206626 02/28/2012 *f CITY OF CARMEL, INDIANA VENDOR: 361137 Page 1 of 1
ONE CIVIC SQUARE CARMEL FIRE DEPARTMENT STATION CHECK AMOUNT: $500.00
CARMEL, INDIANA 46032
CHECK NUMBER: 206626
CHECK DATE: 2/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4467007 0126- 103782 500.00 TRAINING EQUIPMENT
Commercial Sale On -Line
90 Pick Up: 0140 025637 Invoice 0126 103782
Date: 02/22/2012 11:27
4161 E. 96th St Cashier 1G74
Indianapolis, IN, 46240 (317) 848 -1517 0325 WARREN WILLIAMS
4260 STEVEN MAYNARD
010658 Purchase Order No: cust to pay e
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL, IN 46032 r CARMEL, IN 46032
Office: (317) 571 -2600 Y Office: (317) 571 -2600
Resale 003120155 -002 -0
Special Inse
ruccion;
Sls# Qty Model No. Description...,, Del[)ate ISenal Numberl Loc Code! Tm Via Price Total
TAKE ITEMS
0001 1 VB60C MED LOW PROFILE FULL MOTION,OMNI 02/26/12! 0001 T AT 99 49.99 49.99
0002 1 42LK450 LCD TV, LG,42", 1 080P,60HZ i 02/26/12 i 0001 T AT 99 499.00 499.00
0003 1 NW PREMIUM SERVICE PLAN DECLINED 02/26/12' 0001 T AT 99 0.00 0.00
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7 v
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Thank you. WARREN WILLIAMS Subtotal $548.99
CUSTOMER GO P_Y_ Deposit Used $548.99 Original Invoice: 0140025637 Tax o.00
Invoice Total $548.99
The merchandise described above has been inspected,. Amount Due $548.99
and received in good condition unless otherwise
notated on the invoice. Amount Received $548.99
Delivery has been completed and no damage Change Due $0.00
has occurred to our personal property.
1
Please save this invoice.
Thank You! Rev. 7.5.0.1504
X
Merchandise Received By Date
X 0126103782
Merchandise Delivered By Date
Retain this invoice for future service or returns. o
o• a e•
o• e o
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))
0126- 103782 $500.00
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
VOUCHE NO. WAR NO.
Station 45 House Fund ALLOWED 20
IN SUM OF
$500.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #!TITLE I AMOUNT Board Members
1120 I 0126- 103782 1 102- 670.07 j $500.00 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
FEB 2 4 2W
s g
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund