169625 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 00353046 Page 1 of 1
wf ONE CIVIC SQUARE SIMPLEXGRINNELL LP CHECK AMOUNT: $1,427.50
i4 r CARMEL, INDIANA 46032 DEPT CH 10320
roNn PALATINE IL 60055 -0320 CHECK NUMBER: 169625
CHECK DATE: 314(2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT .DESCRIPTION
601 R5023990 W08536 72613204 1,427.50 FIRE SPRINKLER PERM
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D -o -N -s 09- 4738007 s I(JICE,I)A7 ft i GTOER PC
FGD, ID SB- 2608861 72613204 12 11 08 I WO8536
t gco l Fire I Simp/exGrinnel/
I Security
District 4 331 811292 ROS -SEP -2008
11B20 PENDLMN PIKE
INDIANAPOLIS, IN 46236 -3929 p q
317 -826 21.30'., >y`:A_YM NT7',D+RMS
t 331 01725554 ET 30
City Of Carmel Water Utilities 331- 01725554
3450 W 131st St City Of Carmel Water Utilities
WESTFIELD IN 46074 -0000 3450 W 131St St
WESTFIELD IN 46074 -0000
Pace, Tom
CQNrIR1Cf1'?�E$CfjIFTION f CQNTRACT CONTRACT
S,, ART DATL END DATF,
City of Carmel Water Utilities 3450 W 131 St, Carmel, In 01- JAN -09 31- DEC -09
I�IVOIG NQ;..
TES:.
Total Contract Amount $1,427.5() Amount of Current Invoice $1,427.50
Sales Tax $0.00
Total Amount Included $1,427.50
Payment Received $0.00
Total Amount Due $1, 427.50
1
tgCQ1 Fire I Si*nplexGrinnell District 331
secunYy II yQIC�
11820 PENDLETON PIKE
INDIANAPOLIS, IN 46236 -3929 72613204
317-826-2130
12 -11 -08
INVOICE CONTRACT DETAIL
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3 l.an` Name.t. ,...,star n' e: si%' e °Tii.' o retl Go.v reci' Prndli'at.
ALARM DETECTION- 01- JAN -09 31- DEC -09 3450 W 131st St, SYSTEM -FA- SIMPLEX 4010 1 SIMPLEX PROD 4010 $1,180.50
TEST INSPECT WESTFIELD, IN SYSTEM
SPRINKLER -TEST 01- JAN -09 31- DEC-09 3450 W 1316t St, SYSTEM -SP -WET SPRINKLER 1 WET SPRINKLER SYSTEM $247.00
INSPECT WESTFIELD, IN
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
287350
SIMPLEX GRINNELL Purchase Order No.
DEPT CH 10320 Terms
PALATINE, IL 60055 -0320 Due Date 2/1112009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/11/2009 72613204 $1,427.50
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
Date Officer
VOUCHER 091073 WARRANT ALLOWED
287350 IN SUM OF
T
$IMPLEX GRINNELL
DEPT CH 10320
PALATINE, IL 60055 -0320 0 A p
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
72613204 01- 6360 -06 $1,427.50
Voucher Total $1,427.50
Cost distribution ledger classification if
claim paid under vehicle highway fund