207606 03/26/2012 CITY OF CARMEL, INDIANA VENDOR: 359261 Page 1 of 1
0 ONE CIVIC SQUARE SAFETY SYSTEMS
CARMEL, INDIANA 46032 4113 TURNER ROAD CHECK AMOUNT: $885.90
o RICHMOND IN 47374 CHECK NUMBER: 207606
CHECK DATE: 3126/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4467099 1232112 885.90 OTHER EQUIPMENT
Safety Systems M
4113 Turner Road
Richmond, IN 47374 Invoice Number: 1232112
Invoice Date: Mar 21, 2012
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
carmel f.d. 4504 45 62 Net 30 Days
Sales Rep ID Shipping Method Ship Date Due Date
UPS Ground 4/20/12
Quantity Item Description Unit Price Amount
1.00 PKG -PSM -209 (Ford Expedition) 470.92 470.92
1.00 PKG -PSM -253 (Ford Explorer) 485.92 485.92
1.00 UT -X -T (Laptop Cradle) 206.94 206.94
1.00 shipping shipping 34.72 34.72
Subtotal 1,198.50
Sales Tax
Total Invoice Amount 1,198.50
312.60
ieck /Credit Memo No: 1232112CM Payment/Credit Applied 1� Cr��
8
TOTAL
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))
1232112 $885.90
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. WAR NO.
ALLOWED 20
Safety Systems
IN SUM OF
4113 Turner Road
Richmond, IN 47374
$885.90
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 I 1232112 1 102 670.99 I $885.90 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
MAR 2 3 2012
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund