177180 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 363337 Page 1 of 1
ONE CIVIC SQUARE DR TABS PRODUCTS, LLC
CARMEL, INDIANA 46032 17100 WEST RYERSON ROAD CHECK AMOUNT: $119.18
NEW BERLIN N 53151
CHECK NUMBER: 177180
CHECK DATE: 911512009
DEPARTMENT ACCOUNT PO NUMBER INV OICE NUMBER AMOUNT DESCRIPTION
1120 4232100 26620 119.18 GARAGE MOTOR SUPPIE
'r
0' HEFS
t Invoice
RESPONSIBLE CHEMISTRY FOR THE PUBLIC SAFETY INDUSTRY
DR Tab Products, LLC Chiefs Choice Date Invoice
17100 West Ryerson Road
New Berlin, WI 53151 USA 9/3/2009 26620
262 796- 8448!800 -395 -8070
Bill To Ship To
Carmel Fire Department Carmel I "ire Department
2 Civic Square 2 Civic Square
Carmel IN 46032 Carmel, IN 46032
P.O. No. Rep Ship Date
PAYMENT DUE ON RECEIPT
Verbal CC 9/3/2009
Quantity Item Code Description Price Each Amount
1 CDPK2 Standard Aluminum and Metal Cleaning Kit Includes: 99.50 99.50
4x I Gallon cleaner, 1 48 oz pump up foamer, Long
handle brush
Freight Freight 19.68 19.68
Please make checks payable to DR TAB Products, LLC Subtotal $119.18
We Appreciate Your Business. Sales Tax (O.Q $0.00
Total $119.18
L
www.firechiefschoice.com
1 division of DR TAB Pi atcts, LLC.
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))
26620 $119.18
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
VOUCHER NO. WARRANT NO,
ALLOWED 20
Chief s C oih ce i
IN SUM OF
17100 West Ryerson Road W L
New Berlin, WI 53151
$119.18
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 26620 42- 321.00 $119.18 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
SEP 1 4 2009
�n
e
I e
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund