172473 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 353486 Page 1 of 1
`j ONE CIVIC SQUARE O'MARA PRODUCTS INC
CARMEL, INDIANA 46032 3025 SANGRA AVE SW CHECK AMOUNT: $308.77
ir c
GRANDVILLE MI 49418 CHECK NUMBER: 172473
CHECK DATE: 5/1312009
D ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 0111951C 165.86 REPAIR PARTS
,41120 4237000 0112475 256.36 REPAIR PARTS
1120 4237000 0126492 218.27 REPAIR PARTS
May. 8. 2009 12 :27PIIV O'Mara Sc'ient'ific No.2289 P. 2
INTEGRATING TECHNOLOGY,
nVoICe page 1
i INNOVATION AND PERFORMANCE
4 C I E N T I F I C www.omarascientiiic.com
Phone: (616) 531 -9500
3025 Sangra Ave SW Invoice Number Invoice Date Customer Number
Fax: (616) 531 -3696
Grandville, MI 49418 Toll Free: 877 233 -4811 0112475 07/10/2007 CARFDI
Terms Salesperson P.O. Number Work Order Number Ship Date Ship.Yia FOB,
NET 30 CRAIG SOBCZAK GARY 0112475 07/10/2007 UPS*
SHIP POINT
Sold To: Ship To:
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
RICK DUFEK RICK DUFEK
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL, IN 46032 CARMEL, IN 46032
i
Ordered Shipped BIO Item Number/ Description Size Price Ext Price
1 EA 1 0 250.00 N 250.00
1710 -1080 CO SENSOR
Invotce Note:
I
Non Taxable Subtotal: 250.00
Taxable Subtotal: 0.00 Invoice Total:
Frelght: 6.36 256.36
Sales Tax: 0.00
('ueimm�r t^nnai
May. 8. 2009 12:28PM O'Mara Scieniifie No.2289 P. 3
o INTEGRATING TECHNOLOGY,
J� INNOVATION AND PERFORMANCE Invo Page I www.omarascientific.com
Phone: (616)531 -9500
3025 Sangra Ave SW Fax: (616) 533 -3696 Invoice Number Invoice Date customer Number
Grandville, MI 49418 Toll Free: 877- 233 -4811 0126492 11/03/2008 CARFD1
Terms Salesperson P.O. Number Work Order Number Ship Date Ship Via I FOB
NET 30 CRAIG SOBCZAK VERBAL GARY 0126492 11/03/2008 UPS
SHIP POINT
Sold To: Ship To:
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
RICK DUFEK GARY CARTER
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL, IN 46032 CARMEL, IN 46032
Ordered Shipped B/0 ..;Item Number /Description Size. Price ExtPrlce
1 EA 1 0 200.00 N 200.00
1710 -5719 LEL SENSOR FOR ITX MULIT GAS MONITOR
1 EA 1 0 00 0.00 N 0.00
INBOUND FREIGHT
Invoice Note:
Tracking Info: Pkg 1: 1Z534EW10345221359
Non-Taxable Subtotal: 200.00
Taxable Subtotal: 0.00 Invoice Total:
Freight: 18.27
218.27
Sales Tax: a00
Customer Copy
May. 8. 2009 12 :27PM O'Mara Scientific No,2289 P. 1
INTEGRATING TECHNOLOGY,
A INNOVATION AND PERFORMANCE Credit Memo Page
SCIE NTIFIC www.omarascientific.corn
Phone: (616) 531 -9500
3025 Sangra Ave SW Fax: Invoice Number Invoice Date Customer Number
Grandville, MI 49418 (616) 531 3696
Toll Free: 877- 233 -4811 0111951C 06/29/2007 CARFDI
Terms Salesperson P.O. Number Work Order Number Ship Date Ship Via 1 FOB
NET 30 CRAIG SOSCZAK GARY 0111951C 06/29/2007 UPS"
SHIP POINT
Sold To: Ship To:
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
RICK DUFEK RICK DUFEK
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL, IN 46032 CARMEL, IN 46032
Ordered Shipped B10 Item Number! Description Size Price Ext Price
-1 EA -1 0 150.00 N 150.00
1710 -1213 CO SENSOR
Invoice Note:
Non Taxable Subtotal: 150.00
Taxable Subtotal: 0.00 Invoice Total:
Freight: -15.86 1 66.86
Sales Tax: 0.00
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))
0111951 C ($165.86)
0112475 $256.36
0126492 $218.27
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 K'0. WARRANT NO.
ALLOWED 20
O'Mara Products
IN SUM OF
3025 Sangra Avenue S.W.
Grandville, MI 49418
$308.77
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT
Board Members
1120 0111951 C 42- 370.00 ($165.86) 1 hereby certify that the attached invoice(s), or
1120 0112475 42- 370.00 $256.36
bill(s) is (are) true and correct and that the
1120 0126492 42- 370.00 $218.27
materials or services itemized thereon for
which charge is made were ordered and
received except
MAY 11
I Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund