209368 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 360767 Page 1 of 1
ONE CIVIC SQUARE TERMINAL SUPPLY CO
CARMEL, INDIANA 46032 PO BOX 1253 CHECK AMOUNT: $94.60
TROY MI 48099 CHECK NUMBER: 209368
CHECK DATE: 5/22/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 36976 -00 91.70 REPAIR PARTS
1120 4237000 37183 -00 16.90 REPAIR PARTS
1120 4237000 9992297 -14.00 REPAIR PARTS
,t�� MIH�l 1800 THUNDERBIRp� N VOICE
O TROY, MICHIGAN 6 8684
Since 1966 (248) 362 -0790 (800) 9g� -9632
FAX (248),362-6 REMIT TO:
www.Termma SupplyCo.O
TERMINAL SUPPLY CO.
P.O. BOX 1253
S7 TROY, MI 48099
0 CARM&IFL. FIRE DEPT H CARME:L Fl "R DIP"!'
D 2c C IVIC, SQUARE 1 r, P 2 CIVIC :5��t..l�:�tE
T CARME;L. 1N 46032 CARIMEL. :I:'i�l 46'032
J�
DATE TSC ORDER NO F.O.B. t f J, "CUSTOMER P.O. NO., INVOICE NO.
_i Q�. f t.i 1d1 r ...1" 0I .,fit '.7 Je�y °4
S.HIPP_ING POINT]
DATE SHIPPED SHIPPED VIA` TERMS ACCOUNT NO. SLSM
f 4 Lips NET 30 DAYS vI, 13 2 22' 011
QUANTITY
UNIT XTENSION
DESCRIPTIO�t,`,' UNIT PRICE E
1 1 CB3- --9'm 'I"o HIGH AMP, pIRCUIT k F EA!, 5, }s�. 3 A 30, aC
1 1 ATO -•FB6 ATO FUSEiBi_OCK W/FLASTI J. 4 0 ;:3:'E-A 14 c.?i.
I
We certify that these goods were produced in compliance with all applicable re- SALES TAX FREIGHT r
quirements of Sections 6, 7 and 12 of the Fair Labor Standards Act, as amended, and SUB
of Regulations and orders of the United States Department of Labor issued under 00 6_ TOTAL 34 w,
Section 14 thereof. All material on this invoice is on consignment until invoice is paid
in full. A re- stocking charge may apply.
ORIGINAL INVOICE AMOUNT
ISO 9002 Certified THANK YOU DUE
REV. 7 /2003
PLEASE PAY LAST AMOUNT IN THIS COLUMN
7
1800 THUNDERBIRD 1 INVOICE
TROY, MICHIGAN 48084
Since 1966 (248) 362-0790 (800) 989-9632
FAX (248) 362-0824 REMIT TO:
JL-y CO www.TerminalSupptyco.com TERMINAL SUPPLY CO.
P.O. BOX 1253
1690 TROY, MI 48099
S 11 3:;- 2 2
0 L CARMEL FIRE DEFT" H CARMEL FIRE DEPT'
11
D 2 CIVIC SQUARE 2 CIVIC SQUARE'
T IT
0 CARMEL D 1N 460 CAMEL IN r60;
DATE TSC ORDER NQ: F. 0. B.
CUSIOMEWOO. NO",`, INVOICE NO.
4`3 2 8 37 1. 63-0�-
10 4 A S 0 N
-----------SH1PP1NG--P-0.1NT--
DATE SHIPPED SHIPPED VIA TERMS ACCOUNT NO. SLSM
5/0 REP DEL. NET 30 DAYS srll It. 3; 2 2 2
QUANTITY
ORDERED SHIPPED BACKORDERED DESCRIPT.% UNIT PRICE EXTENSION
A i
-FB6 ATO FUSEj OR C IRCU.:(T B R F 6. 9 1 f0 /F-A 1. 6. 9C
We certify that these goods were produced in compliance with all applicable re- SALES TAX F REIGHT o
quirements of Sections 6, 7 and 12 of the Fair Labor Standards Act, as amended, and SUB
of Regulations and orders of the United States Department of Labor issued under 00 0 TOTAL 1 9 C
Section 14 thereof. All material on this invoice is on consignment until invoice is paid
in full. A re-stocking charge may apply.
ORIGINAL INVOICE ISO 9002 Certified THANK YOU AMOUNT
DUE
REV. 7/2003
PLEASE PAY LAST AMOUNT IN THIS COLUMN
CREDIT MEMO
TERMINAL SUPPLY CO. PAGE I
ISO 9002 Certified
e 1800 THUNDERBIRD REMIT TO:
TROY, MICHIGAN 48084 TERMINAL SUPPLY CO.
o P.O. BOX 1253
(248) 362 -0790 (800) 989 -9632 TROY MI 48099
FAX (248) 362 -0824
s S
0 H
L 13222
D CARMEL FIRE DEPT P SAMk
T 2 CIVIC SQUARE T
0 0
C;ARMEL IN 46032
DATE TSC ORDER NO. F.O.B. CUSTOMER P.O. NO. CREDIT MEMO
5/08/12 342848 SHIPPING POINT JASON 999229
INVOICE NO. SHIPPED VIA R.M.A. NO. TERMS ACCOUNT NO. SLSM
P� 9537 NET 30 DAYS 13222 01
QUANTITY
ORDERED SHIPPED DESCRIPTI ON
i ATQ —FB6 ATO FUSE BLOCK W /PLASTIC: COVER 14. OOLA 14. G
PER INVOICE #36976 --00
M SALES TAX FREIGHT
SUB
D L1VLJ O 00 .00 TOTAL 14, OC
TOTAL
THANK YOU CREDIT
14.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Terminal Supply
IN SUM OF
P.O. Box 1253
Troy, MI 48099
$94.60
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 I 9992297 I 42- 370.00 I ($14.00) 1 hereby certify that the attached invoice(s), or
1120 I 36976 -00 I 42- 370.00 I $91.70 bill(s) is (are) true and correct and that the
1120 I 37183 -00 I 42- 370.00 I $16.90 materials or services itemized thereon for
which charge is made were ordered and
received except
MAY 24'2012
p
7 4
f
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))
9992297 ($14.00)
36976 -00 $91.70
37183 -00 I I $16.90
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