HomeMy WebLinkAbout204292 12/06/2011 CITY OF CARMEL, INDIANA VENDOR: 176650 Page 1 of 1
ONE CIVIC SQUARE KOORSEN PROTECTION SERVICE, INC
CARMEL, INDIANA 46032
2719 N ARLINGTON AVE CHECK AMOUNT: $694.40
INDIANAPOLIS IN 46218 -3300 CHECK NUMBER: 204292
CHECK DATE: 12/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350100 2538070 694.40 BUILDING REPAIRS MA
K'oorzesil INVOICE
FIRE SECURITY
REMIT TO: Koorsen Fire Security N 2538070 ate of 11/29/2011 oust.
Order
2719 N Arlington Avenue
u:
Indianapolis, IN 46218 -3322 Invoice Date: 11/29/2011 SO 2228108 Date 12/24/2011
1- 888 KOORSEN Include invoice on check. Due:
Cust ID 01CAR3111 Joafi SERVICE01 0
Sold To: Location:
CARMEL CLAY COMMUNICATION CENT CARMEL CLAY COMMUNICATION CENT
31 1ST AVE NW 31 1ST AVE NW
CARMEL, IN 46032 CARMEL, IN 46032
01 -FAUST 01- 000693 TKOl -07
NOVEMBER FIRE EXTINGUISHER SERV Annual
12.00 INSP -FE -A INSPECTION OF FIRE EXTINGUISHER ANNUAL 5.95 71.40
1.00 SIX -DC10 SIX YEAR MAINTENANCE DRY CHEM 104 STORED PRESSURE 36.05 36.05
1.00 BR103215W VALVE STEM RPLCMNT -BUCK DRY CHEM 22.55 22.55
1.00 BROR37 O -RING REPLACEMENT BUCKEYE /PWR PAK P10 3.95 3.95
1.00 CIKLO11 -01 LABEL,INSPECTION,HYDROTST 6YR,SLVR,INDPLS
12.00 CIKT001 TAG,INSPECTION- KOORSEN *F /E PAPER- YEL P50
12.00 CIKT003 TAG,OSHA- KOORSEN PAPER MONTHLY INSPECT -BUFF P50 1.00 12.00
1.00 CIKT023 COLLAR,SERVICE VERIFICATN SM P100 .75 .75
12.00 BRKSW SEAL,TAMPER KOORSEN LOGO YEAR 2011 WHITE P1000
2.00 99EX5ABC -H EXCHANGE EXTINGUISHER 5# ABC HYDRO TESTED 45.20 90.40
3.00 99INSTALL INSTALLATION OF FIRE EXTINGUISHER 11.50 34.50
2.00 99EX11HTR -S EXCHANGE EXTINGUISHER 11# HALOTRON SIX YR /RECHA 89.90 179.80
1.00 99EX9HAL -H EXCHANGE EXTINGUISHER 9# HALON HYDRO TESTED 116.10 116.10
1.00 99EX5FE36 -H EXCHANGE EXTINGUISHER 5# FE36 HYDRO TESTED 74.95 74.95
1.00 99SCE1 SERVICE CALL FIRE EXTING UISHER 1 45.00 45.00
1.00 99FUELSC FUEL SURCHARGE TEMPORARY T 6.95 6.95
TOTAL SALES /SERVICES XMP# 0031201550 -020 694.40
TOTAL 694.40
Pa online www.koorsen.com. To b credit card lease
Y p ay Y ,P hone or return to us: P
Circle: VISA MC AMEX Card Number
Name on Card Expiration Date
Total Sales Taxable Sales Tax Amount Shipping Charge Invoice Total
694.40 0.00 0.00 694.40
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))
12/24/11 2538070 $694.40
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
VOUCHER N WARRANT NO.
ALLOWED 20
Koorsen Fire Security, Inc.
IN SUM OF
2719 N. Arlington Avenue
Indianapolis, Indiana 46218
$694.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
1115 I 2538070 I 43- 501.00 I $694.40 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
Thursday, December 01, 2011
Directo
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund