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159098 04/30/2008 CITY OF CARMEL, INDIANA VENDOR: 358570 Page 1 of 1 pi L4q ONE CIVIC SQUARE TOWERS FIRE APPARATUS, INC CHECK AMOUNT: $516.14 CARMEL, INDIANA 46032 502 SOUTH RICHLAND toN Eo FREEBURG IL 62243 CHECK NUMBER: 159098 CHECK DATE: 4/30/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4356003 60582 516.14 SAFETY ACCESSORIES lnvoicetc.. 60582 Towers Fire Apparatus, Inc. Date 4/8/2008 502 SOUTH RICHLAND FREEBURG IL 62243 Bill To: Ship To: CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT 2 CIVIC SQUARE 2 CIVIC SQUARE CARMEL IN 46032 CARMEL IN 46032 Purchase Ordei. Flo ..:.Customer.• ID S alesperso_nalD 's' ,;it 5hi Ping. Method Pa `roent Teems "A Re 4 :Shi" Datek Master,No 001499 28 DIRECT I Net 30 1/8/2008 1 55,451 k o Ordered''Shi ed`° °w B10.<._� Item`Num6e.,. .Descri tion Discou`nt4. Unit.P, rice 1 1 0 6006 BOOTS SIZE 8 -112E $0.00 $260.00 $260.00 1 1 0 3009 (12 EEE) WARRINGTON LEATHER BOOTS SIZE 1: $0.00 $242.99 $242.99 $0.00 Tax B rf $0.00 Freight $13.15 T.ratle�Discount;;.° �s: $0.00 TotalF $516.14 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)) 04/08/08 60582 Fireboots for Personnel $516.14 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 VOI.I0HER NO. WAR NO, ALLOWED 20 owers Fire Apparatus IN SUM OF 502 South Richland Freeburg, IL 62243 $516.14 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# l Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 60582 43- 560.03 $516.14 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