206671 02/28/2012 CITY OF CARMEN, INDIANA VENDOR: 359513 Page 1 of 1
ONE CIVIC SQUARE FIRE SYSTEMS SERVICES INC CHECK AMOUNT: $200.00
CARMEL, INDIANA 46032 1424 SADLIER CIRCLE E DR
INDIANAPOLIS IN 46239 CHECK NUMBER: 206671
CHECK DATE: 2/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 S12 -4797 200.00 OTHER EXPENSES
FIRE SYSTEMS SERVICES, INC. Invoice
1424 Sadlier Circle F. Drive
Indianapolis, IN 46239 DATE INVOICE
(317) 375 -4390 2/3/2012 S12 -4797
(3I7) 375 -4391 FAX
BILL TO SHIP TO
Cite of Carmel Wastewater Utilities Carmel Water Ops Facility
Accts Payable
340 West 131st Street
Westfield, IN 4074
P.O. NO. TERMS PROJECT /JOB
Net 15 days
QTY DESCRIPTION RATE AMOUNT
Observed Fire Sprinkler Maintence For Owner.
200.00 200.00
0.00% 0.00
Thank you for your business.
Total $200.00
VOUCHER 113831 WARRANT ALLOWED
359513 IN SUM OF
FIRE SYSTEMS SERVICES INC
1445 BReHDKVttl:E
INDIA N APOLIS, IN 46239 WATER
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
I
Board members
PO INV ACCT AMOUNT Audit Trail Code
t
S12 -4797 01- 6360 -06 $200.00
I
i
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1
a
1
Voucher Total $200.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
359513
FIRE SYSTEMS SERVICES INC Purchase Order No.
1445 BROOKVILLE WAY, SUITE D Terms
INDIANAPOLIS, IN 46239 Due Date 2/21/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/21/2012 S12 -4797 $200.00
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
Date Ofe r