155922 01/23/2008 CITY OF CARMEL, INDIANA VENDOR: 360767 Page 1 of 1
ONE CIVIC SQUARE TERMINAL SUPPLY CO CHECK AMOUNT: $243.68
CARMEL, INDIANA 46032 PO BOX 1253
TROY MI 48099 CHECK NUMBER: 155922
CHECK DATE: 1123/2008
D LIPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1 4237000 55656 -00 243.68 REPAIR PARTS
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�RMINA 1800 THUNDERBIRD I N VO IC E
O TROY, MICHIGAN 48084 S5n461156 PACE 01
Since 1 (248) 362 -0790 (800) 989 -9632
FAX (248) 362 -0824 REMIT T0:
�Pj 966 C+� www.TerminalSupplyCo.com TERMINAL SUPPLY CO.
P.O. SOX 1253
23738 TROY, MI 48099
S 132ZZ S 13ZZZ
0 CARMEL FIRE DEPT H CARMEL FIRE DEPT
D 2 CIVIC SQUARE. P Z CIVIC SQUARE
T T
O CARMEL IN 46032 O CARMEL IN 46032
DATE TSC ORDER NO: F.D.B. CUSTOMER P.O. NO. INVOICE NO.
12/31/07 7854112 SHIPPING POINT BOB VANVOORST 5565E -00
DATE SHIPPED SHIPPED VIA TERMS ACCOUNT NO. SLSM
1Z/31 /07 UPS NET 30 DAYS sM 13.E ZZ 013
QUANTITY
ORDERED I SHIPPED 113ACKORDEREDI DESCRIPTION' UNIT PRICE EXTE I NSION
1 1 MSK -32—N SHRINK TUBE TERM.KIT 145.00/EA 145,00
100 100 STC —R SHRINK BUTT CONNECTOR 44.19/ C 4.4.19
100 100 STC —A SHRINK BUTT CONNECTOR 44.15/ C 44.15
We certify that these goods were produced in compliance with all- applicable re SALES 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 1
Section 14 thereof. All material on this invoice is on consignment until invoice is paid OO S' 3Ct i3�J6B
in full. A re- stocking charge may apply.
ORIGINAL INVOICE ISO 9002 Certified T H A N K YOU U AMO 4:3
REV. 7/2003
PLEASE PAY LAST AMOUNT IN THIS COLUMN
Pr; scribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 205 (Rev. 5995)
CITY OF CARMEL
tPn 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))
s
J
Total
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.
C` ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
Jo�Pr. a I hereby certify that the attached invoices or
t �o 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
o�
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund