168464 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 362514 Page 1 of 1
ONE CIVIC SQUARE FIRE STATION RESOURCES CENTER
1 CHECK AMOUNT: $3,000.00
CARMEL, INDIANA 46032 Po Box 19
BEAVER FALLS PA 15010 -0018 CHECK NUMBER: 168464
CHECK DATE: 2/4/2009
DEPARTMENT ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120' 4356003 3,000.00 SAFETY ACCESSORIES
Post Office Box 18 0
BEAVER FALLS, PA 15010 -0018
724 -891 -FIRE Office, 724 891 -4444 Fax COMMUNICATIONS ll
www.TheFireStation.com Sa.La0 ca
I
Customer CARMEL FIRE DEPT Count v hamilton Misc
Name JAMES TOONEY Purchasin Contact Date 1122/2009
Address 2 SIVIC SQUARE Order No.
Cit r CARMEL State IN ZIP 46032 Sales Rep MOORE
Phone 317 345 -7644 Fax Shipping
Email JTone carmel.in. ov INVOICE No.
Q Model Descri tion Unit Price TOTAL
1 0919 -00 -001 CSI 2100 Command Module 3,000.00
4 0302 -04 -100 100' Cable with connectors
1 0302 -09 -010 Operator Extension Mic/Mute Switch 10'
4 0613 -01 -001 Face Mask Rescue Set with Speaker
1 0819 -01 -042 Behind Head 32" Cord Single Side
1 0103 -02 -006 Rescue Probe
1 LD3 -6 Delsar Sensor Seismic/Acoustic Listening System
1 SC -MGS -C Search Cam Mongoose
ACCOUNTS NOT PAID WITHIN 30 DAYS OF BILLING DATE SUBJECT TO:
1.5% Finance Charge Per Month, Which is 18% Per Year
PLEASE NOTE OUR NEW ADDRESS PHONE NUMBERS
Sub -Total 3,000.00
Shipping Charge
Payment (Tax Rate's) 6.00%
TOTAL 3,000.00
Approved by
Printed Name
Date Office Use Only
TERMS PAY UPON RECEIPT
Thank You for the Your Business
Send your Questions. Comments Suggestions to
t resources @theFIREstation.com
RESCUE
Recovery System*
.JAWS OF LIFE®
VENDOR CORPORATION INFORMATION
ACE
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RaceResQ, Inc. (founded 1990, incorporated 1999)
CORPORATION OFFICERS
Patrick A. Moore, FSI /NREMT President
Cindy Crawford Moore, ESQ. Vice President/Treasurer
Federal Tax ID 25- 1851880
PA Sales Tax exemption License 83059456
d /b /a
YJ
1001 15 Street shipping
Post Office Box 18 billing
Beaver Falls, PA 15010 -0018
www.TheFIREstation.com
PatMoore @TheFIREstation.com
724 -891 -FIRE (3473) Phone
724 891 -4444 Fax
VOUCHER NO. WARRANT NO.
ALLOWED 20
The'Fire Station Resources Center
IN SUM OF
P.O. Box 18
Beaver Falls, PA 15010 -0018
$3,000.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1120 43- 560.03 $3,000.00 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
FFR 2 2pna
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))
Technical Rescue Eqpt. $3,000.00
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