206950 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 00352903 Page 1 of 1
10� ONE CIVIC SQUARE ALL SAFE INDUSTRIES INC CHECK AMOUNT: $963.01
CARMEL, INDIANA 46032 1830 CARGO CT
LOUISVILLE KY 40299 CHECK NUMBER: 206950
CHECK DATE: 3/13/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 0252759 963.01 OTHER EXPENSES
All Safe'1830 Cargo Court Invoice
lndUStrleS Louisville, KY 40299
Date Invoice
2/23/2012 02 -52759
Bill To Ship To
City of Carmel Sewer Dept City of Carmel Sewer Dept
Attn: Paul Arnone Attn: Paul Arnone
760 3rd Ave SW Suite 110 760 3rd Ave SW Suite 110
Carmel, IN 46032 Carmel, IN 46032
PO# WW1 1011104
PO# Terms Rye Ship Date Ship Via
WW1 1011104R1 Net 30 WW 2/16/2012 UPS Ground
QtV Item Description Unit Price Amount
2 8050 M11 8050 System w/ 110V transformer 98.10 196.20
2 8056F 12v Plug In Charger for Pelican StealthLite. 12.40 24.80
12 8054 Pelican Replacement Bulb for M11 Rechargeable 14.33 171.96
Flashlight.
8 8069 Replacement rechargeable battery packs 69.19 553.52
Shipping (OOS) Shipping Tracking 1ZX4620R0300674652, 16.53 16.53
1ZX4620R0300664930
fio
Sales Tax (0.0 $0.00
Thank You for your business! Total $963.01
Payments /Credits $0.00
Balance Due $963.01
Make checks payable to: All Safe Industries, Inc. A finance charge of 2% per month will be added to all invoices not paid to terms.
Questions, comments or concerns; Call Toll Free 888 972 -3389. Thank you.
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
00352903
ALL SAFE INDUSTRIES Purchase Order No.
10346 Bluegrass Parkway Terms
Louisville, KY 40299 Due Date 3/6/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/6/2012 0252759 $963.01
hereby certify that the attached invoice(s), or bill(s) is (are) true and
;orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOUCHER 116937 WARRANT ALLOWED
00352903 IN SUM OF
ALL SAFE INDUSTRIES
10346 Bluegrass Parkway
Louisville, KY 40299
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
0252759 01- 7200 -02 $963.01
Voucher Total $963.01
Cost distribution ledger classification if
claim paid under vehicle highway fund