177772 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 00353316 Page 1 of 1
ONE CIVIC SQUARE MOORE INDUSTRIAL HARDWARE CHECK AMOUNT: $59.14
CARMEL, INDIANA 46032 77 CIRCLE FREEWAY DRIVE
CINCINNATI OH 45246 -1298 CHECK NUMBER: 177772
CHECK DATE: 9/29/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 360632 59.14 REPAIR PARTS
p� q
MOORE INDUSTRIAL HARDWARE
FORMERLY PAUL MOORE COMPANY
77 CIRCLE FREEWAY DRIVE a CINCINNATI, OHIO 45246 -1298
PHONE 1- 888- MOORE -IH FAX 1- 888- MIH -FAXD
E- mail:sales @mooreindhardware.com Web :www.mooreindhardware.com PAGE 1
5
1;H CARME FIRE DEPARTMENT
1 2 CIVIC SQUARE
P
T CARREL, IN 46032 1
0
INVOICE NO. [INVOICE DATE CONTROL NO.
0 CARREL FIRE DEPARTMENT 360 1, ia6,iO1; 105
L 2 CIVIC SQUARE
D CARREL. IN 46032
T BOB VANVOORST
0
OUST. NO, DATE ENTERED PM ORDER N0, PURCHASE ORDER NO, I TI RM5 SNIP VIA F.O.D.
QUANTITY
ORDERED DESCRIPTION BACK QUANTITY PRICE EACH AMOUNT
ORDERED ORDERED SHIPPED
2 H- 5- 8-- SS--NS 2 23.91 51.82
DOOR CHECK WITH 8" ARM
DELIVER CHARGES 7,32
TOTAL 59.14
UPS TRACKING; 124690290345225022
'jF
"THE HOUSE OF INDUSTRIAL PRODUCTS" WAREHOUSES IN
CINCINNATI AND ATLANTA
CRRI,alqu.. age Nefective goods on mis involoo nor labor or oxponse of any kind on same, will be allowed unless Claim be reported within fifteen days after date of Invoice,
and we shall have approved claim. We reserve the option of replacing defectivo goods or making allowance for same. We hereby Certify that these goods were produced In
rompliance with ail applicable requirements of Sections 6, 7, and 12 of the Falr Labor Standards Act. as amended and of regulations and orders al the United States Department of
Labor Issued under Section 14 theroof,
Z£9 -d 100/100 d ti£8 -1 £BZ£ "9 888 l 140H ONI 3d001N -w WEZ£:01 6001 -qZ -60
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))
360632 $59.14
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. WARRA NO.
Moore Industries ALLOWED 20
IN SUM OF
77 Circle Freeway Drive
Cincinnati, OH 45246
$59.14
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 360632 42- 370.00 $59.14 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
7 1 U
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund