199368 07/20/2011 CITY OF CARMEL, INDIANA VENDOR: 025255 Page 1 of 1
ONE CIVIC SQUARE BELL INDUSTRIES, INC
i CARMEL, INDIANA 46032 PO BOX 823342 CHECK AMOUNT: $2,970.46
PHILADELPHIA PA 19182 -3342 CHECK NUMBER: 199368
CHECK DATE: 7/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4463201 24202 287897 896.01 LAPTOP
102 4463201 24202 297700 953.22 LAPTOP
102 4463201 24202 297750 50.07 LAPTOP
601 5023990 301170 142.67 OTHER EXPENSES
604 5023990 301170 928.49 OTHER EXPENSES
Techlogix
PAGE: 1
Focused Skilled. Reliable
REMIT TO: INVOICE: B I 301170
BELL TECHLOGIX INC INVOICE DATE: 05 03 11
P.O. BOX 823342 DUEDATE:06 /02/11
PHILADELPHIA PA 19182-3342 TERMS:
317- 704 -6000 Net 30
866- 782 -2355 Net 30 Days
SHIP TO: BILL TO: 1201825
Carmel Water O erations CITY OF CARMEL
3450 W 131st Street ONE CIVIC SQUARE
attn: Kerri Loveall ATTN: ACCOUNTS PAYABLE
Carmel IN 46074 CARMEL IN 46032
USA
ORDER: 679803
ORDER DATE: 04 18 11
CUSTOMER P;O.: w0 9 5 2 8
CARRIER:
FREIGHT TERMS: FREIGHT CHARGE 121
METHOD: FEDERAL EXPRESS ECONOMY J`C
TRANSPORTATION ID: h
SALESPERSON: SETH SCHWARTZBACH U
CURRENCY: United States Dollars
0
Carmel Water Operations x.
Kerri Loveall
Cust PO Num: w09528
Contact name: Terry Crockett
Phone: 3175712567x
Email: tcrockett@carmel.in.gov
prices are based on WSCA II contract pr
racing or better
city of carmel
BELL SO 679803 20091169
1 V5796UT #ABA 1 EA 513.86
HP PRO 3130 MT G6950 2GB 16OGB 513.86 EA
W7P32
Line Lot /Serial Details:
MXL1120Wk7G EA 1
2 U791SE 1 EA 118.08
4YR UPG WARR ONSITE NBD DSKTOP 118.08 EA
3 AT024AT 1 EA 31.88
HP 2GB PC -3 10600 (1333MHZ) 31.88 EA
DIMM
4 AR630AA 1 EA 89.00
DVD -RW DRIVE 89.00 EA
5 BE750G 1 EA 84.77
APC BACK -UPS ES 750VA 10OUT 84.77 EA
120 VOLT MASTER CONTROL
6 N.Q576AT 1 EA 15.53
HP LCD SPEAKER BAR 15.53 EA
SPEAKER
7 NM360A8 #ABA 1 EA 165.45
LA1905WG 191N LCD MON SBY 165.45 EA
Line Lot /Serial Details:
SCNCO27OT3B EA 1
FREIGHT CHARGE:
GROSS AMOUNT:
INVOICE DISCOUNT:
NET AMOUNT:
TAX AMOUNT:
DOWN PAYMENT:
NET AMOUNT DUE:
••ir
T .'.�4�� PAGE: 2
Focused Skilled- Reliable INVOICE: B I 301170
REMIT TO:
BELL TECHLOGIX INC INVOICE DATE: 05 /03/11
P.O. BOX 8233 DUE DATE: 06 /02/11
PHILADELPHIA PA 19182 -3342
317- 704 -6000 TERMS: Net 30
866 -782 -2355 Net 30 Days
SHIP TO: BILL TO: 1201825
Carmel. Water 0 erations CITY OF CP.RMEL
3450 W 131st Meet ONE CIVIC SQUARE
attn: Kerri Loveall ATTN: ACCOUNTS PAYABLE
Carmel IN 46074 CARMEL IN 46032
USA
ORDER: 679803
ORDER DATE: 04/18/11
CUSTOMER P.O.: W 0 9 5 2,8
CARRIER:
FREIGHTTERMS: FREIGHT CHARGE 121
METHOD: FEDERAL EXPRESS ECONOMY
TRANSPORTATION ID:
SALESPERSON: SETH SCHWARTZBACH
CURRENCY: United States Dollars
U79 4E 1 EA 24.59
4YR UPG WARR ONSITE NBD 9X5 24.59 EA
MID -RANGE MONITORS 17 -19IN LCD
9 ISR- 760 -0007 1 EA 28.00
HARDWARE CONFIGURATION 28.00 EA
PAST DUE ACCOUNTS CARRY INTEREST AT THE
LESSER OF 1.5% PER MONTH OR THE
MAXIMUM LEGAL RATE IN THE JURISDICTION
IN WHICH THE CUSTOMER'S PRINCIPAL PLACE
OF BUSINESS IS LOCATED
ALL DELIVERY TERMS ARE F.O.B. ORIGIN
TO REQUEST A STATEMENT OF ACCOUNT PLEASE
CONTACT 866 -782 -2355 EXT 56817
FEDERAL TAX ID# 26- 3683994
FOR SERVICE CALL 1- 800 999 -9813
FREIGHT CHARGE: 0.00
GROSS AMOUNT: 1,071.16
INVOICE DISCOUNT: 0.00
NET AMOUNT: 1,071.16
TAX AMOUNT: 0.00
DOWN PAYMENT: 0.00
NET AMOUNT DUE: 1,071.16
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
025255
BELL INDUSTRIES INC Purchase Order No.
PO BOX 73286 Terms
CHICAGO, IL 60673 Due Date 7114/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/14/2011 301170 $928.49
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
Date Officer
VOUCHER 111805 WARRANT ALLOWED
025255 IN SUM OF
BELL INDUSTRIES INC
PO BOX 73286
CHICAGO, IL 60673 Op
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
304170 02- 2308 -00 $928,49
Depreciation
Voucher Total $928.49
Cost distribution ledger classification if
claim paid under vehicle highway fund
lj
I
f ETe7h1 og ix
PAGE: 1
Focused-Skilled- Reliable
REMIT TO: INVOICE: B I 301170
BELL TECHLOGIX INC
P.O. BOX 623342 INVOICE DATE: 05 03 11 PH D
UE DATE:
PH I L ADELPHIA PA 19182 -3342 06/02/11
317 704 -6000 TERMS: Net 30
866 782 -2355 Net 30 Days
i
SHIP TO: BILL TO:
Carmel Water Op erations] 1201.825
3450 W 131st Street CITY OF CARMEL
attn: Kerri Loveall ONE CIVIC SQUARE
Carmel IN 46074 ATTN: ACCOUNTS PAYABLE
USA IN 46032
USA
ORDER:
ORDER DATE: 04 18 l
CUSTOMER P.O.: wO9528
CARRIER:
FREIGHT TER FEDERAL EXPRESS
TRANSPORTATION ID: 2 V
SALESPERSON: SETH SCHWARTZBACH
CURRENCY: Uni States Dollars
kl
arme Water Opera CLIons
Kerri Loveall
Cust PO Num: W09528
Contact name: Terry Cri ckett
Phone: 3175712567x
Email: tcrockett@carmedl.in.gov
prices are based on WS,4CA II contract pr
ricing or better
city of carmel
BELL SO 679603 200916169
1 VS796UT #ABA 1 EA
HP PRO 3130 MT G6950 2�B 160GB 513.86 EA 513.86
W7P32 11
Line Lot /Serial Details:
MXL1120WJG EA I'i 1
2 U7918E 118.08
4YR UPG WARR ONSITE NB DSKTOP 118.08 EA
3 AT024AT 31.88
HP 2GB PC -3 10600 (1333MHZ) 31.88 EA
DIMM
4 AR630AA 1 EA 89.00
DVD -RW DRIVE 89.00 EA
5 BE750G 1 EA 84.77
APC BACK -UPS ES 750VA I 1OOUT 84.77 EA
120 VOLT MASTER CONTROL
6 NQ576AT �I 1 EA
HP LCD SPEAKER BAR 15.53 EA 15.53
SPEAKER
7 NM360AB #ABA
LA1905WG 19IN LCD MON SBY 165.45 EA 165.45 1 EA
Line Lot /Serial Details: 1
SCNCO27OT3B E A
FREIGHT CHARGE:
GROSS AMOUNT:
INVOICE DISCOUNT:
NET AMOUNT:
TAX AMOUNT:
t DOWN PAYMENT:
NET AMOUNT DUE:
1
I
t,
Techlogix
PAGE: 2
Focused Skilled Reliable
REMIT T0: INVOICE: B I 301170
BELL TECHLOGIX INC
P.O. BOX 823342 INVOIGEDATE: 05 /03/11 PHILADELPHIA PA 19182-3342 DUE DATE: 06/02/11
317- 704 -6000 TERMS: Net 30
866 -782 -2355 Net 30 Days
i
SHIP TO: BILL TO:
Carmel Water O erationsl CITY OF CAR018 25
3450 W 131st oveall ONE CIVIC SQUARE
attn: Kerri Loveall ATTN: ACCOUNTS PAYABLE
Carmel IN 446074 USA
j IN 46032
US
ORDER: fr
ORDER DATE,04/ 6 79803
CUSTOMER P.O.: 8 11
w09528
CARRIER:
FREIGHT TERMS: FREIGHT CHARGE 121
METHOD: FEDERAL EXPRESS ECONOMY
TRANSPORTATION ID: if
SALESPERSON: SETH SCHWARTZBACH
CURRENCY: Unlined States Dollars
UNIT PRICE
DESCRIPTION NET AMOUNT
U7 9 4 1
4YR UPG WARR ONSITE NBD 9X5 24.59 EA
4
MID -RANGE MONITORS 17 "19IN LCD
9 ISR 760 0007 it 1 EA
HARDWARE CONFIGURATION 28.00
28.00 EA
tr, t+ w w +wwt +wwwwww *wwwwwwwww�rwww +wwwx
PAST DUE ACCOUNTS CARRY INTEREST AT THE
LESSER OF 1.5%- PER MONTH OR THE
MAXIMUM LEGAL RATE INjTHE JURISDICTION
IN WHICH THE CUSTOMERS PRINCIPAL PLACE
OF BUSINESS IS LOCATED
w+ w+ w* wwwwwwwwwwwwwww +wwww +ww
ALL DELIVERY TERMS ARA F.O.B. ORIGIN
ww+ wwwww rww wwwwwwwx +wt'wwwwwwwwwwwww +ww
TO REQUEST A STATEMENZ, OF ACCOUNT PLEASE
CONTACT 866- 782 -2355 F_XT 56817
ww +w +www +ww +ww +ww +w +www +www +ww
FEDERAL TAX ID# 26- 368!3994
FOR SERVICE CALL 1 999 9813
i
f
�I
FREIGHT CHARGE: 0.00
GROSS AMOUNT: 1,071.16
INVOICE DISCOUNT: 0.00
f NET AMOUNT: 1,071.16
TAX AMOUNT: 0.00
DOWN PAYMENT: 0.00
NET AMOUNT DUE: 1,071.16
i
I
jl
jl
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
025255
BELL INDUSTRIES INC Purchase Order No.
PO BOX 73286 Terms
CHICAGO, IL 60673 Due Date 7/14/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/14/2011 301170 $142.67
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
Date Officer
VOUCHER 111812 WARRANT ALLOWED
025255 IN SUM OF
BELL INDUSTRIES INC
PO BOX 73286 WATER
CHICAGO, IL 60673 OPERATIONS
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
301170 01- 6360 -06 $142.67
Voucher Total $142.67
Cost distribution ledger classification if
claim paid under vehicle highway fund
Techl��gix
PAGE: 1
Focused Skilled- Reliable INVOICE: B I 297700
REMIT TO:
BELL TECHLOGIX INC INVOICE DATE: O2 21 11
P.O. BOX 823342 DUE DATE: 03 /23/11
PHILADELPHIA PA 19182 -3342 TERMS: Net 30
317 -704 -6000 Net 30 Days
866 782 -2355
SHIPTO: BILL TO: 1201825
Carmel Fire Department CITY OF CARMEL
2 Civic Square ONE CIVIC SQUARE
attn: Terry Crockett ATTN: ACCOUNTS PAYABLE
Carmel IN 46032 CARMEL IN 46032
USA
ORDER: 678033
ORDER DATE: 02/16/11
CUSTOMER P.O.: 2 4 2 0 2
CARRIER:
FREIGHT TERMS:-
METHOD:
TRANSPORTATION ID:
SALESPERSON: SETH SCHWARTZBACH
CURRENCY: United States Dollars
DESCRIPTI
Carmel Fire Department
Terry Crockett
Cust PO Num: 24202
Contact name: Terry Crockett
Phone: 3175712567x
Email: tcrockett@carmel.in.gov
BELL SO 678033 20089618
PB 6550B CI5/2.53 15.6 4G 320GB DVDR WL
LS CAM W7P 64
2 ED495UT #ABA 1 EA 60.15
SMART BUY 90W SMART AC ADAPTER 60.15 EA
3 NZ222UT##ABA 1 EA 173.48
120W ADVANCED DOCKING STATION 173.48 EA
US -SMART BUY
4 BE75OG 1 EA 86.20
APC BACK -UPS ES 750VA 10OUT 86.20 EA
120 VOLT MASTER CONTROL
aS5B1039T59259
6 UC283E 1 EA 373.45
4YR UPG WARR ONSITE NBD WITH 373.45 EA
OFFSITE ACCIDENTAL DAMAGE PROT
7 U7934E 1 EA 25.25
4YR UPG WARR ONSITE NBD 9X5 25.25 EA
MID -RANGE MONITORS 17 -19IN LCD
8 NM360A8 #ABA 1 EA 197.74
LA1905WG 19IN LCD MON SBY 197.74 EA
aS2MH03200ZQ
9 920 002836 1 EA 36.95
WIRELESS DT MK320 KEYBOARD 36.95 EA
WIRELESS 2.4GHZ MOUSE USB
FREIGHT CHARGE:
GROSS AMOUNT:
INVOICE DISCOUNT:
NET AMOUNT:
TAX AMOUNT:
DOWN PAYMENT:
NET AMOUNT DUE:
i
PAGE: 2
Focused -Skilled Reliable INVOICE: B I 297700
REMIT TO:
BELL TECHLOGIX INC INVOICE DATE: 02/21/11
P.O. BOX 823342 DUEDATE:03 /23/11
PHILADELPHIA PA 19182 -3342 TERMS: Net 30
317 704 -6000 Net 30 Days
866 -782 -2355 y
SHIP TO: BILL TO: 1201825
Carmel Fire Department CITY OF CARMEL
2 Civic Square ONE CIVIC SQUARE
attn: Terry Crockett ATTN: ACCOUNTS PAYABLE
Carmel IN 46032 CARMEL IN 46032
USA
ORDER: 678033
ORDER DATE: 0 2 16 11
CUSTOMER P.O.: 2 4 2 0 2
CARRIER:
FJ^ FIGHT TERMS:_
METHOD:
TRANSPORTATION ID:
SALESPERSON: SETH SCHWARTZBACH
CURRENCY: United States Dollars
DESCRIPTION
s
PAST DUE ACCOUNTS CARRY INTEREST AT THE
LESSER OF 1.5% PER MONTH OR THE
MAXIMUM LEGAL RATE IN THE JURISDICTION
IN WHICH THE CUSTOMER'S PRINCIPAL PLACE
OF BUSINESS IS LOCATED
ALL DELIVERY TERMS ARE F.O.B. ORIGIN
TO REQUEST A STATEMENT OF ACCOUNT PLEASE
CONTACT 866 -782 -2355 EXT 56817
FEDERAL TAX ID# 26- 3683994
FOR SERVICE CALL 1- 800 999 -9813
B A C K O R D E R S U M M A R Y
1 WZ303UT #ABA 1
HEWLETT- PACKARD PROBOOK 6550
5 GN073AA 1
SPORT BACKPACK BLACK
FREIGHT CHARGE: 0.00
GROSS AMOUNT: 953.22
INVOICE DISCOUNT: 0.00
NET AMOUNT: 953.22
TAX AMOUNT: 0.00
DOWN PAYMENT. 0.00
NET AMOUNT DUE: 953.22
Techlogix
PAGE: 1
Focused Skilled Reliable INVOICE: B 1 297750
REMIT TO:
BELL TECHLOGIX INC INVOICE DATE: 0 2 2 2 11
P.O. BOX 823342 DUE DATE: 03/24/11
PHILADELPHIA PA 19182 -3342 TERMS:
317 -704 -6000 Net 30
866 782 -2355 Net 30 Days
SHIP TO: BILL TO: 1201825
Carmel Fire Department CITY OF CARMEL
2 Civic Square ONE CIVIC SQUARE
attn: Terry Crockett ATTN: ACCOUNTS PAYABLE
Carmel IN 46032 CARMEL IN 46032
USA
ORDER: 678033
ORDER DATE: 02 /16/11
CUSTOMER P.O.: 2 4 2 0 2
CARRIER:
FREIGHT TERMS:
METHOD:
TRANSPORTATION ID:
SALESPERSON: SETH SCHWARTZBACH
CURRENCY: United States Dollars
UNIT PRICE
DESCRIPTION
Carme Fire Department
Terry Crockett
Cust PO Num: 24202
Contact name: Terry Crockett
Phone: 3175712567x
Email: tcrockett@carmel.in.gov
BELL SO 678033 20089618
PE 6550B CI5/2.53 15.6 4G 320GB DVDR WL
LS CAM W7P 64
5 GN073AA 1 EA 50.07
SPORT BACKPACK BLACK 50.07 EA
PAST DUE ACCOUNTS CARRY INTEREST AT THE
LESSER OF 1.5% PER MONTH OR THE
MAXIMUM LEGAL RATE IN THE JURISDICTION
IN WHICH THE CUSTOMER'S PRINCIPAL PLACE
OF BUSINESS IS LOCATED
ALL DELIVERY TERMS ARE F.O.B. ORIGIN
TO REQUEST A STATEMENT OF ACCOUNT PLEASE
CONTACT 866- 782 -2355 EXT 56817
FEDERAL TAX ID# 26- 3683994
FOR SERVICE CALL 1- 800 999 -9813
B A C K O R D E R S U M M A R Y
1 WZ303UT #ABA 1
HEWLETT PACKARD PROBOOK 6550
FREIGHT CHARGE: 0.00
GROSS AMOUNT: 50.07
INVOICE DISCOUNT: 0 00
NET AMOUNT: 50.07
TAX AMOUNT: 0.00
DOWN PAYMENT: 0.00
NET AMOUNT DUE: 50.07
Lj, ®XR T echIo g ix
PAGE: 1
Focused Skilled Reliable INVOICE: B I 2 97 8 97
REMIT TO:
BELL TECHLOGIX INC INVOICE DATE: 0 2 2 5 11
P.O. BOX 823342 DUEDATE :03 /27/11
PHILADELPHIA PA 19182 -3342 TERMS: Net 30
317 704 -6000
866- 782 -2355 Net 30 Days
SHIP TO: BILL TO: 12 01825
Carmel. Fire Department CITY OF CARMEL
2 Civic Square ONE CIVIC SQUARE
attn.: Terry Crockett ATTN: ACCOUNTS PAYABLE
Carmel IN 46032 CARMEL IN 46032
USA
ORDER: 678033
ORDER DATE: 0 2 16 11
CUSTOMER P.O.: 2 4 2 0 2
CARRIER:
FREIGHT TERMS:
METHOD:
TRANSPORTATION ID:
SALESPERSON: SETH SC14WARTZBACH
CURRENCY: United States Dollars
Carmel Fire Department
Terry Crockett
Cust PO Num: 24202
Contact name: Terry Crockett
Phone: 3175712567x
Email:. tcrockettCDcarmel.in.gov
BELL SO 678'033 20089618
PB 65508 CIS/2.53 15.6 4G 320GB DVDR WL
LS CAM W7P 64
1 WZ303UT #ABA 1 EA 896.01
HEWLETT- PACKARD PROBOOK 6550 896.01 EA
aCNU1071CGD
PAST DUE ACCOUNTS CARRY INTEREST AT THE
LESSER OF 1.5; PER MONTH OR THE
MAXIMUM LEGAL RATE IN THE JURISDICTION
IN WHICH THE CUSTOMER'S PRINCIPAL PLACE
OF BUSINESS IS LOCATED
ALL DELIVERY TERMS ARE F.O.B. ORIGIN
TO REQUEST A STATEMENT OF ACCOUNT PLEASE
CONTACT 866 -782 -2355 EXT 56817
FEDERAL TAX ID# 26- 3683994
FOR SERVICE CALL 1- 800 -999 -9813
FREIGHT CHARGE: 0.00
GROSS AMOUNT: 896.01
INVOICE DISCOUNT: 0.00
NET AMOUNT: 896,01
TAX AMOUNT: 0.00
DOWN PAYMENT: 0.00
NET AMOUNT DUE: 896 01
Tech lo�Ix
PAGE: 1
Focused •Skilled Reliable INVOICE-.BT 297750
REMIT TO:
BELL TECHLOGIX INC INVOICE DATE: 0 2 2 2 11
P.O. BOX 823342 DUE DATE: 03 /24/11
PHILADELPHIA PA 19182 -3342 TERMS: Net 30
317 704 -6000 Net 30 Days
866 -782 -2355 y
SHIP TO: BILL TO: 1201825
Carmel Fire Department CITY OF CARMEL
2 Civic Square ONE CIVIC SQUARE
attn: Terry Crockett ATTN: ACCOUNTS PAYABLE
Carmel IN 46032 CARMEL IN 46032
USA
ORDER: 678033
ORDER DATE: 0 2 16 11
CUSTOMER P.O.: 24 2 0 2
CARRIER:
FREIGHT TERMS:
METHOD:
TRANSPORTATION ID:
SALESPERSON: SETH SCHWARTZBACH
CURRENCY: United States Dollars
Carmei Fire Department
Terry Crockett
Cust PO Num: 24202
Contact name: Terry Crockett
Phone: 3175712567x
Email: tcrockett @carmel.in.ggov
BELL SO 678033 20089618
PB 6550B CTS/2.53 15.6 4G 32OGB DVDR WL
LS CAM W7P 64
5 GN073AA 1 EA 50.07
SPORT BACKPACK BLACK 50.07 EA
PAST DUE ACCOUNTS CARRY INTEREST AT THE
LESSER OF 1.5o PER MONTH OR THE
MAXIMUM LEGAL RATE IN THE JURISDICTION
IN WHICH THE CUSTOMER'S PRINCIPAL PLACE
OF BUSINESS IS LOCATED
ALL DELIVERY TERMS ARE F.O.B. ORIGIN
TO REQUEST. A STATEMENT OF ACCOUNT PLEASE
CONTACT 866 782 -2355 EXT 56817
wwwwww***** *ww *w w:� *ww *ww *ww,rwwwwww*
FEDERAL TAX ID# 26- 3683994
FOR SERVICE CALL 1 -800- 999 -9813
FREIGHT CHARGE: 0.00
GROSS AMOUNT: 50.07
INVOICE DISCOUNT: 0.00
NET AMOUNT: 50.07
TAX AMOUNT: 0 0 0
DOWN PAYMENT: 0.00
NET AMOUNT DUE: 50.07
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))
287897 $896.01
297750 $50.07
297700 I I $953.22
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.
Bell Industries
ALLOWED 20
1e �l,c ��X'
IN SUM OF
P.O. Box 73286—
c ham, -163 1 (4 hzet— ?a
f�Jl'Y.� 33y 1
$1,899.30
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
24202 287897 102- 632.01 j $896.01 1 hereby certify that the attached invoice(s), or
24202 297750 102 632.01 $50.07 bill(s) is (are) true and correct and that the
24202 I 297700 1 102 632.01 I $953.22 materials or services itemized thereon for
which charge is made were ordered and
received except
JUL 18 2011
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund