HomeMy WebLinkAbout178723 10/28/2009 a CITY OF CARMEL, INDIANA VENDOR: 363544 Page 1 of 1
ONE CIVIC SQUARE IL MO TIRE STONE INC
CARMEL, INDIANA 46032 3408 LYDIA LANE CHECK AMOUNT: $3,576.00
GRANITE CITY IL 62040
CHECK NUMBER: 178723
CHECK DATE: 10128/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4356003 1960 3,576.00 SAFETY ACCESSORIES
IL.MO. TIRE STONE, INC. Invoice
3408 LYDIA LANE
Date Invoice
GRANITE CITY, IL 62040
10/10/2009 1 960
Bill To Ship To
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
#2 CIVIC SQUARE #2 CIVIC SQUARE
CARMEL, IN. 46032 CARMEL, IN. 46032
ATTN: GARY CARTER QTRM DPA
317/571 -2667
P.O. Number Terms Rep Ship Via F.O.B. Project
Net 30 GCH 10/10/2009 GARY
Quantity Item Code Description Price Each Amount
12 TA1025 TRI -ALERT COMMERCIAL LIGHT KIT 298.00 3,576.00
1 TA1025 TRI -ALERT COMMERCIAL LIGHT KIT 0.00 0.00
PLEASE SEND A COPY OF YOUR TAX EXEMPT
LETTER THANKS
We appreciate your business.
Total $3,576.00
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))
1960 $3,576.00
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 NO. WARRANT NO.
ALLOWED 20
IL. MO. Tire Stone, Inc.
IN SUM OF
3408 Lydia Lane
Granite City, IL 62040
$3,576.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 1960 43- 560.03 $3,576.00 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
OCT 2 0 2009
e
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund