HomeMy WebLinkAbout205574 01/17/2012 voided CITY OF CARMEL, INDIANA VENDOR: 252310 Page 1 of 1
ONE CIVIC SQUARE PRO AIR INC
CARMEL, INDIANA 46032 1126 AIR DRIVE CHECK AMOUNT: $53.54
BLOOMINGTON IN 47404
CHECK NUMBER: 205574
CHECK DATE: 1/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 2563543 53.54 REPAIR PARTS
P R 0 A I R INVOICE
2563543 Date of 12/30/2011 a5t.
REMIT TO: Koorsen Fire Security No.: Work: Order
a:
2719 N Arlington Avenue
Indianapolis, IN 46218 -3322 Date: 12 3 0 2 011 SO 2281642 Date 01/24/2012
1- 888 KOORSEN Include invoice on check. Invoice Due:
Cust ID 21CAR0002 JOB# SERVICE11 0
Sold To: Location:
CARMEL FIRE DEPT CARMEL FIRE DEPT
2 CIVIC SQ 2 CIVIC SQ
CARMEL, IN 46032 CARMEL, IN 46032
21 -HOUSE 21 -HOUSE STOCK11
6.00 G04.50RING O -RING 4.5 GO 2.59 15.54
2.00 GOBLEEDERS SCREW,BLEEDER 16.00 32.00
1.00 99SHIP SHIPPING CHARGE -TX- 6.00 6.00
TOTAL SALES /SERVICES XMP# 0031201550 -020 53.54
TOTAL 53.54
Pay online www.koorsen.com. To pay by credit card, please phone or return to us:
Circle: VISA MC AMEX Card Number
Name on Card Expiration Date
Total Sales Taxable Sales Tax Amount Shipping Charge Invoice Total
53.54 0.00 0.00 53.54
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))
2563543 $53.54
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pro -Air
IN SUM OF
1126 Air Drive
Bloomington, IN 47404
$53.5
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
1120 I 2563543 I 42- 370.00 I $53.54 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
JAN 13 20
Fir Chi
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund