180288 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 358570 Page 1 of 1
ONE CIVIC SQUARE TOWERS FIRE APPARATUS, INC
i 502 SOUTH RICHLAND CHECK AMOUNT: $3,716.50
CARMEL, INDIANA 46032
FREEBURG IL 62243 CHECK NUMBER: 180288
CHECK DATE: 12/8/2009
DEPARTMENT ACCOUNT PO N UMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4356003 12715 042996 3,716.50 HELMETS
Invoice 042996
Towers Are Apparatus, Inc. Date 1211!2009
502 South Richland Page 1
Freeburg, II., 62243
618 539 -3863 Phone 618- 539 -4850 Fax
Bill To: Ship To:
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
Purchase Order No. Customer ID sates person 1D jppInq Method Pa ment Terms Reg ship Date Master No.
EMAIL -GARY CARTER 001499 136 JUPSGROUND Net 30 12/1/2009 69,287
Ordered Shipped 810 Item Number Descrt lion Discount UniL.Price Ext. Price
8 8 0 CAIRNS HELMET 1010 BLACK S0.00 5193.70 $1,549.60
#C- TRD112112120
4 4 0 CAIRNS HELMET 1010 RED $0.00 $193.70 $774.80
tIC -TRD 122112120
1 1 0 CAIRNS HELMET 1010 WHITE $0.00 5193.70 $193.70
tIC- TRD142112120
6 6 0 CAIRNS HELMET 880 BLACK 50.00 $171.20 $1,027.20
tiC- TRD512112120
1 1 0 CAIRNS HELMET 880 RED $0.00 $171.20 $171.20
IIC- TRD522112120
1 1 0 ALL HELMETS PER SPEC: $0.00 $0.00 50.00
WIESS GOGGLE, STANDARD HEAD
LINER, YELLOW NOMEX EARLAP, 6"
SILK SCREENED EAGLE, NOMEX CHIN
STRAP, REFLEXITE TRIM, (MEETS NFPA)
Subtotal $3.716.50
LATE PAYMENT CHARGE OF 1.5% PER MONTH, NO RETURNS Mist $0.00
AFTER 45 DAYS OR FOR SPECIAL ORDERS, RESTOCK FEE Tax $0.00
MAY APPLY ON RETURNS, MAJOR CREDIT CARDS ACCEPTED, Freight $0.00
$25.00 FEE CHARGED FOR RETURNED CHECKS.
Trade Discount $0.00
Total 3716.50
Prescribed by Slate Board of Accounts City Form No. 201 (Rev. 1595)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
ti
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))
042996 $3,716.50
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
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
1. ALLOWED 20
Towers Fire Apparatus
IN SUM OF
502 South Richland
t
Freeburg, IL 62243
$3,716.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #ITITLE AMOUNT Board Members
12715 042996 43- 560.03 $3,716.50 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
DE C 720
Fire Chief
Title
Cost distribution ledger classification if
ciairnn paid motor vehicle highway fund