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Home My WebLink About159848 05/28/2008 a CITY OF CARMEL, INDIANA VENDOR: 361344 Page 1 of 1 ONE CIVIC SQUARE CURTIS DYNA -FOG CHECK AMOUNT: $205.00 CARMEL, INDIANA 46032 PO BOX 297 WESTFIELD IN 46074 CHECK NUMBER: 159848 CHECK DATE: 5/2812008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4350900 34091 205.00 OTHER CONT SERVICES Invoice 34091 CURTIS DYNA 10, Invoice Date 05/05/08 CURTIS DYNA -FOG, LTD. 17335 US 31 North PO Box 297 Westfield, IN 46074 USA Telephone: 3171896 -2561 Bill To: Ship To: CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT 2 CIVIC SQUARE CALL FOR PICK UP 664 -0958 CARMEL, IN 46032 CARMEL, IN 46032 Customer -,Ship �/la i''M..,�:,, r der ',Terms r.." F.OB 21246 CUST PICK UP Westfield Net 30 Days a urchase Ord er�;Number,,�:,'.'�5alesperson .,order Date;.�i n� Our Order Number REPAIR 1 04/07/08 31859 Quantity Shipped ltem,Number Unit of Measure 'Unit Price Quantity rdered Extended Price Y Back Ordered Item .Description Discount Tax 2 2 43016 EA. 0.8000 1.28 0 BOTTOM CARBUR.GASKET 20.000 N 1 1 58212 -8 EA, 0.7500 0.60 0 TUBE,114 NYL -6.0 IN 20.000 N 1 1 58683 -1 EA 22.0000 17.60 0 VALVE AY,PRESS, AFLAS 20.000 N 1 1 85916 EA. 2.9500 2.36 0 ELBOW,BRASS,1 18 MP -3/16 BARB 20.000 N 1 1 80408 EA. 1.6000 1.28 0 FILTER, POROUS BRONZE 20.000 N 1 1 10100 -14 EA. 0.5500 0.44 0 O -RING 20.000 N 1 1 10100 -7 EA. 0.3500 0.28 0 O -RING 20.000 N 1 1 10100 -8 EA. 0.3500 0.28 0 O -RING 20.000 N Net due on 06/04/08 (Continued) Duplicate Page 2 Invoice 34091 CURTIS DYNA,,, Invoice Date 05/05/08 CURTIS DYNA -FOG, LTD. 17335 US 31 North PO Box 297 Westfield, IN 46074 USA Telephone: 3171896 -2561 Bill To: Ship To: CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT 2 CIVIC SQUARE CALL FOR PICK UP 664 -0958 CARMEL, IN 46032 CARMEL, IN 46032 Customer t Ship.Via E:O.B•.. Terms 21246 CUST PICKUP Westfield Net 30 Days Salespers Purchase Order Number on O,rder;;Date ::Our OrderNumber REPAIR 1 04/07/08 31859 Quantity Ordered Ordered: Item Number Unit of Measure Discou price Tax ed Price Quantit Shipped: y rdered Extend Ordered Item Description 1 1 LABOR 85.0000 85.00 0 REPAIR LABOR GH -6 SN #1125 N 1 1 43137 EA. 102.1500 81.72 0 IGNITION COIL AY 20.000 N 1 1 20466 -4 EA. 1.7500 1.40 0 TUBE, NYL,NF44 -.125 (7.375 20.000 N 2 2 58636 -1 EA 3.0000 4.80 0 TUBING, REIN PVC.1251D 20.000 N 1 1 80447 -18 EA, 1.6000 1.28 0 TUBE,VINYL,.312 GRES 20.000 N 1 1 80447 -21 EA 1.3500 1.08 0 Tubing 20.000 N 1 1 80447 -22 EA. 3.8000 3.04 0 TUBE,VINYL,.312 GRES 20.000 N 2 2 32109 EA. 0.9000 1.44 0 VENTURI,GASKET 20.000 N Net due on 06/04/08 (Continued) Duplicate Page 1 p Invoice 34091 CUR ISYN n k Invoice Date 05/05/08 t h k� ii. t IiMir. CURTIS DYNA -FOG, LTD. 17335 US 31 North PO Box 297 Westfield, IN 46074 USA Telephone: 317/896 -2561 Bill To: Ship To: CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT 2 CIVIC SQUARE CALL FOR PICK UP 664 -0958 CARMEL, IN 46032 CARMEL, IN 46032 Customer Ship Via F.O B. Icy_ Terms 21246 GUST PICK UP Westfield Net 30 Days Purchase Order'Niimber .s Salespers'on, brder Date Our Qrder Number REPAIR 1 04/07/08 31859 Quantity Shipped Item Numl er !I "�I` Unit,of Measure I� Unit Price Quantity Ordered Extended Price Back Ordered Item Description Discount, %o Taxi;, 1 1 10247 -60 EA. 1.4000 1.12 0 ORIFICE 20.000 N Net due on 06/04/08 Nontaxable Subtotal 205.00 Taxable Subtotal 0.00 Tax (7.000 0.00 Total Invoice 205.00 Duplicate Page 3 VOUCHER NO. WARRANT NO. ALLOWED 20 Curtis Dyna -Fog IN SUM OF P.O. Box 297 Westfield, IN 46074 $205.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT# /TITLE AMOUNT Board Members 1 120 34091 43- 509.00 $205.00 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 6 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)) 05/05/08 34091 Repair Fog Machine $205.00 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