HomeMy WebLinkAbout169123 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: 252310 Page 1 of 1
ONE CIVIC SQUARE PRO AIR INC CHECK AMOUNT: $217.18
CARMEL, INDIANA 46032 1126 AIR DRIVE
BLOOMINGTON IN 47404 CHECK NUMBER: 169123
CHECK DATE: 2/17/2009
DEPARTMENT ACCOUN PO NUMBER INVOICE NUMBER AM OUNT DESCRIPTION
1120 4351501 1857934 217.18 EQUIPMENT MAINT CONTR
REMIT TO:
P O Ai N Koorsen Fire 8r Security, Inc
I NVOI CE 2719 N. Arlington Ave.
www.koorsen.com Indianapolis, IN 46218 -3322
Please include invoice
O WE: Number on check.
INC.
INVOICE 1857934 SERVICE 1 /22/ cuST.
A DIVISION OF WORSEN NUMBER DATE P.O. NO.
Phone 812- 336 -4022 INVOICE 01/27/2009 :S DA TE DUE S1677883 02/21/2009
Toll Free 800- 245 -0269 DATE
Cust ID 21CAR0002 STOCK21 /0
Invoice to: TERMS: Net 25 Days Jot?
Service Location:
CARMEL FIRE DEPT CARMEL FIRE DEPT
2 CIVIC.SQ 2 CIVIC SQ
CARMEL, IN 46032 CARMEL, IN 46032
21 I 2t STOCK
QUANTITY I ITEM DESCRIPTION UNIT PRICE TOTAL
JANUARY AIR COMPRESSOR MAINT Semi- Annual
1.00 MAINT -AC -S MAINTENANCE AIR COMPRESS SEMI- ANNUAL
1.00 XXL5Y SAMPLE,AIR
2.00 CMPD1803 FILTER 70.90 141.80
2.00 JFM310 ORING SET 15.64 31.28
1.00 CDM9403 KIT,REPAIR,LINE VLV 3506-- 10,GO10A,3506 -13 40.60 40.60
1.00 OIL DISPOSAL 3.50 3.50
TOTAL SALES /SERVICES 217.18
TOTAL 217.18
NEW ADDRESS:
PRO AIR
2719 N. ARLINGTON AVENUE
INDIANAPOLIS, IN 4621.8
To pay by credit card, please phone or return to us:
Card number—-- -T
Visa MasterCard American Express
(Name on card Expiration date
Signature X
TOTAL SALES TAXABLE SALES TAX AMOUNT SHIPPING CHARGE PLEASE PAY
217.18 0.00 0.00 THIS AMOUNT 217.18
Federal ID 35-1153549 A service charge of 12% per month (16% annual) will be charged on past, due accounts.
KFPA 001 (8108) CUSTOMER COPY
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pro -Air
IN SUM OF
1126 Air Drive
Bloomington, IN 47404
$217.18
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# I Dept. INVOICE NO. ACCT #(TITLE AMOUNT Board Members
1120 1857934 43- 515.01 $217.18 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
FEB '1 2009
`1,7
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Y
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))
1857934 Cascade PM $217.18
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