164803 10/16/2008 CITY OF CARMEL, INDIANA VENDOR: 178450 Page 1 of 1
t ONE CIVIC SQUARE KUSSMAUL ELECTRONICS CO IN
CARMEL, INDIANA 46032 170 CHERRY AVE CHECK AMOUNT: $232.38
WEST SAYVILLE NY 11796 -1221
o CHECK NUMBER: 164803
CHECK DATE: 10/16/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 64746 232.38 REPAIR PARTS
K UBBMAUL INVOICE 64746
ELECTRONICS CO., INC.
170 CHERRY AVENUE WEST SAYVILLE, IVY 11.796 -1221 USA, Paga Date::
TEL: 631- 567 -0314, FAX: 631 567 -5826, www.kussmaul.com, sales@kussmaul.com 1 9/25/08
Sold to: Ship to:
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
i1CC()l71vT7+I0 CU57Y7fvIEltORDR NQ SAL£SPER50N, TERMS SALE$C3KD1?R..
CAR033 ENGINE 42 CHRIS TAMARGO NET 30 DAYS 229202
I .a; B POIN
ORDER DATE.. SHIPPEDVFA; DATEStTIPFED NO PACKAGES
9/25/08 W.SAYVILLE UPS GROUND SERVICE 9/25/08 1
QTYORb�RED PARTNUM88 t71SCRIPTIOhJ SORIAL;NO,. UNtTPRIC£ NET PRICE;.:: AMOUNT
1 091- 55 -20- 120 -RD 223.00 223.00 223.00
SUPER AUTO EJECT 120 VOLT AC 20 AMPS
Consisting of the following:
1 091 -55 -20 -120 .00 .00 .00
SUPER AUTO EJECT 120 VOLT AC 20 AMP S28006587
1 091 -55RD 00 .00 .00
WEATHERPROOF COVER, RED
1 5 -20P -H 00 .00 .00
CONNECTOR, 120 VOLT, 20 AMP HUBBELL
CUSTOMER SENT IN 091 -55 -20 -120,
S/N S260002013. UNIT COULD NOT BE
REPAIRED.UNIT WAS SCRAPPED.
SHIPPING TRACKING
171335780320879062
PLEASE WRITE INVOICE NUMBER ON ALL PAYMENTS SUBTOTAL 223.00
NO RETURNS ON C.O.D. SHIPMENTS OR ANY SHIPMENTS UNDER $50.00 SHIPPING HANDLING 9.38
ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE TAX .00
ABSOLUTELY NO RETURNS AFTER 30 DAYS
ALL PAYMENTS IN U.S. DOLLARS ORIGINAL `INVOICE TOTA
$232.38
PLEASE PAY THIS AMOUNT-----
HOME OF THE A UTO CHARGE A UTO EJECT AIR EJECT A UTO PUMP
VOUCHER NO. WARRANT NO.
ALLOWED 20
Kussmaul Electronics
IN SUM OF
170 Cherry Avenue
West Sayville, NY 11796
$232.38
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 64746 42- 370.00 $232.38 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
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
64746 Auto Eject $232.38
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