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169375 03/04/2009 a CITY OF CARMEL, INDIANA VENDOR: 360143 Page 1 of 1 ONE CIVIC SQUARE CRV COMMUNICATIONS CHECK AMOUNT: $129.47 CARMEL, INDIANA 46032 P O BOX 36981 OAKLANDON IN 46236 CHECK NUMBER: 169375 CHECK DATE: 3/4/2009 DEPARTMENT ACCOUNT PO NUMBER I NVOICE NU MBER AMOUNT DESCRI 1120 4350500 20090015 129.47 RADIO MAINTENANCE CRV `Communications, Inc Invoice PO Box 36981 Oaklandon, IN 46236 -0981 Date Invoice No. TX: 317- 823 -8808 TF: 866 823 -8808 02/02/09 20090015 FAX: 317- 823 -8804 EMail: crvcomm @comcast.net Bill To Ship To Carmel Fire Department Carmel Fire Department Chief Keith Smith Chief Keith Smith 2 Civic Square 2 Civic Square Carmel, IN 46032 Carmel, IN 46032 P.O. Number Terms Ship Via Net 30 UPS Quantity Item Description Rate Amount I Headset Repair Flat rate repair Sigtronics headset Replace cable, 40.00 40.00 earcup seals, foam ear inserts, mike bracket, knulled screw, test op 1 900084 Headset windscreen 3.64 3.64T 1 800035 Headset coiled cord replacement cable 44.00 44.00T 1 100156 Microphone knurlled machine set screw 4.96 4.96T 1 100249 Headset extension arm 17.00 17.00T 1 100411 Velcro headbands for all headsets 6.09 6.09T 2 100369 Ear seal cushion 5.80 11.60T 2 100379 Earcup foam cover 1.09 2.18T Exempt status customers 0.00 0.00 Thank you for your business. Federal Tax EIN 75- 3249948 Total $129.47 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)) 20090015 Repair Sigtronics $129.47 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 CRV !,:ommunications, Inc. IN SUM OF P. C Box 36981 Oaklandon, IN 46236 $129.47 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 20090015 43- 505.00 $129.47 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 MAR 2 2009 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund