HomeMy WebLinkAbout204905 12/20/2011 CITY OF CARMEL, INDIANA VENDOR: 358990 Page 1 of 1
ONE CIVIC SQUARE MUNICIPAL EMERGENCY SERVICES CHECK AMOUNT: $3,900.00
CARMEL, INDIANA 46032 DEPOSITORY ACCOUNT
75 REMITTANCE DR STE 3135
+o. CHECK NUMBER: 204905
CHICAGO IL 60675
CHECK DATE: 12/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351501 281896 3,900.00 EQUIPMENT MAINT CONTR
Invoice
11�RNV MES Indiana Number..........:00281896 SNV
6975 Hillsdale Court Date 12/13/2011
Indianapolis, IN 46250 Page 1 of 2
Sales order SO 243582
MUNICIPAL EMERGENCY SERMES, IK Requisition.....: Steve Reeves
Your ref..........:
Telephone..: (888) 322 -8402 Our ref BeveBrown
Fax 317 596 -1701 Payment.........: Net 30
Sales Rep GCoy
Inv Acct..........: 30195
Bill To: Ship To:
CARMEL FD CARMEL FD
2 CARMEL CIVIC SQUARE 2 CARMEL CIVIC SQUARE
CARMEL, IN 46032 CARMEL, IN 46032
Denise Snyder
Item number Size Color Description Quantity Unit Unit price Amount
FTSCBA FLOW TEST SCBA 83.00' EA 26.25 2,178.75
FTR FLOW TEST REGULATOR 103.00 EA 15.00 1,545.00
FTSCBA FLOW TEST SCBA RIT 7.00 EA 176.25
Packs
Merchandise Restocking Fee S &H Sales tax Discount Total due
3,900.00 0.00 0.00 0.00 0.00 3,900.00 USD
Thank You For Your Order!
All returns must be processed within 30 days of receipt and require a return authorization number and are subject to a restocking fee.
Custom orders are not returnable
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))
281896 $3,900.00
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.
ALLOWED 20
MES
IN SUM OF
75 Remittance Drive
Chicago, IL 60675
$3,900.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE I AMOUNT Board Members
1120 I 281896 I 43- 515.01 I $3,900.00 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
nrr 19 2011
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund