209266 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 00353316 Page 1 of 1
ONE CIVIC SQUARE MOORE INDUSTRIAL HARDWARE CHECK AMOUNT: $25.12
CARMEL, INDIANA 46032 77 CIRCLE FREEWAY DRIVE
CINCINNATI OH 45246 -1298 CHECK NUMBER: 209266
CHECK DATE: 5/22/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 403441 25.12 REPAIR PARTS
OGRE INDUSTRIAL HA RDWARE
FORMEW PALT MOORE COMPANY
77 CIRCLE FREEWAY DRIVE CINCINNATI, OHIO 45246 -1298 PAGE 1
PHONE 1- 888- MOORE -IH FAX 1. 888- MIH -FAXD
E- mail:salesGmooreindhardwaie.com Web :v,
CARMEL FIRE DEPARTMENT
H2 CIVIC SQUARE
I CARMEL, IN 46032
P
T INVOICE
O
S CARMEL FIRE DEPARTMENT NVOICENO. INVOICE DATE CONTROL NO.
o 2 CIVIC SQUARE 403441 5/( 105 F
D CARMEL, IN 46032
T BOB VANVOORST
0
CUSTNO.j DATE ENTERED PM ORDER NO. PURCHASE ORDER NO. t'ERMS SHIP VIA
-2-7091-1 5/-04 -/12 4013 -03_ COMMAND TRUCK I NET 30 UPS C CINCINNATI
QUANTITY QUANTITY
ORDERED SHIPPED DESCRIPTION BACK
O PRICE EACH AMOUNT
ORDER
2 35 -M -SS 2 8.36 16.72
RUBBER HOLD DOWN
DELIVERY CHARGES 8.40
TOTAL 25.12
UPS TRACKING: 1Z4690290343003720
TONI 'THE HOUSE OF INDUSTF(IAL PRODUCTE" bNNATi ;�fO a AAND ATLANTA
CINCINNATI CII+fNAl,tvTP..
No claim for shorace or :defactive goods on this invoice nor labor or expense of any kind on same; will be allowed unless claim be reported wi.hin :litt —n days after date i roit;e,
and we shall.have approved claim: vie reserve the option of replacing defective goods or making allowance fc same. We hereby certify that th. ss goods were p oduced in
compliance ;•with all appl?cable requirements of Sections 6, 7, and 12 af.the Far Labor &tandards Act, as amended and of regulations and orders of the United States Deparment cf
tabor':'ssued under Section 14 therein.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Moore Industries
IN SUM OF
77 Circle. Freeway Drive
Cincinnati, OH 45246
$25.12
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE I AMOUNT Board Members
1120 I 403441 I 42- 370.00 I $25.12 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
MAY 11 2012
A L
Y
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))
403441 I Command Vehicle I $25.12
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