HomeMy WebLinkAbout209308 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 252310 Page 1 of 1
0 ONE CIVIC SQUARE PRO AIR INC CHECK AMOUNT: $58.60
CARMEL, INDIANA 46032 1126 AIR DRIVE
BLOOMINGTON IN 47404 CHECK NUMBER: 209308
CHECK DATE: 5/22/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 2665859 58.60 REPAIR PARTS
P R 0 A I R INVOICE
N 2 6 6 5 8 5 9 Date k: 05/03/2012 o dr e
REMIT TO: Koorsen Fire Security
V o Work:
2719 N Arlington Avenue
Indianapolis, IN 46218 -3322 Invoice Date: 05/16/2012 SO 2351325 Date 06/10/2012
1- 888 KOORSEN Include invoice on check. Due:
Cust ID 21CAR0002 JOB# SERVICEII 0
Sold To: Location:
CARMEL FIRE DEPT CARMEL FIRE DEPT
2 CIVIC SQ 2 CIVIC SQ
CARMEL, IN 46032 CARMEL, IN 46032
21 -HOUSE 21- 371550 TK11 -23
REPLACED 2 HOSE ON BANK 2
6.00 HP HOSE 6.66 39.96
4.00 CRIMPS 4.66 18.64
TOTAL SALES /SERVICES XMP# 0031201550 -020 58.60
TOTAL 58.60
Pay online www.koorsen.com. To pay by credit card, please phone or return to us:
Circle: VISA MC AMEX Card Number
Name on Card Expiration Date
Total Sales Taxable Sales Tax Amount Shipping Charge Invoice Total
58.60 0.00 0.00 58.60
VOUCHER NO. WARRANT NO.
Pro -Air ALLOWED 20
IN SUM OF
1126 Air Drive
Bloomington, IN 47404
$58.60
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 I 2665859 I 42- 370.00 I $58.60 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
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))
2665859 I I $58.60
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