172295 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 079150 Page 1 of 1
0 ONE CIVIC SQUARE DONLEY SAFETY CHECK AMOUNT: $202.50
CARMEL, INDIANA 46032 P 0 BOX 33396
INDIANAPOLIS IN 46203
CHECK NUMBER: 172295
CHECK DATE: 5113/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 21877 202.50 REPAIR PARTS
c
Dw NOW YOU CAN SHOP ON LINE AT INVOICE
WWW. DONLEYSAFETY. COM
1718 VILLA AVE. rnone Date Invoice#
P.O. BOX 33396 Fax 317 786 -2532
4/24/2009 21877
INDIANAPOLIS, IN. 46203
Bill To Ship To
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL, IN. 46032 CARMEL, IN. 46032
P.O. Number Terms Salesperson Ship Via F.O.B. Order Date
VERBAL NET30 DG WILL CALL
Ordered Shipped B/O Item Number Description Unit Price UOM Ext. Price
1 1 0 MS100 IOOW SPEAKER 202.50 202.50
Sales Tax (7.0 $0.00
PRICE DISCREPANCIES, RETURN REQUESTS OR Total
SHIPMENT ERRORS MUST BE REPORTED WITHIN 30 $202.50
DAYS TO RECEIVE CREDIT.
Questions about this invoice? Please call 317- 786 -2268.
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))
21877 $202.50
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
Don ey Safety
IN SUM OF
P.O. Box 33396
Indianapolis, IN 46203
$202.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 21877 42- 370.00 $202.50 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
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund