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HomeMy WebLinkAbout175884 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 359261 Page 1 of 1 ONE CIVIC SQUARE SAFETY SYSTEMS CARMEL, INDIANA 46032 4113 TURNER ROAD CHECK AMOUNT: $91.06 RICHMOND IN 47374 CHECK NUMBER: 175884 CHECK DATE: 816/2009 DE PARTME NT AC COUNT PO NUMBER INVOICE NUMBER AM OUNT DESCRIPTION 1120 4237000 907210IC 91.06 REPAIR PARTS Safety Systems 0 4113 Turner Road Richmond, IN 47374 Invoice Number: 9072010 Invoice Date: Ju120, 2009 Page: 1 Voice: 765 -935 -3566 Duplicate Fax: 765- 935 -9713 Bill To: Ship to: carmel fire dept. 2 civic square carmel, IN 46032 Customer- ID Customer PO Payment Terms carmelf.d. A44 Net 30 Days Sales Rep ID Shipping Method Ship Date Due Date UPS Ground 8119/09 Quantity item Description Unit Price Amount 1.00 01- 18837595ROO 84.22 84.22 1.00 shipping 6.84 6.84 Subtotal 91.06 Sales Tax Total Invoice Amount 91.06 Check /Credit Memo No: Payment /Credit Applied TOTAL 91.06. r 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)) 9072010 $91.06 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 NO. WARRANT NO. ALLOWED 20 Safety Systems IN SUM OF 4113 Turner Road Richmond, IN 47374 $91.06 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1 120 907201C 42- 370.00 $91.06 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 AUG -3 2009 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund