210536 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 359261 Page 1 of 1
ONE CIVIC SQUARE SAFETY SYSTEMS
0 CHECK AMOUNT: $160.61
4113 TURNER ROAD
CARMEL, INDIANA 46032 RICHMOND IN 47374 CHECK NUMBER: 210536
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 12618CM 283.55 REPAIR PARTS
1120 4237000 1262611 444.16 REPAIR PARTS
Safety Systems
4113 Turner Road
Richmond, IN 47374 Invoice Number: 1262611
Invoice Date: Jun 26, 2012
Page: 1
Voice: 765 935 -3566 Duplicate
Fax: 765 935 -9713
w.
Carmel Fire Dept.
2 Civic Square
Carmel, IN 46032
Customer ID* f >r 4 Omer.PO w +£N Payment'Terms v
carmel f -d Net 30 Days
t,t w
�$alesReplD� ,swt`. t4Shipp�ng;Method DuewDate<
UPS Ground 7/26/12
tDEScri tlon YY °,fia
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P �V.A Unrt Prlce� a Amot;,
4.00 ION Red Surface Mt. 108.55 434.20
1.00 shipping shipping 9.96 9.96
You Have a Credit of $283.55 it is on our
credit memo #12618CM.
Subtotal 444.16
Sales Tax
Total Invoice Amount 444.16
Check /Credit Memo No: Payment/Credit Applied
lo
'1' f 4 ..•7Ff'R y k `2k Y ��4 l Ah F. T. fiat 9 'i�+*a A t N'' 8
Safety Systems CREN 1
4113 Turner Road
Richmond, IN 47374 Credit Memo Number: 12618CM
Credit Date: Jun 18, 2012
Page: 1
Voice: 765 -935 -3566 Dupficate
Fax: 765 935 -9713
Carmel Fire Dept.
2 Civic Square
Carmel, IN 46032
J
t Customer IDS Customer PO t 2u ales Re IDn
carmel f. d.
Quant�tyb Item Description UnW rice Amount
t_nu: .Re•. .,..«e.�te.....5 4.r,. �.u.. .n0. d.. w ...l w, wow. ..NS ,v+l .UPi
1.00 Used Lightbar 100.00 100
1.00 Used Lightbar 75.00 75.00
1.00 ION Returned 108.55 108.55
S ubtota 1 283.55
Sales Tax
Freight
Invoice No: TOTAL
283' S5
VOUCHER NO. WARRANT NO.
Safety Systems ALLOWED 20
IN SUM OF
4113 Turner Road
Richmond, IN 47374
$160.61
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 1262611 42- 370.00 j $444.16 1 hereby certify that the attached invoice(s), or
1120 12618CM 42- 370.00 ($283.55) 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
UN 2'9 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))
1262611 $444.16
12618CM ($283.55)
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