEVER 7.72 7.72
Sales Tax (6.0 $0.00
PRICE DISCREPANCIES, RETURN WMUESTS OR Total
SHIPMENT ERRORS MUST BE REPORTED WITHIN 30 $7.72
DNYS TO RECEIVE CREDIT.
Questions about this invoice? Please call 317- 786 -2268
or send an 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))
03/12/08 W3178 Repair Ladder 41 Retract Cylinder $3,112.00
03/24/08 18332 Door Lock Lever A40 $7.72
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
VOUCH NO. WA RRANT NO.
ALLOWED 20
Donley Safety
IN SUM OF
P.O. Box 33396
Indianapolis, IN 46203
$3,119.72
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 W3178 43- 510.00 $3,112.00 1 hereby certify that the attached invoice(s), or
1120 18332 42- 370.00 $7.72
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
.III /f1' r r 'e t I
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund