156802 02/21/2008 �qy CITY OF CARMEL, INDIANA VENDOR: 359261 Page 1 of 1
ONE CIVIC SQUARE _SAFETY SYSTEMS
CARMEL, INDIANA 46032 41131URNER ROAD CHECK AMOUNT: $99.62
2 RICHMOND IN 47374 CHECK NUMBER: 156802
CHECK DATE: 2/21/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 802121C 99.62 REPAIR PARTS
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I
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Safety Systems
4113 Turner Road
Richmond, IN 47374 Invoice Number: 802121C
Invoice Date: Feb 12, 2008
Page: 1
Voice: 765 935 -3566 Duplicate
Fax: 765 935 -9713
bill To: Ship to
carmel fire dept.
2 civic square
carmel, IN 46032
C6st6meraID a Customer Payment Terms_
carmel f.d. Net 30 Days
Sales Rep ID Sfiipping ifAethod Ship Date; Due Date
UPS Ground 3/13/08
Quantrty Item x Descripti y k u
n Un Pr ice ,,Amount
2.00 02- 0361457 -13B 45.60 91.20
1.00 shipping 8.42 8.42
Subtotal 99.62
Sales Tax
Total Invoice Amount 99.62
Check /Credit Memo No: Payment /Credit Applied
TOTAL.x t 99.62
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
n
Total
t
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10- 1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I 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
20 o�
Swtu
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund