170130 03/18/2009 CITY OF CARMEL, INDIANA VENDOR: 00350814 Page 1 of 1
Q� ONE CIVIC SQUARE TOTAL FIRE GROUP CHECK AMOUNT: $745.29
CARMEL, INDIANA 46032 7976 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 170130
LPN
CHECK DATE: 3/18/2009
DEPARTMENT ACCOUNT PO NUMB INVOICE NUMBER AMOUNT DESCRIPTION
1120 4356003 5781000 745.29 SAFE'T'Y ACCESSORIES
..r Please Remit To:
7976 Collections Center Dr.
Invoice 5781000
TOTA Chicago, IL 60693 Invoice Date 02128!09
iFiR E GROUP Phone (937) 264 -2662 Customer TOW005
A It VA X C E 0 F (E R 513 N A L P R o r E C r,[ 0 w Fax (937) 264 -2677 PO# 12601
Bill To: Ship To:
CITY OF CARMEL WILL ADVISE
ATTN: ACCOUNTS PAYBLE DEPT. SEE AMY OR DIANA
ONE CIVIC SQUARE
CARMEL, IN 46032 -2584
USA
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TOW005 Origin NET 30 DAYS
M
ya Purchase Urde,r 1 ';Er Salespa'rson`x $Orde�,Date ,Our O�derNumber"
12/11/08 447609
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Qua <.fJrtlered Quanta Shi ed Item?Number
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"Back Orderetl Item escnption
ant �3,�.. r foTax �r
147 147 INCARM00072 5.07 745.29
0 BPR -42Z2 SPLITT CUFF TRIM &EZ GRIP POCKET FLAPS N
Net due on 03/30/09
Nontaxable Subtotal 745.29
Taxable Subtotal 0.00
Tax 0.00
Print Date: RJP 03/02/09 Total Invoice
Customer Original
Page 1
VOUCHER NO. WARRANT NO.
"i'otal Fire Group ALLOWED 20
IN SUM OF
7976 Collections Center Drive
Chicago, IL 60693
$745.29
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 5781000 43- 560.03 $745.29 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 1 s 2009
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
5781000 Flaps for Turn Out Gear $745.29
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