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159634 05/14/2008
CITY OF CARMEL, INDIANA VENDOR: 360767 Page 1 of 1 fl ONE CIVIC SQUARE TERMINAL SUPPLY CO a CARMEL, INDIANA 46032 PO BOX 1253 CHECK AMOUNT: $28.04 'c; oN za 2 TROY MI 48099 CHECK NUMBER: 159634 CHECK DATE: 5/14/2008 DEPARTMENT A CCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4237000 82966 -00 28.04 REPAIR PARTS i I I �t MlrT�g 1800 THUNDERBIRD I N VOICE Q TROY, MICHIGAN 48084 S 5 #4 S0 8 41 PAGE 01 i Since 1966 (248) 362 -0790 (800) 989 -9632 FAX (248) 362 -0824 REMIT TO: 4 "Peo C,O www.Termina7SupplyCo.com pPLY TERMINAL SUPPLY'CO. P.O. BOX 1253 2300 TROY, MI 48099 S i3ZZZ S 132ZZ 0 G,ARMEL FIRE DEPT H CARMEL FIRE DEPT 0 Z CIVIC SQUARE P Z CIVIC SQUARE T T 0 CARMEL IN 46032 O CARMEL IN 46032 T T DATE SC ORDER NO. F.O.B.' CUSTOMER P.O. NO INVOICE N0. 4/25/08 8196 SZ966 -0 28 SHIPPING POINT B DATE SHIPPED SHIPPED VIA TERMS ACCOUNT NO. SLSM I 9 4/Z5/08 UPS NET 30 DAYS 5M 13222 01 QUANTITY a 11 1 EXTENSION 1 ORDERED I SHIPPED I 100 100 PLS -1/4-- 100 —BLK CONVOLUTED SPLIT LOOM 23.00/ C 23.00) i i i' I i I I i i i i I i i i We certify that these goods were produced in compliance with all applicable re- SA ES TAX FREIGHT quirements of Sections 6, 7 and 12 of the Fair Labor Standards Act, as amended, and SUB of Regulations and orders of the United States Department of Labor issued under TOTAL Section 14 thereof. All material on this invoice is on consignment until invoice is paid 00 5. 04 23. 0C i in full. A re- stocking charge may apply. ORIGINAL INVOICE ISO 9002 Certified T H A N K YO U AM °©U E REV. 7/2003 I PLEASE PAY LAST AMOUNT IN THIS COLUMN 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)) 04/25/08 82966 -00 Parts for Knox Install $28.04 I 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. T §retinal Supply ALLOWED 20 IN SUM OF P.O. Box 1253 Troy, MI 48099 $28.04 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1120 82966 -00 42- 370.00 $28.04 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 Title Cost distribution ledger classification if claim paid motor vehicle highway fund