178422 10/14/2009 9) CITY OF CARMEL, INDIANA VENDOR: 363428 Page 1 of 1
ONE CIVIC SQUARE TOOL FETCH
CARMEL, INDIANA 46032 PO BOX 2332 CHECK AMOUNT: $323.12
NEW YORK NY 10021 CHECK NUMBER: 178422
�t CHECK DATE: 10/1412009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMOUN DESCRIPTION
102 4467006 1155821 323.12 EMS EQUIP
Invoice
Date 9/22/2009
Invoice 1155821
Please remit to:
Toolfetch Terms Net 30
PO Box 2332 Due Date 10/22/2009
New York, NY 10021
800 508 -4735 PO 12687
www.toolfetch.com Ship Via UPS Ground
Ship Date 9/22/2009
Tracking
Bill To Ship To
Accounts Payable Mark A Hulett
City Fire Department City Fire Department
2 Civic Square 2 Civic Square
Carmel IN 46032 Carmel IN 46032
United States United States
50 ROVER- MOSM
DAS- RP3650 12 i RoadPro RP3650 Personal S #eel Safe Box with 2 22.76 273.12
Keys (1 Each)
Shipping 1 50.00 50.00
I i
Subtotal 323.12
Shipping Cost (UPS Ground) 0.00
Total $323.12
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
4
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))
1155821 $323.12
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 NO.
ALLOWED 20
Tool Fetch
IN SUM OF
PO Box 2332
New York, NY 10021
$323.12
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept- INVOICE NO. ACCT /TITLE AMOUNT Board Members
12687 1155821 102 670.06 $323.12 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
s j d t
f
Fire Chief
Title
Cost distribution ledger classification if
claim Paid motor vehicle highway fund