208037 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 359261 Page 1 of 1
ONE CIVIC SQUARE SAFETY SYSTEMS CHECK AMOUNT: $612.54
CARMEL, INDIANA 46032 4113 TURNER ROAD
RICHMOND IN 47374 CHECK NUMBER: 208037
CHECK DATE: 4/1012012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4467099 1232715 612.54 OTHER EQUIPMENT
Safety Systems
4113 Turner Road
Richmond, IN 47374 Invoice Number: 1232715
Invoice Date: Mar 27, 2012
Page: 1
Voice: 765 -935 -3566 Duplicate
Fax: 765- 935 -9713
Bill To: Ship to:
Carmel Fire Dept.
2 Civic Square
Carmel, IN 46032
Customer ID Customer PO' Payment Terns
carmel f.d. Ner30 Days
SalesRep ID Shipping Method Ship Date Due Date
UPS Ground 4/26/12
Quantity Item Description Unit Price Amount
2.00 Whelen D6RCRRCR 298.80 597.60
1.00 shipping shipping 14.94 14.94
Subtotal 612.54
Sales Tax
Total Invoice Amount 612.54
Check /Credit Memo No: Payment/Credit Applied
TOTAL 612.54
VOUCHER NO. WARRANT NO.
ALLOWED 20
Safety Systems
IN SUM OF
4113 Turner Road
Richmond, IN 47374
$612.54
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1120 1232715 1 102 670.99 I $612.54 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
APR -9 2012
G !3
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
1232715 $612.54
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