HomeMy WebLinkAbout173504 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 355226 Page 1 of 1
ONE CIVIC SQUARE PUBLIC SAFETY CENTER, INC CHECK AMOUNT: $89.99
CARMEL, INDIANA 46032 Po Box 2370
i;. -pN cq EUGENE OR 97402 CHECK NUMBER: 173504
CHECK DATE: 611012009
DEP ACCOUN PO NUM I NVOICE NUMBER AMOUNT DESCRIPTI
102 4467006 1789281IN 89.'99 EMS EQUIP
Public Safety Center, Inc. 1J9.cctranic Trumfcr" Invoice
P.O, Box 3370 ACH Wily (110 wire tr�lsferal)
Pay directly ironn your bank to ours!
Eugene, OR 97402 Use our routing# 123205135 Order Date Invoice
and our account 20025714
5112/2009 1789281IN
541- Fax 541.686.9373
Bill To Ship To
Carmel Fire Dept Carmel Fire Dept.
Attn: Accounts Payable Attn: Mark Hulett
2 Civ Sq 540 W 136 St
Carmel IN 46032 Carmel IN 46032
P.O, NU1tli-ier Terns Rj9p Name iflvoice/wip oale Snip via Pnone g
MARK Net 30 Danil- 5/18/2009 Ground 317/571 -2600
Quantity Item Code Description Price Each Amount
1 R121P08 4ft Nellcor Extension Cable* 89.99 89.99
1 Shipping 0.00 0.00
1 1 Fed Ex Ground Tracking Number(s): 0.00
073571580052909
To$all 89.99
W -9 INFORMATION: PUBLIC; 3AFFI'Y CENTER IS AN ORE(JON CORP FIN 993- 1319770
ANY ITEMS RETURNED 60 DAYS OR MORE AFTER RECEIPT ARE SUBJECT TO A 10 RESTOCK FEE.
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VOUCHER NO. WARRANT NO.
Public Safety Center ALLOWED 20
IN SUM OF
P.O. Box 2370
Eugene, OR 97402
$89.9
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 1789281 IN 102- 670.06 $89.99 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
JUN 8 2009
Z 4'�9
Ij
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
prescribed by State Board of Accounts City Form No. 2D1 (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))
1789281 IN $89.99
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