160534 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: 359493 Page 1 of 1
ONE CIVIC SQUARE PRECISION FIRE SAFETY
CHECK AMOUNT: $85.15
GARMEL, INDIANA 46032 2228 BAST 44TH ST
INDIANAPOLIS IN 46205 CHECK NUMBER: 160534
CHECK DATE: 6/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE N UMBER AMOUNT DESCRIPTION
905 4350000 35256 85.15 EQUIPMENT REPAIRS M
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Precision Fire Safety
2228 East 44th Street Invoice
Indianapolis, IN 46205
Ph: 317.547.9526 Date Invoice
Fx:317.547.9527 5/27/2008 35256
Bill To Ship To
Brookshire Golf Club Brookshire Golf Club
12120 Brookshire Parkway 12120 Brookshire Parkway
Carmel,m IN 46032 Carmel,m IN 46032
P.O. Number Terms Rep Ship Via F.O.B. Project
KEN Net 30 5/27/2008
Quantity Item Code Description Price Each Amount
1 SVC Service Call 22.00 22.00
11 INSP Annual Maintenance Inspection 3.50 38.50
1 DC5R 5# Fire Ext Refill /Recharge 13.75 13.75
1 GVS36 Valve Stem General 8.95 8.95
1 OR20 O Ring 1.95 1.95
Total $85.15
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))
S'a -v3 3s ash
Total /S
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.
4 ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
�o5
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
90S 3-929 5 o o 8S. 15 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
G -3 2008
4 gna ur
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund