HomeMy WebLinkAbout205771 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: 366001 Page 1 of 1
ONE CIVIC SQUARE ALARM 5 FIRE SAFETY EQUIPMENT CHECK AMOUNT: $655.00
CARMEL, INDIANA 46032 350 AUSTIN CIRCLE
DELAFIELD WI 53018 -2171 CHECK NUMBER: 205771
CHECK DATE: 1/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 120280 -1 655.00 REPAIR PARTS
IleTV ®ICE
Please note Number
AL&M
F 120280 -1
FniG AND SARAN IiQU11 LLC. NEW 01/
�Invbice Date
ruare:cnc .a�u:uIc s m:uors Remit to
REMIT TO: 350 Austin Circle E- A Ordered Date 01/13/2012
Delafield WI, 53018 -2171
Phone: (262) 646 -5911 Fax: (262) 646 5912'` Page 1
Toll -Free: (800) 615 -6789
Web: www.5alarm.com
Bill to: CARMEL FIRE DEPT Ship to: TIM LEYDEN
2 CARMEL CIVIC SQUARE 753 RANSOM ROAD
CARMEL, IN 46032 VALPARAISO, IN 46385
Phone: (317) 571 -2600 Fax: (317) 571 -2615 Phone: (317) 571 -2600 Fax: (317) 571 -261!
Cust Code Order`ed Salesman Job /Rely# Custoiner.POr Wanted",Date"'
O
12552 BOB VB TIM LEYDEN HURST HAND PUMP 01/13/2012
Entered B
Via
Sh
P� ,Terms
Joli VandeHey UPS TO RESIDENCE NET 10
Quantity y U/M Price =Extension
Order 'Ship: Back'
1 1 0 EA 355RO77 HURST PUMP ONLY FOR RABBIT OR 655.0000 655.00
MINICUTTER W Q/D
SHIPPING INFORMATION
Tracking Weight
1ze539130371053400
SubTl6tal 655.00
Total 655:00
No returns will be accepted 30 days after date of invoice. Item discrepancies or damaged product needs to be identified upon receipt and notification
made to 5 Alarm within 24 hours of receipt. Returns within 30 days will be accepted or written authorization from 5 Alarm and a return authorization
number will be issued. Standard items returned are subject to a 25% restocking fee. Special and custom orders cannot be returned.
i
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))
120280 -1 Hurst Hand Pump $655.00
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
Alarm 5 Fire Safety Equipment
IN SUM OF
350 Austin Circle
Delafield, WI 53018 -2171
$655.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT /TITLE I AMOUNT Board Members
1120 I 120280 -1 I 42- 370.00 I $655.00 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
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund