163826 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: 176650 Page 1 of 1
ONE CIVIC SQUARE KOORSEN PROTECTION SERVICE, INC CHECK AMOUNT: $5,088.04
CARMEL, INDIANA 46032 2719 N ARLINGTON AVE
INDIANAPOLIS IN 46218 -3300
CHECK NUMBER: 163826
CHECK DATE: 9/17/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION
1047 4350100 1757161 5,088.04 BUILDING REPAIRS MA
co
REMIT TO:
a Koorsen Fire Security, Inc
I
o 2719 N. Arlington Ave.
www.koorsen.com Indianapolis, IN 46218 -3322
FIRE SECURITY Please include invoice
Number on check.
SERVICE BRANCH INVOICE 1757161 SERVICE 8 O 5 2 O O8 cus
INDIANAPOLIS NUMBER DATE P.O. NO.
(317) 542 1800 INVOICE 08/11/2008 SERV. 31566973 09/05/2008
800 745 2719 DATE ORD.# DATE DUE
Cust ID 01MON1200 SERVICE01 /1
Invoice to: TERMS: Net 25 Days Job
Service Locatic
THE MONON CENTER 1'riE MONON CENTER
1411 E 116th St C� 1235 CENTRAL PARK DR E
CARMEL, IN 46032 -3455 LA 9" OS CELL:432 2640
CARMEL, IN 46032
BY
01 -JGN 01- 001210 TK01 -15
QUANTITY ITEM DESCRIPTION UNIT PRICE TOTAL
SERVICE CALL, TO REPLACE 2 BOOSTER POWER SUPPLIES FOR AN
EST -3 PANEL.
ROB MCM
18.75 99LABOR -49 LABOR FIRE ALARM REPAIR REGULAR HOURS 102.50 1921.88
5.00 99SCFA1 SERVICE CALL FIRE ALARM Z1 85.00 425.00
2.00 BRPRB127 BATTERY 12V,7.5AMP 6x2.5x3.75, PWR RT SY 37.45 74.90
2.00 BOOSTER POWER SUPPLY 1333.13 2666.26
TOTAL SALES /SERVICES 5088 04
TOTAL 5088.04
AUG X1908
BY:
Purchase
Description
P.O.
P
G.L.
Budget
Line T
Purchaser 'je&
Date
Approval Date C1e
To pay by credit card, please phone or return to us:
Card number
Visa MasterCard American Express
Name on card Expiration date I
Signature X
TOTAL SALES TAXABLE SALES TAX AMOUNT SHIPPING CHARGE PLEASE PAY
5,088.04 0.00 0.00 THIS AMOUNT 5088.04
Federal ID 35- 1153549 A service charge of 12% per month (18% annual) will be charged on past due accounts.
KF -001 (12/05) CUSTOMER COPY
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
i-
Payee Purchase Order No. 44964-F-
176650 Koorsen Fire Security Terms
2719 N Arlington Avenue
Indianapolis, IN 46218 -3322
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/5/08 1757161 Repairs to booster power 5,088.04
Total 5,088.04
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.
176650 Koorsen Fire Security, Inc. Allowed 20
2719 N Arlington Avenue
Indianapolis, IN 46218 -3322
In Sum of
5,088.04
ON ACCOUNT OF APPROPRIATION FOR
104 Program fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 1757161 4350100 5,088.04 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
29 -Aug 2008
Signature
5,088.04 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund