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CITY OF CARMEL, INDIANA VENDOR: 359493 Page 1 of 1
ONE CIVIC SQUARE PRECISION FIRE SAFETY
CARMEL, INDIANA 46032 CHECK AMOUNT: $164.70
2228 EAST 44TH ST
v <ioii INDIANAPOLIS IN 46205 CHECK NUMBER: 198710
CHECK DATE: 6/22/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1207 4239012 949 164.70 SAFETY SUPPLIES
Precision Fire Safety
Equipment, Incorporated Invoice
2228 East 44th Street Date Invoice
Indianapolis, IN 46205
6/8/2011 949
Ph: 317.547.9526
Fx: 317.547.9527
Bill To Ship To
Brookshire Golf Club Brookshire Golf Club
12120 Brookshire Parkway 12120 Brookshire Parkway
Carmel,m IN 46032 Carmel,m IN 46032
P.O. Number Terms Rep Ship Via F.O.B. Project
PAM Net 30 6/8/2011
Quantity Item Code Description Price Each Amount
1 SVC Service Call 23.00 23.00
11 INSP Annual Maintenance Inspection 3.50 38.50
1 DC1012 10# Fire Ext 12 Year Maintenance 30.50 30.50
1 CO2155 15# CO2 Fire Ext Test Fill 45.00 45.00
1 Misc Fx Parts Burst Disc for CO2 13.95 13.95
1 GVS30 Valve Stem General 11.80 11.80
1 OR305 0 Ring 1.95 1.95
Total $164.70
Prescribed by State Board of Accounts City Form No. 201 (Rev. 199
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))
06/08/11 949 Fire Ext. inspection and fill $164.7
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 NO.
ALLOWED 20
Precision Fire Safety Equipment, Inc.
IN SUM OF
2228 East 44th Street
Indianapolis, IN 46205
$164.70
ON ACCOUNT OF APPROPRIATION FOR
Brookshire Golf Club
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1207 949 42- 390.12 $164.70 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
Friday, June 10, 2011
l
Director, BrookshirA Golf Club
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund