162832 08/20/2008 CITY OF CARMEL, INDIANA VENDOR: 176650 Page 1 of 1
ONE CIVIC SQUARE KOORSEN PROTECTION SERVICE, INC
e
y �?a CARMEL, INDIANA 46032 2719 N ARLINGTON AVE CHECK AMOUNT: $528.65
INDIANAPOLIS IN 46218 -3300 CHECK NUMBER: 162832
CHECK DATE: 8/20/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
:.•125 4350400 1671794 528.65 GROUNDS MAINTENANCE
I
07122108 09:49 AM EDT 31 7 543 -0038 Page 2 of 2 #26290 0
INVOICE REMIT TO:
Kd r n /v 1/ Koorsen Fire &Security
2719 N Arlington Avenue
Indianapolis, IN 46218 -3322
FI SECUR Please include invoice number on check
1671794 03/26/08
e 03/28/08 1527545 0 04/22/08
o•
-LO To: O 1 C C P 10 5 5 JOB# S E R V I C E Q &B NAME s LoCAn
CARMEL CLAY PARKS CARMEL CLAY PARKS
1427 E 116TH 1427 E 116TH
CARMEL, IN 46032
ATTN: CRAIG
CARMEL, IN 46032
01- JGN /01- 000693 /TKO1 -07
INSPECTION INS
2.00 99INSTALL INSTALLATION OF FIRE EXTNG 8.00 16.00
5.00 INSP -FE -A INSPECTION OF FIRE EXTINGUIS 3.45 17.25
9.00 SIX -OC10 SIX YEAR MAINTENANCE DRY CHEM.10# S 25.80 232.20
4.00 SIX -DC5 SIX YEAR MAINTENANCE DRY CHEM 5# STO 19.00 76.00
13.00 BR6092A VALVE STEM RPLCMNT AMEREX DC /HALON AL 10.45 135.85
13.00 BROR27 0 -RING REPLACEMENT AM5241, BU900 3.95 51.35
13.00 CIKTO23 COLLAR,SERVICE VERIFICATN SM
13.00 CIKLOII LABEL, INSPECTION, HYDROTST 6YR, SLVR
31.00 BRKSW SEAL,TAMPER KOORSEN LOGO YEAR 2008 WHI
31.00 CIKTO01 TAG,INSPECTION- KOORSEN *F /E -PAPER
31.00 CIKTO03 TAG,OSHA- KOORSEN PAPER MONTHLY INS
TOTAL SALES /SERVICES XMP# 0024231200013 528.65
TOTAL 528.65
I� (Oss
RECEIVED
J U L 2 5 2008
BY:
)TAL SALES TAXABLE SALES I TAX AMOUNT PHIPPING CHARGE
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.
Payee
Purchase Order No. 19068 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
3/28/08 1671794 Fire extinquishers service for parks bldgs. 528.65
Total 528.65
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 Allowed 20
2719 N Arlington Avenue
Indianapolis, IN 46218 -3322
In Sum of
528.65
ON ACCOUNT OF APPROPRIATION FOR
101 -General
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 1671794 4350400 528.65 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
31 -Jul 2008
Signature
528.65 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund