174073 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 360767 Page 1 of 1
ONE CIVIC SQUARE TERMINAL SUPPLY CO
CARMEL, INDIANA 46032 PO BOX 1253 CHECK AMOUNT: $205.74
TROY M4 48099
CHECK NUMBER: 174073
CHECK DATE: 612412009
DEPA ACCOUNT PO NUMBER I NVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 78086 -00 205.74 REPAIR PARTS
1800 THUNDERBIRD INVOICE
0 TROY, MICHIGAN 48084 SS #497016 PAGE 01
"4Since 1966 (248) 362 -0790 e (800) 989 -9632
FAX (248) 362 -0824 REMIT TO:
www.TertninalSupplyCo.com TERMINAL SUPPLY CO.
P.O. BOX 1253
20574 TROY, MI 48099
S 13222 S 13222
L CARREL EIRE DEPT H CARMEL EIRE DEPT
D 2 CIVIC SQUARE P Z CIVIC SQUARE
T T
O CARREL I1ki 46032 0 CARREL IN 46032
DATE TSC ORDER NO. F. 0. B. CUSTOMER P.O. NO. INVOICE NO.
6/1Z/09 930300 SHIPPING POINT BOB 78066
DATE SHIPPED SHIPPED VIA TERMS ACCOUNT NO. SLSM
NET 30 DAYS
/iLfC19 SALES L'� 5;3 Bi3
Q UANTITY.
DESCRIPTI ORDERED SHIPPED BAcKORDERED
250 250 18 -2 B -250 BONDED PARALLEL WIRE 21100! C 51.50
12 12 MA -12VRC MARINE GRADE- RECEPTACLE 12.77/EA 153.24
We certify that these goods were produced in compliance with all applicable re- SALES TAX FREIGHT
quirements of Sections 6, 7 and 12 of the Fair Labor Standards Act, as amended, and SUB
of Regulations and orders of the United States Department of Labor issued under 00 00 TOTAL 1 205, 74
Section 14 thereof. All material on this invoice is on consignment until invoice is paid
in full. A re- stocking charge may apply.
ORIGINAL INVOICE AMOUNT 205 "74
ISO 9002 Certified THANK YOU DUE
REV. 7!2003
PLEASE PAY LAST AMOUNT IN THIS COLUMN
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))
78086 -00 $205.74
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
Terminal Supply
a IN SUM OF
P.O. Box 1253
Troy, MI 48099
$205.74
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# /Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 78086 -00 42- 370.00 $205.74 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
JUN 2 2 2009
le
17 ,1 14;1
j�
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund