208453 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 359261 Page 1 of 1
ONE CIVIC SQUARE SAFETY SYSTEMS
CHECK AMOUNT: $2,986.00
-f� CARMEL, INDIANA 46032 4113 TURNER ROAD
RICHMOND IN 47374 CHECK NUMBER: 208453
CHECK DATE: 4/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4467099 1240313 2,136.00 OTHER EQUIPMENT
102 4467099 1240314 850.00 OTHER EQUIPMENT
Safety Systems IM WO 0 C IE
4113 Turner Road
Richmond, IN 47374 Invoice Number: 1240314
Invoice Date: Apr 3, 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 Terms
carmeff.d. Net 30 Days
Sales Rep ID Shipping Method Ship Date Due Date
Hand Deliver 5/3/12
Quantity Item Description Unit Price Amount
1.00 Federal Legend LPX 850.00 850.00
I
Subtotal 850.00
Sales Tax
Total Invoi Amount 850.00
Check /Credit Memo No: Payment/Credit Applied
TOTAL 850.00
I
Subtotal 2,136.00
Sales Tax
Total Invoice Amount 2,136.00
Check /Credit Memo No: Payment /Credit Applied
..TOTAL,,, 2,136.00
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))
1240313 $2,136.00
1240314 $850.00
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. W NO.
ALLOWED 20
Safety Systems
IN SUM OF
4113 Turner Road
Richmond, IN 47374
$2,986.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE I AMOUNT Board Members
1120 1240313 102 670.99 j $2,136.00 1 hereby certify that the attached invoice(s), or
1120 1240314 102 670.99 $850.00 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
s
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund