163522 09/04/2008 CITY OF CARMEL, INDIANA VENDOR: 358585 Page 1 of 1
ONE CIVIC SQUARE CERTIFIED FIRE SYSTEMS CONSULTA AMOUNT: $375.00
CARMEL, INDIANA 46032 358 W OLD SOUTH STREET
BARGERSVILLEIN 46106 CHECK NUMBER: 163522
CHECK DATE: 9/4/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
,1205 4351501 1141 375.00 EQUIPMENT MAINT CONTR
i
Certified Fire System Consultants Invoice
i 358 West Old South Street
Bargersville, In. 46106
Number: 11.41
317- 422 -0893
317 -422 -0894 (fax) Date: August 19, 2008
Bill To: Ship To:
Jeff Barnes
Carmel Civic Center
I Civic Square
Carmel, IN 46032
PO Number Terms
14705 net 30
Date Description Quantity Price Amount
08/19/08 Annual Fire Sprinkler System Inspection w/ Dry Pipe Valve Trip Test 1_00 375.00 375.00
Total $375.00
Please note new e-mail address: cfscinc @comcast.net
0 30 days 31 60 days 61 90 days 90 days Total
$375.00 $0.00 $0.00 50.00 $375.00
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
Certified Fire System Consultants Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Pipe
Valve Trip Te-.t
Total
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
VOUCHER NO. WARRANT NO.
08/29/08
ALLOWED 20
Certified Fire System Consultants
I IF IN SUM OF
358 W. Old South Street'
Bagersville, IN 46106
$375.00
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1205 Administration
Board Members
D 4 or INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
120 o dnaterials or services itemized thereon for
which charge is made were ordered and
received except
20
Sign We
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund