173773 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 00351587 Page 1 of 1
ONE CIVIC SQUARE CODE 3 PUBLIC SAFETY EQUIPMENT,' AMOUNT: $59.00
CARMEL, INDIANA 46032 PO BOX 957237
ST. LOUIS MO 63195 -7237 CHECK NUMBER: 173773
CHECK DATE: 6/24/2009
DEP ACCOUNT PO NUMBER INV OICE NUMB AM DESCRIPTION
1120 4237000 714087RI 59.00 REPAIR PARTS
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I s CODE43®
;;7A PUSIX 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 CARMEL IN 46032
D P
CUSTOMER PHONE: 317 5712600
CUSTOMER FAX: 708 2331116 EMAIL:
SHIPPER'S NO. PURCHASE ORDER NO. CUST. NO. SALESMAN DATE SHIPPED INVOICE DATE INVOICE NO.
1130740 SW 207600 00000000 06/02/09 06/05/09 714087 RI
TERMS: Prepay gr
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PRODUCT CORE QUANTITY s t �o
x„ NIT ES �-AM0,WNT.
r MODEL�NUMBER',_: SHIPPED PRIC
CRIPTIQN
PEAKCCRI 1.0 Speaker Inc S &H 59.0000 59.00
Standard Repair Charge
Not Eligible for Discount
1.0 FREIGHT .0000
Not Eligible for Discount
Total Order 59.00
Refer to order acknowledgement for order details
Form 423 Rev 0 (11113/2006) 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))
714087RI $59.00
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 N O. ,N NO.
Code 3 ALLOWED 20
IN SUM OF
P.O. Box 957237
St. Louis, MO 63195 -7237
$59.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 714087RI 42- 370.00 $59.00 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
JUN 2 2 200
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund