166629 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: 354873 Page 1 of 1
ONE CIVIC SQUARE COASTAL ENVIRONMENTAL SYSTEMS CHECK AMOUNT: $350.00
CARMEL, INDIANA 46032 820 FIRST AVENUE SOUTH
SEATTLE WA 98134 CHECK NUMBER: 166629
CHECK DATE: 12/10/2008
DEP ARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 SO -7608 350.00 OTHER CONT SERVICES
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COASTAL EN SYSTEMS IIIVOICe: SO -7608
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if Date: 12/2/2008
820 First Avenue South Sales Order: SO -7608
Seattle, Washington 98134 -1202
Phone: 206-682-6048 Fax: 206-682-5658
www.coastalenvironmental.com
Bill to: Sold to:
Carmel Fire Department Carmel Fire Department
2 Civic Square 2 Civic Square
Carmel, IN 46032 Carmel, IN 46032
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2053 Prepaid
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invoice 12/2/2008 Net 30 Origin Best Way Service
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Part�ID� :ki t sDescription, ti'. �r U sr,a .r�. Qty t, UIM ,_Unit Price.�_x ;Extended Pr
Repair Repair, Service 1 EA $300.00 $300.00
Shipping Charge 1 EA $50.00 $50.00
Wire Instructions:
Beneficiary Bank: KeyBank National Association
601 -108th Avenue NE
Bellevue, WA 98004 Account 4790 8104 4337
Phone: 425 709 -4447 Routing /ABA 125000574
Swift Code (International Wires): keybus33
Beneficiary Company Info: Coastal Environmental Systems
820 First Avenue South
Seattle, WA 98134
Phone: 206-682-6048
Subtotal $350.00
Amount Due USD: $350.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Coadtal Environmental Systems
IN SUM OF
820 First Avenue South
Seattle, WA 98134
$350.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 SO -7608 43- 509.00 $350.00 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
QFr 0 8 manna
t
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))
SO -7608 Repair Weather Station $350.00
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