207549 03/26/2012 o, CITY OF CARMEL, INDIANA VENDOR: 358990 Page 1 of 1
ONE CIVIC SQUARE MUNICIPAL EMERGENCY SERVICES
CARMEL, INDIANA 46032 DEPOSITORY ACCOUNT CHECK AMOUNT: $621.90
75 REMITTANCE DR STE 3135
CHECK NUMBER: 207549
CHICAGO IL 60675
CHECK DATE: 3/26/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 301704 280.70 OTHER CONT SERVICES
1120 4350900 302628 341.20 OTHER CONT SERVICES
Invoice
MES Indiana Number 00301704_SNV
6975 Hillsdale Court Date 3/13/2012
jEb Indianapolis, IN 46250 Page 1 of 2
Sales order SO 260982
MUNICIPAL EMERGENCY SERVICES, INC. Requisition JASON REECER
Your ref.
Telephone :(888) 322 -8402 Our ref. BThompson
Fax 317 596 -1701 Payment Net 30
Sales Rep GCoy
Inv Acct 30195
Bill To: Ship To:
CARMEL FD CARMEL FD
2 CARMEL CIVIC SQUARE 2 CARMEL CIVIC SQUARE
CARMEL, IN 46032 CARMEL, IN 46032
Denise Snyder
Item number Size Color Description Quantity Unit Unit price Amount
804094 -03 GAUGE LINE TUBING 1.00 EA 260.00 260.00
ASSY,CRICKET
LSCBA LABOR SCBA SERVICE PER 0.30 EA 69.00 20.70
HOUR
Merchandise Restocking Fee S &H Sales tax Discount Total due
280.70 0.00 0.00 0.00 0.00 280.70 USD
Thank You For Your Order!
All returns must be processed within 30 days of receipt and require a return authorization number and are subject to a restocking fee.
Custom orders are not returnable.
Invoice
MES Indiana Number 00302628_SNV
MES_� 6975 Hillsdale Court Date 3/16/2012
Indianapolis, IN 46250 Page 1 of 2
p Sales order SO_261047
MUNICIiAL R1EgCDiCY SERNCF3,INC. Requisition JASON REECER
Your ref.
Telephone :(888) 322 -8402 Our ref. BThompson
Fax 317 596 -1701 Payment Net 30
Sales Rep GCoy
Inv Acct 30195
Bill To: Ship To:
CARMEL FD CARMEL FD
2 CARMEL CIVIC SQUARE 2 CARMEL CIVIC SQUARE
CARMEL, IN 46032 CARMEL, IN 46032
Denise Snyder
Item number Size Color Description Quantity Unit Unit price Amount
_804423 -01 AP50 CYLINDER LATCH 1.00 EA 39.80 39
ASSEMBLY
804094 -03 GAUGE LINE TUBING 1.00 EA 260.00 260.00
ASSY,CRICKET
LSCBA LABOR SCBA SERVICE PER 0.60 EA 69.00 41.40
HOUR
Merchandise Restocking Fee S &H Sales tax Discount Total due
341.20 0.00 0.00 0.00 0.00 341.20 USD
Thank You For Your Order!
All returns must be processed within 30 days of receipt and require a return authorization number and are subject to a restocking fee.
Custom orders are not returnable.
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))
302628 $341.20
301704 $280.70
1 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 N
ALLOWED 20
IN SUM OF
75 Remittance Drive
Chicago, IL 60675
$621.90
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE I AMOUNT Board Members
1120 302628 43- 509.00 j $341.20 1 hereby certify that the attached invoice(s), or
1120 301704 43- 509.00 $280.70 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
MA 2 3 W2
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund