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Home My WebLink About157909 04/01/2008 CITY OF CARMEL, INDIANA VENDOR: 079150 Page 1 of 1 �I� ONE CIVIC SQUARE DONLEY SAFETY CARMEL, INDIANA 46032 P 0 BOX 33396 CHECK AMOUNT: $2,795.12 INDIANAPOLIS IN 46203 CHECK NUMBER: 157909 fo x CHECK DATE: 4/1/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DE SCRIPTIO N 1120 4237000 18297 373.60 REPAIR PAR'I'S 1120 4237000 18299 52.86 REPAIR PARTS 1120 4351000 W3154 842.72 AUTO REPAIR MAINTEN 1120 4351000 W3155 284.47 AUTO REPAIR MAINTEN 1120 4351000 W3170 478.50 AUTO REPAIR MAINTEN 1120 4351000 W3175 762.97 AUTO REPAIR MAINTEN i DONLEY Please visit us on the web at www.donleysatety.corn Invoice 1718 VILLA AVE. Phone 317- 786 -2268 Date Invoice P.O. BOX 33396 Fax 317- 786 -2532 INDIANAPOLIS, IN. 46203 3/18/2008 W3175 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 10581 Due on receipt FS AMB 44 31- ITMAAL13N585817 Item Quantity Description Rate UOM Amount AMBULANCE 1 AMBULANCE SERVICE -OIL FILTER ONLY 170.00 170.00 LABOR 6 RAN AND INSTALLED WIRING FOR NEW COT 72.50 HR 435.00 51799 1 OIL FILTER 21.47 21.47 15W40 OIL 6 15 W40 01 L 11.00 66.00 14 FEE 1 HANDLING AND DISPOSAL OF l- IALARDOUS 10.00 10.00 MATERIALS SHOP I MISC. SHOP SUPPLIES, CLEANING SUPPLIES, ETC. 60.50 60.50 Sales Tax (6.0 $0.00 PRICE DISCREPANCIES, RETURN REQUESTS OR Total $762.97 SHIPMENT' ERRORS MUST BE REPORTED WITHIN 30 DAYS TO RECEIVE CREDIT. If you have questions about this invoice, Please call Debra O'Dair u 317- 786 -2268 or email to dodair a donleysafety.com ORLEY INVOICE &j Please visit us on the web at www.don/eysatety.com 1718 VILLA AVE. Phone 317 786 -2268 Date Invoice P.O. BOX 33396 Fax 317 786 -2532 3/14/2008 18297 INDIANAPOLIS, IN. 46203 Bill To Ship To CARMEL FIRE DEPAR'T'MENT CARMEL FIRE DEPARTMENT 2 CIVIC SQUARE 2 CIVIC SQUARL CARMEL, IN. 46032 CARMEL, IN. 46032 P.O. Number Terms Salesperson Ship Via F.O.B. Order Date 10579 NET30 I -1 MEDIC 45 Ordered shipped Bio Item Number Description Unit Price UOM Ext. Price 20 20 0 DTE13M HYDRAULIC FLUID 18.68 373.60 Sales Tax (6.0 $0.00 PRICE DISCREPANCIES, RETURN REQUESTS OR Total SHIPMENT ERRORS MUST BE REPORTED WITHIN 30 $373.60 DAYS TO RECEIVE CREDIT. Questions about this invoice? Please call 317- 786 -2268 or send an email to dodair @donleysafety.com ON INVOICE 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 3/19/2008 18299 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 1 1 0 02840863 HANDLE ASSEMBLY RI -1 21 52.86 EACH 52.86 Sales Tax (6.0 $0.00 PRICE DISCREPANCIES, RETURN REQUESTS OR Total SHIPMENT ERRORS MUST BE REPORTED WITHIN 30 $52.86 DAYS TO RECEIVE CREDIT. Questions about this invoice? Please call 317- 786 -2268 or send an email to dodair @donleysafety.com Qce Please visit us on the web at www.donleysatety.corn 1718 VILLA AVE. Phone 317.786 -2268 Date Invoice P.O. BOX 33396 Fax 317 786 -2532 INDIANAPOLIS, IN. 46203 3/5/2008 W3154 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 10580 Due on receipt FS ya m 84130 31- ITMNAAL83N585815 Item Quantity Description Rate UOM Amount AMBULANCE I AMBULANCE SERVICE 170.00 170.00 LABOR 7 INSTALLED CUSTOMER- SUPPLIED POWER COT. 72.50 FIR 507.50 51799 OIL FILTER 21.47 21.47 15W40 OIL 6 15W40 OIL 11.00 66.00 HA7MA7' FEE 1 HANDLING AND DISPOSAL OP HAZARDOUS 10.00 10.00 MATERIALS SHOP I MISC. SHOP SUPPLIES, CLEANING SUPPLIES, ETC. 67.75 67.75 Sales Tax (6.0 $0.00 PRICE DISCREPANCIES. RETURN REQUESTS OR Total $842.72 SHIPMENT ERRORS MUST BE REPORTED WITHIN 30 DAYS TO RECEIVE CREDIT. If you have questions about this invoice, Please call Debra O'Dair a 317- 786 -2268 or email to dodair cr donleysafcty.com O Invoice OW 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 3/5/2008 W3155 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 1-S MEDIC 45 71855 31- I'I' \gNAALXX3N858I6 Item Quantity Description Rate UOM Amount AMBULANCE 1 AMBULANCE SERVICE PERFORMED SERVICE BUT DID 170.00 170.00 NOT CHANGE FUEL OR AIR FILTERS PER CUSTOMER. NOTIFIED CUSTOMER UNIT HAS I LICENSE PLATE LIGHT OUT AND FLEX PIPE BROKEN. 51799 1 OIL FILTER 21.47 21.47 i5W40 OIL ti 115W40 OIL 11.00 66.00 SHOP 1 MISC. SHOP SUPPLIES, CLEANING SUPPLIES, I]TC. 17.00 17.00 HAZMAT FEE 1 HANDLING AND DISPOSAL. OF HAZARDOUS 10.00 10.00 MATERIALS Sales Tax (6.0 $0.00 PRICE DISCREPANCIES. RETURN REQUESTS OR Total $284.47 SHIPMENT ERRORS MUST BE REPOR'T'ED WITHIN 30 DAYS TO RECEIVE CREDIT. ll'you have questions about this invoice. Please call Debra O'Dair a 317- 786 -2268 or email to dodair «donleysafety.corn Invoice psw 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 INDIANAPOLIS, IN. 46203 3/18/2008 W3170 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 MEDIC 45 72365 3HTMNAALX3N58516 Item Quantity Description Rate UOM Amount LABOR 6 INSTALLED FERNO POWER COT AND CHARGER. 72.50 FIR 435.00 SHOP 1 MISC. SHOP SUPPLIES, CLEANING SUPPLIES, ETC. 43.50 43.50 Sales Tax (6.0 $0.00 PRICE DISCREPANCIES RETURN REQUESTS OR Total $478.50 SHIPMENT ERRORS MUST BE REPORTED WITHIN 30 DAYS TO RECEIVE CREDIT. If you have questions about this invoice, Please call Debra O'Dair u 317- 786 -2268 or 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)) 03/05/08 W3155 PM Amb. 45 Didn't change Fuel or Air Filter $284.47 03/05/08 W3154 PM Cot Install Amb. 42 $842.72 03/14/08 18297 Hydraulic Fluid Ladder 41 $373.60 03/18/08 W3175 PM Cot Install Amb. 44 $762.97 03/18/08 W3170 Cot Install Amb. 45 $478.50 03/19/08 18299 Handle Amb. 40 $52.86 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 N WARRANT NO. ALLOWED 20 Donley Safety IN SUM OF P.O. Box 33396 Indianapolis, IN 46203 $2,795.12 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 W3155 43- 510.00 $284.47 1 hereby certify that the attached invoice(s), or 1120 W3154 43- 510.00 J/' $842.72 bill(s) is (are) true and correct and that the 1120 18297 42 370.00 V $373.60 materials or services itemized thereon for 1120 W3175 43- 510.00 x$762.97 1120 W3170 43- 510.00 $478.50 which charge is made were ordered and 1120 18299 42- 370.00 $52.86 received except r— ';V4 Title Cost distribution ledger classification if claim paid motor vehicle highway fund