180524 12/16/2009 CITY OF CARMEL, INDIANA VENDOR: 359261 Page 1 of 1
ONE CIVIC SQUARE SAFETY SYSTEMS
4113 TURNER ROAD CHECK AMOUNT: $425.00
CARMEL, INDIANA 46032
a RICHMOND IN 47374 CHECK NUMBER: 180524
CHECK DATE: 12/1612009
DEPARTMENT ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 91207IE 425.00 REPAIR PARTS
S 4ty Systems MW(DUCE
4113'rurner Road
Richmond, IN 47374 Invoice Number: 912071E
Invoice Date: Dec 7, 2009
Page: 1
Voice: 765 935 -3566 Duplicate
Fax: 765- 935 -9713
Bill To: Ship to:
carmel fire dept.
2 civic square
ca morel, IN 46032
Customer ID Customer PO Payment Terms
carmel f.d. Net 30 Days
Sales Rep ID Shipping Wthod Ship Date Due Date
UPS Ground 116!10
Quantity Item Description Unit Price Amount
1.00 HOELER Siren 425.00 425.00
1.00 HWLRBB mt. kit N/C
Subtotal 425.00
Sales Tax
Total Invoice Amount 425.00
Check /Credit Memo No: Payment /Credit Applied
TOTAL 425.00
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))
912071E $425.00
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
2a
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Safety Systems
IN SUM OF
4113 Turner Road
Richmond, IN 47374
$425.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT
Board Members
1120 912071E 42- 370.00 $425.00 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
DEC 14 2009
P7 d
C
g
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund