159441 05/14/2008 CITY OF CARMEL, INDIANA VENDOR: 176650 Page 1 of 1
ONE CIVIC SQUARE KOORSEN PROTECTION SERVICE, INC
I CHECK AMOUNT: $906.95
CARMEL, INDIANA 46032 2719 N ARLINGTON AVE
INDIANAPOLIS IN 46218 -3300 CHECK NUMBER: 159441
CHECK DATE: 5/14/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT D ESCRIPT I ON
1125 4350100 18191 1671575 906.95 FIRE EXTINGUSHERS
REMIT TO:
Koorsen Fire Security, Inc
INVOICE
O 2719 N. Arlington Ave.
www.koorsen.com Indianapolis, IN 46218 -3322
FIRE SECU Please include invoice
Number on check.
SERVICE BRANCH INVOICE SERVICE CUST.
INDIANAPOLIS NUMBER 1..67IS75 DATE 03 P.O. NO.
(317) 542 1800 INVOICE SERV.
ORD.# DATE DUE
800- 745 -2719 DATE
()3/�f3/ 1..51.6941.. 04/ 22/20()f3
Invoftto: C(Jc;1 TL? 01c CP1.05S TERMS:Net25Days Job `;FRVTCE01. /1..
Service Location:
C..ARMF I... CI._.AY PARKS CARM!" I... ('I AY PARKS
1.427 E 116TH 1.427 E 116TH
CARMEI.... IN 46032 CARME".I.... IN 46032
QUANTITY ITEM DESCRIPTION 01. —:TGN /U IT -t`' /T&All
INSPECTION INS
NEEDS 1.5 FIRE EXT INSP TOTAL.. $.51.,,75
(4) 8500 $47.80 /EA
(7) 8456 $68 „00 /EA TOTAL.. B11 TO BE $906„95
(11.) TNSTAI...I... $8 „00 /EA
(1. TRK CHARGE FOR AI ...I... I._OCATTONS $1.00:, 00
4„00 AMR500 EXTINGUISHER 5# ABC LAIR A--(lV "KOORSEN” 2A:1..OR :C 47,:80 1.91_:,20
7.00 AMR4.56 EXTINGUTSHER 1.0# ARC WR TAI.. I... A 1<00RSEN 4A: 8OR C 68., 00 476.00
I L. 0 0 99TNSTAI...I... INSTAI...I...ATTON OF FIRE EXTNG 8„00 88„00
1...5,:00 TNSP- -FE--A INSPECTION OF FIRE EXTINGUISHER ANNI)AI... 8,.45 51.,7.5
1.:,00 995TCE SERVICE TRUCK CHARGE EXTTNGI.ITSHER SERVICE 1.00„00 100„00
TOTAL.. SAI...ES /SERVTC..ES XMP# 00:4 231.200018 90(1.95
TOTAL.. 906.95
1 Zal ED
APR 7 2008
APR 9 2008
►9 BY:
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
THIS AMOUNT
Federal ID 35- t,i�535490 5 A service cghagga of 1 per month (18 %q annual) will be charged on past due accounts. 906 9.5
KF -001 (12/05) /0 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.
Payee
Purchase Order No. 18191 F
Koorsen Fire Security Terms
2719 N Arlington Ave.
Indianapolis, In 46218 -3322
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/28/08 1671575 Fire Inspection 906.95
3/26/08 Access -2008 Accessibility Workshop May 15, 2008 160.00
Total 1,066.95
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.
Koorsen Fire Security Allowed 20
2719 N Arlington Ave.
Indianapolis, In 46218 -3322
In Sum of
906.95
ON ACCOUNT OF APPROPRIATION FOR
101 -1125 GEN FUND
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
18191 F 1671575 4350100 906.95 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
12 -May 2008
Si t e
906.95 Business Se es Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund