179433 11/11/2009 a CITY OF CARMEL, INDIANA VENDOR: 353632 Page 1 of 1
ONE CIVIC SQUARE TEMPEST TECH
s, CARMEL, INDIANA 46032 4708 N BLYTHE AVE CHECK AMOUNT: $522.64
FRESNO CA 93722
CHECK NUMBER: 179433
CHECK DATE: 11/11/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4467007 0154424 —IN 522.64 TRAINING EQUIPMENT
Page: 1
r t Ej JJPESTTM Invoice
TECHNOLOGY
4708 North Blythe Avenue Invoice Number: 0154424 -IN
Fresno, CA 93722 Invoice Date: 10/28/2009
Telephone (559) 277 -7577
FAX (559) 277 -7579 Order Number: 0047877
Order Date 10/12/2009
Salesperson: 0027
Customer Number: CARMEL
Sold To: Ship To:
CITY OF CARMEL FIRE DEPT. CITY OF CARMEL FIRE DEPT.
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL, IN 46032 CARMEL, IN 46032
Confirm To:
ATTN: GARY CARTER
Customer P.O. Ship VIA F.O.B. Terms
VERBAL CARTER UPS FRESNO I NET 30
Item Number Unit Ordered Shipped Back Ordered Price Amount
710 -032 EACH 1.000 1.000 0.000 926.00 463.00
SHADOW 1. Whse: 001 Disc 50.00
Serial Number: 0507A015B 1.000
710 -027 EACH 1.000 1.000 0.000 26.00 26.00
FOG FLUID 1 LTR BOTTLE ROSCO Whse: 000 Disc
Net Invoice: 489.00
A 1.5% FINANCE CHARGE WILL BE ADDED TO ALL Discount: 0.00
INVOICES OVER 30 DAYS. Freight: 33.64
Sales Tax: 0.00
Invoice Total: 522.64
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))
154424 $522.64
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.
ALLOWED 20
Tempeist Technology
IN SUM OF
k
4708 N. Blythe Avenue
Fresno, CA 93722
$522.64
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# l Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 154424 102- 670.07 $522.64 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
NOV 9 2009
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund