209337 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 359261 Page 1 of 1
t` ONE CIVIC SQUARE SAFETY SYSTEMS
0 CARMEL, INDIANA 46032 4113 TURNER ROAD CHECK AMOUNT: $637.88
RICHMOND IN 47374
_n CHECK NUMBER: 209337
CHECK DATE: 5/22/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4467099 12501I1 637.88 OTHER EQUIPMENT
Safety Systems
4113 Turner Road i:- q I V 0 0 (K� EE
Richmond, IN 47374 Invoice Number: 1250711
Invoice Date: May 7, 2012
Page: 1
Voice: 765 -935 -3566 Duplicate
Fax: 765 935 -9713
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Carmel Fire Dept.
2 Civic Square
Carmel, IN 46032
{t a ^Amr^q i «y e 'i a s h'Jt a'ax a 1: i�
Customer ID a a a Customer PO :a r E Payment Terms
carmel f.d. Net
�.a� v, t }�q. Lid' 2, .R.±. �S M �T wr $$aa.:....�. h11:'sW�.F' �h4')!^1'' k S. 'o-. Y 4b3 a' l? 1Y t5 ...N� r.4.i�` s S AY lith�. °{!JS?=4:
Shi Shi Date T
=Sales Re ID s� a p Due
.tea r.�.. A. PI?n,9 P, k�, n,, d,
UPS Ground 6/6/12
nt, Amou
2.00 D6R RRR RR 312.60 625.20
1.00 shipping shipping 12.68 12.68
Subtotal 637.88
Sales Tax
Total Invoice Amount 637.88
Check /Credit Memo No: Payment /Cr App
TOTAL�"�khF�
'�fxv 4,.� r .c C S.. na s Ai a 1� n,. a a�..+�r�`+
VOUCHER NO. WARRA N
Safety Systems ALLOWED 20
IN SUM OF
4113 Turner Road
Richmond, IN 47374
$637.88
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 I 12501i1 1 102 670.99 I $637.88 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 2017
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))
12501i1 I I $637.88
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