HomeMy WebLinkAbout202293 09/27/2011 CITY OF CARMEL, INDIANA VENDOR: 359261 Page 1 of 1
j q ONE CIVIC SQUARE SAFETY SYSTEMS
CARMEL, INDIANA 46032 4113 TURNER ROAD CHECK AMOUNT: $533.32
RICHMOND IN 47374
CHECK NUMBER: 202293
CHECK DATE: 9/27/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 1191314 533.32 REPAIR PARTS
Safety Systems MWQ)HC
4113 Turner Road
Richmond, IN 47374 Invoice Number: 1191314
Invoice Date: Sep 13, 2011
Page: 1
Voice: 765 935 -3566 Duplicate
Fax: 765- 935 -9713
Bill To: Ship.to
Carmel Fire Dept.
2 Civic Square
Carmel, IN 46032
Customer ID Customer. P O r Payment Terms.,
ca rmel f. d. Net 30 Days
Sales Rep ID Shipping Method Ship Date Due Date
UPS Ground 10113111
Quantky Item Description Unit Price Amount
2.00 UT -X -T 206.94 413.88
2.00 C- 3075 -3 53.25 106.50
1.00 shipping shipping 12.94 12.94
Subtotal 533.32
Sales Tax
Total Invoice Amount 533.32
Check /Credit Memo No: Payment/Credit Applied
TOTAL 533.32
VOUCHER NO. WARRANT NO.
ALLOWED 20
Safety Systems
IN SUM OF
4113 Turner Road
Richmond, IN 47374
$533.32
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 J 1191314 1 42 370.00 I $533.32 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
.7� 1
Fire Chief
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))
1191314 $533.32
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