159054 04/30/2008 1f
CITY OF CARMEL, INDIANA VENDOR: 359261 Page 1 of 1
ONE CIVIC SQUARE SAFETY SYSTEMS
i.
CARMEL, INDIANA 46032 4113 TURNER ROAD CHECK AMOUNT: $241.72
RICHMOND IN 47374 CHECK NUMBER: 159054
CHECK DATE: 4/30/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 80409IG 241.72 REPAIR PARTS
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I
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Safety Systems MWOCIE
4113 Turner Road
Richmond, IN 47374 Invoice Number: 80409IG
Invoice Date: Apr 9, 2008
Page: 1
Voice: 765 935 -3566 Duplicate
Fax: 765 935 -9713
Bill To: Ship to
carmel fire dept.
2 civic square
carmel, IN 46032
Customer ID Customer P.O.. Payment•Terms.
l i carmel f.d. Net 30 Days
Sales Rep;ID- ~Shipping Method "'Ship Date.:., z Due;Date
t
UPS Ground I 5/9/08
Quantity Item :Description Unit Rrice Amount
1.00 60R 02F R R 108.65 108.65
1.00 60A02FAR 108.65 108.65
2.00 6E flange 8.00
1.00 shipping 8.42 8.42
1
Subtotal I 241.72
Sales Tax
Total Invoice Amount 241.72
Check /Credit Memo,No: Payment /Credit Applied
TOTAL t .241 72
VOI,!CHER NO. WARRANT NO.
Safety Systems ALLOWED 20
IN SUM OF
4113 Turner Road
Richmond, IN 47374
$241.72
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 80409IG 42- 370.00 $241.72 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
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))
04/09/08 804091G Lights Tactical 45 $241.72
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