209995 06/20/2012 CITY OF CARMEL, INDIANA VENDOR: 093500 Page 1 of 1
ONE CIVIC SQUARE FEDERAL SIGNAL CORP
's CHECK AMOUNT: $240.50
CARMEL, INDIANA 46032 75 REMITTANCE DRIVE
SUITE 3257 CHECK NUMBER: 209995
CHICAGO IL 60675 -3257
CHECK DATE: 6/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 97044802 240.50 REPAIR PARTS
FEDERAL SIGNAL CORP. INVOICE
WIRE TRANSFERS to:
EMERGENCY PRODUCTS Mail Payments To: Wells Fargo Bank N.A.
Federal Signal Corporation Acct No. 4122213390
2645 FEDERAL SIGNAL DRIVE
UNIVERSITY PARK N L DRIVE 75 Remittance Dr Suite 3257 ABA No. 121000248
Chicago, IL 60675 -3257 Swift No. WFBIUS6S
Billing /Credit 708 534 -3400 x5600
Invoice No. 97044802 SHIPPER: 1565347 Page 1
Invoice Date 06 -05 -12 Cust Fax:
Our Order No. 1033745
SHIP TO:
SOLD TO: 6969 CARMEL FIRE DEPT
CARMEL FIRE DEPT 2 CIVIC SQUARE
2 CIVIC SQUARE ATTN: JASON FORCE
CARMEL, IN 46032 CARMEL, IN 46032
USA
N
REP: 1550 REGION: 21550 EA
BILL TO;'NO. CUSTOMER'S ORDERSNO. _PAYMENT >TERMS SHIPPEDVIA DATE SHIPPED
6969 WARRANTY 0.00/00/030 UPS TODAY 06 -05 -12
QUOTE /PROMO F.O.B TRACKING::#
WAR ORIGIN 1 z4208x80304700228
ITEM .QUAN. QUAN. i, ...QUAN. ANIT TOTAL
PART NUMBER DESCRIPTION
N0. ORDERED BACK ORD. SHIPPED PRICE AMOUNT
1 1 0 1 Z8583469D 240.50 240.50
MODULE,SER INTF
REFERENCE RMA# 200381 -C1
*RETURN LABEL REQUIRED
SEE RMA IN NOTES ABOVE
PLEAS USE EW RE IT IN O. EFF 4/05/2012' Sub -TOTAL 240.50
SEND AYME T' DETAILS T TAXES 0.00
Shipping Handling 0.00
fscar feder Wdnal.' Orn INVOICE TOTAL 240.50
ORIGINAL Form Revised Apr 2nd 2012
VOUCHER NO. WARR N
ALLOWED 20
Federal Signal
IN SUM OF
75 Remittance Drive, Suite 3257
Chicago, IL 60675 -3257
$240.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
1120 I 97044802 I 42- 370.00 I $240.50 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
JUN 18 2012
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))
97044802 $240.50
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