168592 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 362208 Page 1 of 1
ONE CIVIC SQUARE M E S CHECK AMOUNT: $247.70
CARMEL, INDIANA 46032 75 REMITTANCE DR
3135 SUITE
CHECK NUMBER: 168592
CHICAGO IL 60675
CHECK DATE: 2/4/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 00079150 -SNV 247.70 OTHER CONT SERVICES
�I
I
Invoice
MES Indiana Number 00079150_SNV
6975 Hillsdale Court Date 1/19/2009
IjEs-� Indianapolis, IN 46250 Page 1 of 2
Sales order .:SO 069506
MUNICIPAL EMERGENCY SERVICES, INC. Requisition SCTT SERVICE
Your ref......:
Telephone (888) 322 -8402 Our ref.......: EAllen
Fax 317 596 -1701 Payment Net 30
Sales Rep GCoy
i Inv Acct 30195
Bill To: Ship To:
CARMEL FD CAR MEL FD
2 CARMEL CIVIC SQUARE ALL WORK PERFORMED AT THE
CARMEL, IN 46032 MES SHOP
Denise Snyder
Item number Description Quantity Unit Unit price Amount
804094 -03 GAUGE LINE TUBING 1.00 EA 227.00 227.00
ASSY,CRICKET
Quantity 1.00 Warehouse IN Location 001 -01 -A
LSCBA LABOR SCBA SERVICE PER 0.30 EA 69.00 20.70
HOUR
REPLACED ONE CRICKET
HOSE AND TESTED.
RED. S/N 110048
Quantity 0.30 Warehouse IN Location 001 -01 -A
Merchandise S &H Sales tax Total due
247.70 0.00 0.00 247.70 USD
Please remit to:
MES Indiana t
Municipal Emergency Services Depository
Account
75 Remittance Drive
Sqite 3135
Chicago, IL 60675
Thank You For Your Order!
All returns must be processed within 30 days of receipt and require a return authorization number and are subject to a restocking fee
Custom orders are not returnable.
Prescribed by State Board of Accounts City Form No. 201 (Rel`. 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))
00079150_SNV Repair SCBA $247.70
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,
N1ES ALLOWED 20
IN SUM OF
75 Remittance Drive
Chicago, IL 60675
$24 7.7 0
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 00079150_SNV 43- 509.00 $247.70 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
FEB 2 2000
4
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund