180783 12/30/2009 CITY OF CARMEL, INDIANA VENDOR: 00351587 Page 1 of 1
ONE CIVIC SQUARE CODE 3 PUBLIC SAFETY EQUIPMENT, AMOUNT: $134.00
CARMEL, INDIANA 46032 PO BOX 957237
.off io ST. LOUIS MO 63195 -7237 CHECK NUMBER: 180783
CHECK DATE: 12/30/2009
DEPARTMENT ACCOUNT PO NUMBER INVOI N UMBER AMOUNT DESCRIPTION
1120 4350900 749027RI 134.00 OTHER CONT SERVICES
14
e
A PUSUC SAFETY EQUIPMENT COMPANY
Remit To: P.O. BOX 957237. ST. LOUIS, MO 63195 7237 (314) 426 2700. FAX: (314) 426 1337
INVOICE PAGE NO.: 1
S CARMEL FD (IN) S CARMEL FD (IN)
O 2 CIVIC SQUARE H 2 CIVIC SQUARE
L CARMEL IN 46032 I ATTN: BOB VANVOORST
CARMEL IN 46032
D P
CUSTOMER PHONE: 317 5712600
CUSTOMER FAX: EMAIL:
SHIPPER'S NO. PURCHASE ORDER NO. CUST. NO. SALESMAN DATE SHIPPED INVOICE DATE INVOICE NO.
1154168 SW E44 207600 00007946 12/07/09 12/11/09 749027 RI
TERMS: Net 30 Days
PRODUCT CODE, QUANTITY
MODEL NUMBER SHIPPED DESCRIPTION UNIT PRICE AMOUNT
CCCR1 1.0 M95892/TONE SELECTOR SWITCH 134.0000 I 134.00
Standard Repair Charge
Not Eligible for Discount
1.0 FREIGHT .0000
i
Not Eligible for Discount
I
Total Order 134.00
L
Refer to order acknowledgement for order details
Form 423 Rev 0 (11/13/2006) R
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))
749027 R I $134.00
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 N
ALLOWED 20
Code 3
IN SUM OF
P.O. Box 957237
St. Louis, MO 63195 7237
$134.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1120 749027RI 43 509.00 $134.00 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
DEC 2 2009
r �7
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund