155500 01/10/2008 CITY OF CARMEL, INDIANA VENDOR: 359261 Page 1 of 1
ONE CIVIC SQUARE SAFETY SYSTEMS CHECK AMOUNT: $261.55
CARMEL, INDIANA 46032 4113 TURNER ROAD
RICHMOND IN 47374 CHECK NUMBER: 155500
CHECK DATE: 111012008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
s
;120 4237000 7122610 261.55 REPAIR PARTS
^Safety Systems D
4113 Turner Road
Richmond, IN 47374 Invoice Number: 712261D
Invoice Date: Dec 26, 2007
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. Custom PO Pa
ymenf.Terms
carmel f. d. Net 30 Days
Sales Rep1ID- Shipping Me`ttiod Shipp Date r `POE Date
UPS Red 1/25/08
Quantity Item Description Unit Price Amount
e
1.00 600 LED brake It. red 75.58 75.58
1.00 600 LED arrow amber 106.30 106.30
1.00 shipping UPS OVERNIGHT Satrurday AM 79.67 79.67
Subtotal I 261.55
Sales Tax
Total Invoice Amount 261.55
Check /Credit Memo No: Payment /Credit Applied
TOTAL 261.55a
A
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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))
Total
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.
C ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
j Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
�Q as •o�0 3�0 oQ a e� .5> 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
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund