HomeMy WebLinkAbout201296 09/13/2011 CITY OF CARMEL, INDIANA VENDOR: 176650 Page 1 of 1
ONE CIVIC SQUARE KOORSEN PROTECTION SERVICE, INC
CARMEL, INDIANA 46032 2719 N ARLINGTON AVE CHECK AMOUNT: $1,160.00
INDIANAPOLIS IN 46218 -3300
CHECK NUMBER: 201296
CHECK DATE: 9/13/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351501 2474480 1,160.00 EQUIPMENT MAINT CONTR
P R 0 A I R INVOICE
2 4 7 4 4 8 0 Date of cost.
REMIT TO: Koorsen Fire Security NQ„ Work: Order
2719 N Arlington Avenue
Indianapolis, IN 46218 -3322 Dt 0 9/ 0 1 2 011 SO 2 4 7 4 4 8 0 Date 09/26/2011
Invoice a
1 888 KOORSEN Include invoice on check. Due:
Cust ID 21CAR0002 JOB# SERVICE11 6
Sold To: Location:
CARMEL FIRE DEPT CARMEL FIRE DEPT RESCUE 45
2 CIVIC SQ 10701 N COLLEGE AVE
CARMEL, IN 46032 INDIANAPOLIS, IN 46280
21 -HOUSE
q.,...:z 2 ?HESS! SfE�E n „En w; N 1., -AMOUNT
ANNUAL BILLING AIR SAMPLE SERVICE 480.00
OCTOBER 01, 2011 THRU SEPTEMBER 30, 2012
ANNUAL BILLING AIR COMPRESSOR MAINT 680.00
OCTOBER 01, 2011 THRU SEPTEMBER 30, 2012
Total 1,160.00
Pay online www.koorsen.com. To pay by credit card, please phone or return to us:
Circle: VISA MC AMEX Card Number
Name on Card Expiration Date
Total Sales Taxable Sales Tax Amount Shipping Charge Invoice Total
1,160.00 1,160.00 0.00 1,160.00
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
2474480 $1,160.00
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 N
ALLOWED 20
P11TA1T c
06fSa IN SUM OF
l
Ble�t ,,'t1147404 S
$1,160.00 K'
3 J� 5 c 2
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1120 I 2474480 I 43 515.01 I $1,160.00 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
SEP 12 2091
1 S
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund