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.
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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