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171950 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 358990 Page 1 of 1 6 ONE CIVIC SQUARE MUNICIPAL EMERGENCY SERVICES CHECK AMOUNT: $494.55 CARMEL, INDIANA 46032 DEPOSITORY ACCOUNT 75 REMITTANCE DR STE 3135 CHECK NUMBER: 171950 CHICAGO IL 60675 CHECK DATE: 4129!2009 Ci- PARTMENT ACCOUNT PO NUMBER INVOIC NUMBER AMOUNT DESCRIPTION 1:120 4350900 97498 244.25 OTHER CONT SERVICES ,.1120 4350900 97511 250.30 OTHER CONT SERVICES r n Invoice MES Indiana Number :00097511 _SNV 6975 Hillsdale Court Date 4/21/2009 12 1 12 0 0 9 Indianapolis, IN 46250 Page 1 of 2 Sales order SO 083993 MUNICIPALEMERGENCYSERVICES,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 Quantity Unit Unit price Amount 40015105 REPLAC CONSOLE BOARD 1.00 EA 93.00 93.00 ASSY,SE Quantity 1.00 Warehouse IN Location 001 -01 -A 804481 -01 BELT, WAIST TO 1.00 EA 109.00 109.00 SHOULDER ASSY Quantity 1.00 Warehouse IN Location 001 -01 -A LSCBA LABOR SCBA SERVICE PER 0.70 EA 69.00 48.30 HOUR REPLACED CONSOLE BOARD AND TESTED, REPLACED WAIST TO SHOULDER BELT. RED. S/N 00110070 Quantity 0.70 Warehouse IN Location 001 -01 -A Merchandise S &H Sales tax Total due 250.30 0.00 0.00 250.30 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 00097498_SNV 6975 Hillsdale Court Date 4/21/2009 olis, IN 46250 Page 1 of 2 Indianapolis, Sales order SO_083990 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 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 0.25 EA 69.00 17.25 HOUR REPLACED BAD CRICKET LINE. RED. SIN 00110052 Quantity 0.25 Warehouse IN Location 001 -01 -A Merchandise S &H Sales tax Total due 244.25 0.00 0.00 244.25 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. Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER r 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)) 97498 $244.25 97511 $250.30 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 N ALLOWED 20 MES IN SUM OF 75 Remittance Drive Chicago, IL 60675 $494.55 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 97498 43- 509.00 $244.25 I hereby certify that the attached invoice(s), or 1120 97511 43- 509.00 $250.30 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 APR 2 7 2009 `7 •F t� y.._ Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund