HomeMy WebLinkAbout163713 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: 354683 Page 1 of 1
ONE CIVIC SQUARE E M S A R INDIANA CHECK AMOUNT: $816.03
CARMEL, INDIANA 46032 6745 PAYNE ROAD
INDIANAPOLIS IN 46203 CHECK NUMBER: 163713
CHECK DATE: 9/17/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 4444 102.00 OTHER CONT SERVICES
1120 4350900 4445 125.00 OTHER CONT SERVICES
1120 4350900 4446 339.03 OTHER CONT SERVICES
1120 4350900 4447 125.00 OTHER CONT SERVICES
1120 4350900 4448 125.00 OTHER CONT SERVICES
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EMSAR Indiana Invoice
6745 Payne Road
Date Invoice
Indianapolis, IN 46203
P 317- 697 -5379 E1N 35- 2152506 9/9/2008 4448
Bill To Ship To
Carmel Fire Department Carmel Fire Department
2 Civic Square 2 Civic Square
Carmel, IN 46032 Carmel, IN 46032
Attn: Accounts Payable Attn:
P.O. Number Terms Rep Ship Via F.O.B. Project
Net 30 DS 7/24/2008 On Site 08700219
Quantity Item Code Description Price Each Amount
1 Ferro P/M Bronze Ferno P/M Bronze 125.00 125.00
Total $125.00
EMSAR Indiana Invoice
6745 Payne Road Date Invoice
Indianapolis, IN 46203
P 9 317 697 -5379 EIN 35- 2152506 919/2008 4447
Bill To Ship To
Carmel Fire Department Cannel Fire Department
2 Civic Square 2 Civic Square
Carmel, IN 46032 Cannel, IN 46032
Attn: Accounts Payable Attn:
P.O. Number Terms Rep Ship Via F_O.B. Project
Net 30 DS 7/24/2008 On Site 08700218
Quantity Item Code Description Price Each Amount
1 Ferno P/M Bronze Ferno P/M Bronze 125.00 125.00
Total $125.00
EMSAR Indiana Invoice
6745 Payne Road Date Invoice
Indianapolis, IN 46203
P 317 -697 -5379 EIN 35- 2152506 9/9/2008 4446
Bill To Ship To
Carmel Fire Department Carmel Fire Department
2 Civic Square 2 Civic Square
Carmel, IN 46032 Carmel, IN 46032
Attn: Accounts Payable Attn:
P.O. Number Terms Rep Ship Via F.O.B. Project
Net 30 DS 7/2412008 On Site 0$700217
Quantity Item Code Description Price Each Amount
I Ferno P/M Bronze Femo P/M Bronze 125.00 125.00
1 152 -5003 35- P /93 -P CASTER WITH BRAKE W/WIIEEL 214.03 214.03
Total $339.03
EMSAR Indiana Invoice
6745 Payne Road
Date Invoice
Indianapolis, IN 46203
P 317- 697 -5379 EIN 35- 2152506 9/9/2008 4445
Bill To Ship To
Carmel Fire Department Cannel Fire Department
2 Civic Square 2 Civic Square
Carmel, IN 46032 Carmel, IN 46032
Attn: Accounts Payable Attn:
P.O. Number Terms Rep Ship Via F.O.B. Project
Net 30 DS 7124/2008 Can Site 08700200
Quantity Item Code Description Price Each Amount
I Ferno P/M Bronze Ferno P/M Bronze 125.00 125.00
Total $125.00
EMSAR Indiana Invoice
6745 Payne Road Date Invoice
Indianapolis, IN 46203
P 317- 697 -5379 EIN 35- 2152506 4/9/2008 4444
Bill To Ship To
Carmel Fire Department Carmel Fire Department
2 Civic Square 2 Civic Square
Carmel, IN 46032 Cannel, IN 46032
Attn: Accounts Payable Attn:
P.O. Number Terms Rep Ship Via F_O_B. Project
Net 30 DS 7/24/2008 On Site 011239572
Quantity Item Code Description Price Each Amount
1 Stryker P/M Bronze Stryker P/M Bronze 90.00 90.00
24 Mileage Mileage 0.50 12.00
Total $102.00
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))
Cot PM Repair $819.03
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: WAR NO.
ALLOWED 20
EMSAR Indiana
IN SUM OF
6745 Payne Road
Indianapolis, IN 46203
$819.03
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE I AMOUNT Board Members
1120 43- 509.0 $$819.03 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
L 4 ►ua.
SEP 15 2006
6
1 Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund