HomeMy WebLinkAbout176392 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 252310 Page 1 of 1
ONE CIVIC SQUARE PRO AIR INC
CARMEL, INDIANA 46032 CHECK AMOUNT: $195.95
1126 AIR DRIVE
BLOOMINGTON IN 47404 CHECK NUMBER: 176392
CHECK DATE: 8/19/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351501 1976897 195.95 EQUIPMENT MAINT CONTR
REMIT TO:
W_ O A Koorsen Fire Security, Inc
INVOICE 2719 N. Arlington Ave.
www.koorsen.com Indianapolis, IN 46218 -3322
Please include invoice
w Number on check.
INC.
INVOICE SERVICE CUST.
A DIVISION OF KOORSEN NUMBER 1 976897 DATE 37/28/2009 P.O. NO.
Phone 812- 336 -4022 INVOICE sDATE 07/30/2009 '1 774006 DATE DUE Og/24/2QQ9
Toll Free 800- 245 -0269
InvoicetoCust ID 21 CAR0002 TERMS: Net 25 Days Job SERVICE21 /0
Service Location:
CARMEL FIRE DEPT CARMEL FIRE DEPT
2 CIVIC SQ 2 CIVIC SQ
CARMEL, IN 46032 CARMEL, IN 46032
USE 24 _g
QUANTITY ITEM DESCRIPTION UNIT PRICE TOTAL
JULY AIR COMPRESSOR MAINT Semi— Annual
1.00 SA —AC —S SERVICE AGREEMENT AIR COMPRESSOR SEMI— ANNUAL
2.00 CMPD1803 FILTER 84.00 168.00
1.00 CMRR98262 -1148 FILTER,OIL w:ORING TOTAL FILTERATIO 14.96 14.96
2.00 JFM310 O —RING SET 4.16 8.32
3. G04.50RING 0 —RING 4.5 GO .38 1.14
1.00 OIL DIPOSAL 3.50 3.50
TOTAL SALES /SERVICES 195.92
TOTAL 195.92
To pay by credit card, please phone or return to us:
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Visa MasterCard American Express
Name on card Expiration date
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TOTAL SALES TAXABLE SALES TAX AMOUNT SHIPPING CHARGE PLEASE PAY
195.92 0.00 0.00 THIS AMOUNT 195.92
Federal ID# 35- 1153549 A service charge of 1'�% per month (18% annual) will be charged on past due accounts.
KFPA 001 (alga) CUSTOMER COPY
c
P 'l
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pro -Air
IN SUM OF
11 6 Air Drive
Bloomington, IN 47404
$195.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO #1 Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 1976897 43- 515.01 $195.95 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
AUG 17 200
d
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))
1976897 $195.95
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