210288 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 00352885 Page 1 of 1
ONE CIVIC SQUARE CVS SYSTEMS, INC
CARMEL, INDIANA 46032 1139 SOUTH BALDWIN AVENUE CHECK AMOUNT: $49.00
SON GO
MARION IN 46952 CHECK NUMBER: 210288
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 I00867256 49.00 REPAIR PARTS
CVSF1ags.com Invoice 100867256
Date 5/7/2012
Wholesale prices. Dependable quality. Page 1 of 1
City Of Carmel IN Fire Dept. City Of Carmel IN Fire Dept.
2 Civic Square 2 Civic Square
Carmel, IN 46032 ATTN: Gary Carter
Carmel, IN 46032
I PO Number Customer No. Salesperson ID ShiPPing Method Payment Terms Master No.
14928 F1200685 030 DROP SHIP Net 30 823,157
Invoice Billed B/O Item Number Description Warehouse Unit Price Ext Price
1 1 0 Z30360178 7 inch Beaded Retainer Ring Drop Shil 40.000 40.000
ATTN: Gary
Thank You! 11j
Credit Card Payment Received: 0.00 "4900
CVS Systems, Inc. 1139 S Baldwin Ave Marion, IN 46953
Ph (765) 662 -0037 Fax (765) 662 -9959
VOUCHER NO. WARRANT NO.
ALLOWED 20
CVS Wholesale Flags
IN SUM OF
1139 S. Baldwin Avenue
Marion, IN 46953
$49.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 I 100867256 I 42- 370.00 I $49.00 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 2'9
e
r 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))
100867256 $49.00
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