157049 03/05/2008 CITY OF CARMEL, INDIANA VENDOR: 083920 Page 1 of 1
ONE CIVIC SQUARE EMERGENCY MEDICAL PRODUCTS INC
CARMEL, INDIANA 46032 1711 PARAMOUNT COURT CHECK AMOUNT: $210.90
i? WAUKESHA WI 53186 CHECK NUMBER: 157049
CHECK DATE: 3/5/2008
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4467006 INV1034454 210.90 EMS EQUIP
INVOICE r�
C Oivrisio of .EATP
Ph: 800-558-6270 www.BuYEMP.com Ph: 866 -558 -0686 www.schoolkidshealtheare.com
Bill to: City of Carmel Fire Dept. Ship to: City of Carmel Fire Department
Mark Hulett Mark Hulett
2 Carmel Civic Sq. 2 Civic Square
Carmel, IN 46032 Carmel, IN 46032 Date Page
Thank you for your order! 02/19/2008 1 of 1
PO Number Customer No. Shipping Method Payment Terms INVOICE NUMBER
Mark 1741 FED EX GROUND Net 30 Days INV1034454
Item Number Description Ordered Shipped B/O u of M Unit Price Ext Price
GB3DBLBE BOWMAN DOUBLE BOX HOLDER, WHITE BAKED ENAMEL 6 6 0 EACH $35.15 $210.90
Subtotal Handling Fee Freight Trade Disc. Sales Tax Total
$214.90 $0.00 $0.00 $0.00 $0.00 $210.90
Remit To: 1711 Paramount Court, Waukesha WI 53186
Fax 800 -558 -1551
VOUCHER NO. WARRANT N O.
ALLOWED 20
EMP
1. IN SUM OF
1711 Paramount Court
Waukesha, WI 53186
$210.90
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept.# INVOICE NO, ACCT /TITLE AMOUNT Board Members
INV1034454 102 670.06 $210.90 1 hereby certify that the attached invoice(s), or
bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
T3
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
02/19/08 INV1034454 Eqpt. for Ambulance 41 $210.90
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