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173467 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 358990 Page 1 of 1 ONE CIVIC SQUARE MUNICIPAL EMERGENCY SERVICES CHECK AMOUNT: $6,528.34 CARMEL, INDIANA 46032 DEPOSITORY ACCOUNT 75 REMITTANCE OR STE 3135 CHECK NUMBER: 173467 CHICAGO IL 60675 CHECK DATE: 6/10/2009 DEPARTMEN ACCOUNT PO NUMBER INVOICE NUM AMOUNT DESCRIPTION 1120 4356003 00011212 266.21 SAFETY ACCESSORIES 102 4467099 00102326 4,524.00 OTHER EQUIPMENT 1120 4356003 00102333 266.21 SAFETY ACCESSORIES 102 4467099 00102339 1,460.00 OTHER EQUIPMENT 1120 4356003 00102341 47.25 SAFETY ACCESSORIES 1120 4350900 00102732 119.00 OTHER CONT SERVICES '1120 4356003 00103235 85.00 SAFETY ACCESSORIES '1120 4356003 00103914 293.09 SAFETY ACCESSORIES Invoice MES Indiana Number 00102341_SNV men 6975 Hillsdale Court Date 5/18/2009 KAEM olis, IN 46250 Page 1 of 2 Indianapolis, Sales order SO_087290 MUNICIPAL EMERGENCY SERVICES, INC. Requisition Your ref. Telephone (888) 322 -8402 Our ref. AUlrich Fax 317 596 -1701 Payment Net 30 Sales Rep kschulthei Inv Acct 30195 Bill To: Ship To: CARMEL FD CARMEL FD 2 CARMEL CIVIC SQUARE 2 CARMEL CIVIC SQUARE CARMEL, IN 46032 CARMEL, IN 46032 Denise Snyder Item number Description Quantity Unit Unit price Amount RES- Q -RENCH WRENCH SPANNER 3.00 EA 15.75 47.25 FOLDING TOOL Quantity: 3.00 Warehouse IN Location 001 -01 -A Merchandise S &H Sales tax Total due 47.25 0.00 0.00 47.25 USD Please remit to: MES Indiana Municipal Emergency Services Depository Account 75 Remittance Drive Suite 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. Invoice MES Indiana Number 00102333_SNV 6975 Hillsdale Court Date 5/1812009 olis, IN 46250 Page 1 of 2 Indianapolis, Safes order SO_086453 MUNICIPAL EMERGENCY SERVICES. INC. Requisition LT. STEVE WITSK Your ref. Telephone (888) 322 -8402 Our ref. AUlrich Fax 317 -596 -1701 Payment Net 30 Sales Rep kschulthei Inv Acct 30195 Bill To: Ship To: CARMEL FD CARMEL FD 2 CARMEL CIVIC SQUARE 2 CARMEL CIVIC SQUARE CARMEL, IN 46032 CARMEL, IN 46032 Denise Snyder Item number Description Quantity Unit Unit price Amount BT3009 -1205 PRO 14 inch Leather Bunker 1.00 PR 255.38 255.38 Boot Quantity 1.00 Warehouse IN Location 001 -01 -A Merchandise S &H Sales tax Total due 255.38 10.83 0.00 266.21 USD Please remit to: MES Indiana Municipal Emergency Services Depository Account 75 Remittance Drive Suite 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. Invoice MES Indiana Number 00103914_SNV 6975 Hillsdale Court Date 5/27/2009 WM hm 5 Indianapolis, IN 46250 Page 1 of 2 Sales order SO_086270 MUNDPAL EMERGENCY SERVICES,INC. Requisition Your ref. Telephone (888) 322 -8402 Our ref. kschulthei Fax 317- 596 -1701 Payment Net 30 Sales Rep kschulthei Inv Acct 30195 Bill To: Ship To: CARMEL FD CARMEL FD 2 CARMEL CIVIC SQUARE 2 CARMEL CIVIC SQUARE CARMEL, IN 46032 CARMEL, IN 46032 Item number Description Quantity Unit Unit price Amount BT6006 -1152 Boots 8 inch Leather /Adv Rip 1.00 PR 284.26 284.26 Stop Quad Certified *PLEASE SHIP ASAP! Quantity 1.00 Warehouse IN Location 001 -01 -A Merchandise S &H Sales tax Total due 284.26 8.83 0.00 293.09 USD Please remit to: MES Indiana Municipal Emergency Services Depository Account 75 Remittance Drive Suite 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. Invoice MES Indiana Number 00103235_SNV KAES� 6975 Hillsdale Court Date 5/22/2009 Indianapolis, IN 46250 Page 1 of 2 P Sales order SO_085973 MUNICIPAL EMERGENCY SERVICES, INC. Requisition Your ref. Telephone (888) 322 -8402 Our ref. kschulthei Fax 317 596 -1701 Payment Net 30 Sales Rep kschulthei Inv Acct 30195 Bill To: Ship To: CARMEL FD CARMEL FD 2 CARMEL CIVIC SQUARE 2 CARMEL CIVIC SQUARE CARMEL, IN 46032 CARMEL, IN 46032 Denise Snyder Item number Description Quantit Unit Unit price Amount GL- SGGMES -S SUPER GLOVE DIGITAL 1.00 PR 85.00 85.00 GAUNTLET Quantity 1.00 Warehouse IN Location 001 -01 -A Merchandise S &H Sales tax Total due 85.00 0.00 0.00 85.00 USD Please remit to: MES Indiana Municipal Emergency Services Depository Account 75 Remittance Drive Suite 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. Credit note MES Indiana Number 00011212_SCN 6975 Hillsdale Court Date 5/2112009 KAE!imlk Indianapolis, IN 46250 Page 1 of 2 Sales order SO_086453 MUNICIPAL EMERGERCY SERVICES. INC. Requisition LT. STEVE WITSK Your ref. Telephone (888) 322 -8402 Our ref. AUlrich Fax 317- 596 -1701 Payment Net 30 Sales Rep kschulthei Inv Acct 30195 Bill To: Ship To: CARMEL FD CARMEL FD 2 CARMEL CIVIC SQUARE 2 CARMEL CIVIC SQUARE CARMEL, IN 46032 CARMEL, IN 46032 Denise Snyder Item number Description Quantit Unit Unit price Amount BT3009 -1205 PRO 14 inch Leather Bunker -1.00 PR 255.38 255.38 Boot RETURNING FOR CREDIT REF. RMA 47999 Quantity -1.00 Warehouse IN -RTN Location RTN -IN Merchandise S &H Sales tax Total due 255.38 -10.83 0.00 266.21 USD Please remit to: MES Indiana Municipal Emergency Services Depository Account 75 Remittance Drive Suite 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. I nvoice MES Indiana Number 00102732_SNV 6975 Hillsdale Court Date 5120!2009 olis, IN 46250 Page 1 of 2 Indianapolis, Sales order SO 088308 MUNICIPAL EMERGENCY SERVICES, INC. Requisition SCOTT SERVICE Your ref......: Telephone (888) 322 -8402 Our ref.......: EAllen Fax 317 -596 -1701 Payment Net 30 Sales Rep GCoy Inv Acct 30195 Bill To: Ship To: CARMEL FD CARMEL FD 2 CARMEL CIVIC SQUARE ALL WORK PERFORMED AT THE CARMEL, IN 46032 MES SHOP Denise Snyder Item number Description Quantit Unit Unit price Amount 10010666 BEARING (EZFLO PURGE 2.00 EA 2.10 4.20 BODY) TSF Quantity 2.00 Warehouse: IN Location 001 -01 -A 10010667 O- RING,(EZFLO PURGE 3.00 EA 2.10 6.30 BODY) Quantity 3.00 Warehouse IN Location 001 -01 -A 10005218 KNOB,REGULATOR PURGE 1.00 EA 7.80 7.80 TSF Quantity 1.00 Warehouse IN Location 001 -01 -A FTSCBA FLOW TEST SCBA 2.00 EA 40.00 80.00 Quantity 2.00 Warehouse: IN Location 001 -01 -A LSCBA LABOR SCBA SERVICE PER 0.30 EA 69.00 20.70 HOUR UNIT REPORTEDLY FELL OFF OF APPARARUS, FLOW TESTED AND EVERYTHING FINE. RED. S/N NL0001167EZVO REPLACED BEARINGS, O'RINGS, PURGE KNOW AND FLOW TESTED. RED, S/N NJ0013101 EZVQ Quantity 0.30 Warehouse IN Location 001 -01 -A Merchandise S &H Sales tax Total due 119.00 0.00 0.00 119.00 USD Please remit to: MES Indiana Municipal Emergency Services Depository Account 75 Remittance Drive Suite 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 tee Custom orders are not returnable. Invoice MES Indiana Number 00102339_SNV i 6975 Hillsdale Court Date 5/18/2009 Indianapolis, IN 46254 Page 1 of 2 P Sales order SO_087141 MUNICIPAL EMERGENCY SERVICES, INC. Requisition Your ref. Telephone (888) 322 -8402 Our ref. kschulthei Fax 317- 596 -1701 Payment Net 30 Sales Rep kschulthei Inv Acct 30195 Bill To: Ship To: CARMEL FD CARMEL FD 2 CARMEL CIVIC SQUARE 2 CARMEL CIVIC SQUARE CARMEL, IN 46032 CARMEL, IN 46032 Denise Snyder Item number Description Quantit Unit Unit price Amount 710 -035 SMOKE FLUID PER CASE 1.00 EA 260.00 260.00 OF FOUR 4- LITTER BOTTLES Quantity 1.00 Warehouse IN Location 001 -01 -A 710 -028 TEMPEST Shadow 1 Smoke 1.00 EA 1,200.00 1,200.00 machine Quantity 1.00 Warehouse IN Location 001 -01 -A Merchandise S &H Sales tax Total due 1,460.00 0.00 0.00 1,460.00 USD Please remit to: MES Indiana Municipal Emergency Services Depository Account 75 Remittance Drive Suite 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. Invoice MES Indiana Number 00102326_SNV KAEb� 6975 Hillsdale Court Date 5/18/2009 Indianapolis, IN 46250 Page 1 of 2 Sales order SO_085597 MUNICIPAL EMERGENCY SERVICES MM Requisition Your ref. Telephone :(888) 322 -8402 Our ref. kschulthei Fax 317 596 -1701 Payment Net 30 Sales Rep kschulthei Inv Acct 30195 Bill To: Ship To: CARMEL FD CARMEL FD 2 CARMEL CIVIC SQUARE 2 CARMEL CIVIC SQUARE CARMEL, IN 46032 CARMEL, IN 46032 Denise Snyder Item number Description Quantit Unit Unit price Amount RJ3 -4PTX RES -Q -JACK 4 POINT 1.00 EA 4,524.00 4,524.00 DELUXE PK Quantity 1.00 Warehouse IL Location CCD -IL Merchandise S &H Sales tax Total due 4,524.00 0.00 0.00 4,524.00 USD Please remit to: MES Indiana Municipal Emergency Services Depository Account 75 Remittance Drive Suite 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 (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)) 00102326 $4,524.00 00102339 $1,460.00 00102732 $119.00 00011212 ($266.21) 00103235 $85.00 00103914 $293.09 00102333 $266.21 00102341 $47.25 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 MES IN SUM OF 75 Remittance Drive Chicago, IL 60675 $6,528.34 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 00102326 102 670.99 $4,524.00 1 hereby certify that the attached invoice(s) or 1120 00102339 102 670.99 $1,460.00 bill(s) is (are) true and correct and that the 1120 00102732 43- 509.00 $119.00 materials or services itemized thereon for 1120 00011212 43 560.03 ($266.21) 1120 00103235 43 560.03 $85.00 which charge is made were ordered and 1120 00103914 43- 560.03 $293.09 received except 1120 00102333 43- 560.03 $266.21 1120 00102341 43- 560.03 $47.25 JUN 8 2009 A /l e t Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund