208365 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 178450 Page 1 of 1
ONE CIVIC SQUARE KUSSMAUL ELECTRONICS CO IN
CARMEL, INDIANA 46032 170 CHERRY AVE
CHECK AMOUNT: $210.33
WEST SAYVILLE NY 11796 -1221 CHECK NUMBER: 208365
CHECK DATE: 4/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 57064 210.33 OTHER CONT SERVICES
I M KU MAUL IINVOICE 57064
ELECTRONICS CO. INC. Page.: Date
170 CHERRY AVENUE WEST SAYVILLE, NY 11.796 -1221 USA,
TEL: 631- 567 -0314, FAX: 631 567 -5826, www.kussmaul.com, sales@kussmaul.com 1 4102112
Sold to: Ship to:
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
ACCOUNT NO is CUSTOJN;ER ORD:.ER NO.» SALESPERSON T:.ERMS 9SALES
CAR033 L41 CHRIS TAMARGO NET 30 DAYS 303113
`x:ZmER:!DATE F.O;B. POIiVT...
SHIP. @ED V.iA: DATE:SHIPP.ED. NO. PAL E
4/02/12 W.SAYVILLE FEDEX GROUND RESID. 4102112 1
My ORDPRED_ PP RT NUMBER DESCR[PTION SER1A# ;hEO UN17: PRIC> NIvT PRte> AMOtiNT
2 091 -9G -Bl -BOWL 25.14 25.14 50.28
AUTO CLEAN BOWL FOR 091 -9B -1 PUMP
1 REPAIR OF 091 -9B -1 .00 140.00 140.00
S/N 13303. REPAIR P71433
SHIPPING TRACKING
023887510223454
PLEASE WRITE INVOICE NUMBER ON ALL PAYMENTS SUBTOTAL 190.28
NO RETURNS ON C.O.D. SHIPMENTS OR ANY SHIPMENTS UNDER $50.00 SHIPPING HANDLING 20.05
ALL RETURNS SUBJECT TO 10% RESTOCKING CHARGE TAX .0
ABSOLUTELY NO RETURNS AFTER 30 DAYS
ALL PAYMENTS IN U.S. DOLLARS ORDINAL :INVOICE TOTAL
$210.33
PLEASE PAY THIS AMOUNT-----
HOME OF THE A UTO CHARGE A UTO EJECT AIR EJECT A UTO PUMP
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))
57064 $210.33
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
Kussmaul Electronics
IN SUM OF
170 Cherry Avenue
West Sayville, NY 11796
$210.33
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
1120 I 57064 I 43- 509.00 I $210.33 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 2 3 2012
I p
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund