158488 04/15/2008 CITY OF CARMEL, INDIANA VENDOR: 176650 Page 1 of 1
1 e ONE CIVIC SQUARE KOORSEN PROTECTION SERVICE, INC CHECK AMOUNT: $4,640.00
CARMEL, INDIANA 46032 2719 N ARLINGTON AVE
INDIANAPOLIS IN 46218 -3300 CHECK NUMBER: 158488
CHECK DATE: 4/15/2008
DEPARTMENT ACCOUN PO NU INVOICE NUMBER AMOUNT DESCRIPTION
1047 4350100 1659593 4,640.00 BUILDING REPAIRS MA
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REMIT TO:
K d® Koorsen Fire Security, Inc.
�Pr, j Ll S r INV ®SCE 2719 N. Arlington Ave.
VV www.koorsen.com Indianapolis, IN 46218 -3322
F I F�E SECURITY Please include invoice
Number on check.
SERVICE BRANCH INVOICE SERVICE c T.
NUMBER 1659593 DATE P.O o. 18067
INDIANAPOLIS 3/ 10
(317) 542 -1800 INVOICE SERV.
800 745 -2719 DATE 03/08/2008 ORD. UE p
/02/2008
Invoideto: CUSt ID 01MON1200 TERMS: Net 25 Days Job SERVICE01 /0
Service Location: THE MONON CENTER C L
THE MONON CENTER
1235 CENTRAL PARK DR E 1235 CENTRAL PARK E
CARMEL IN 46032 7M 2 5 CARMEL IN 46032
QUANTITY F ITEM DESCRIPTION UNIT PRICE T AL
ANNUAL BILLING FIRE EXTINGUISHER SERV 640.00
MARCH 01, 2008 THRU FEBRUARY 2S, 2009
P0: 18067 3/10 i
ANNUAL BILLING RESTAURANT SYS SERVICE 280.00
MARCH 01, 2008 THRU FEBRUARY 28, 2009
P0: 18067 3/10
ANNUAL BILLING FIRE ALARM INSPECTION 2,995.00
MARCH 01, 2008 THRU FEBRUARY 28, 20091 V
FOD
PO: 18067 3/10
ANNUAL BILLING SPRINKLER INSPECTION 725.00
MARCH 01, 2008 THRU FEBRUARY 28, 2009 MAR 18 2008 1
PO: 18067 3/10 BY: I
ANNUAL BILLING BACKFLOW PREVENTOR SERV 0.00
MARCH 01, 2008 THRU FEBRUARY 28, 2009
PO: 18067 3/10
ANNUAL BILLING SERV AGREEMNT /LEASE TAX 33.12
MARCH 01, 2008 THRU FEBRUARY 28, 2009
Total 4,673.12
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Signature X
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TOTAL SALES TAXABLE SALES TAX AMOUNT SHIPPING CHARGE PLEASE PAY
THIS AMOUNT
Federal ID 1 5 119 7 9.12 A(4sq 7Eabar§b of 1 per month (18 /cCana0l) will be charged on past due accounts.
KF -001 (12/0 CUSTOMER COPY
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
L'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.
Koorsen Fire Security
2719 N. Arlington Ave. Date Due
'Indianapolis, IN 46218 -3322
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/2/08 1659593 Service inspections 4,673.12
Total 4,673.12
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
)ucher No. Warrant No.
Allowed 20
Koorsen Fire Security
2719 N. Arlington Ave.
Indianapolis, IN 46218 -3322 In Sum of
4, 673.12
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
J
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 1659593 4350100 "4-_67 C2 I 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
14 -Apr 2008
Sig ture
$fie Business Services Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund