210886 07/17/2012 - CITY OF CARMEL, INDIANA VENDOR: 366246 Page 1 of 1
ONE CIVIC SQUARE HEARTLAND GOLF CARS&EQUIPMENT
CARMEL, INDIANA 46032 7005 STATE ROAD 37 NORTH CHECK AMOUNT: $14,595.00
MARTINSVILLE IN 46151 CHECK NUMBER: 210886
CHECK DATE: 7117/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4467099 24324 117100 14, 595 . 00 EMS CART
SM
HEARTLAN-Li Invoice
Date Invoice#
e o s
7005 State Road 37 North Martinsville,IN 46151 Tel(800)303.4473 Fax(317)831.6313 7/10/2012 117100
An Authorized Yamaha Dealer www.heartiondgolfcars.com
Bill To Ship To
Carmel Fire Department Same as Bill To:
2 Civic Square
Cannel.IN 46031
AttN:Denise Snyder
Accounts Payable
P.O. No. Terms Rep EQ#/Cost Center
net 15 RCB
Item Description Qty Rate Amount
JW9-107337 2012 Yamaha Electric Ambulance-Red with black seats& 1 15,995.00 15,995.00
top
Trade in 1990 EIGO 36 volt EMT cart Serial#B0390 574470 -1,400.00 -11400.00
No charge for delivep
Thank You!We value your business o
Sales Tax (7.0%) $0.00
GOLF CARTS SOLD AS IS,WHERE IS WITHOUT GUARANTEE OF ANY KIND,UNLESS Total $14,595.00
OTHERWISE STATED. NO PART RETURNS ACCEPTED WITHOUT OUR PERMISSION.
A MONTHLY SERVICE CHARGE BASED UPON THE ANNUAL RATE OF 18%WILL BE pa ments/Credits
APPLIED TO ACCOUNTS OVER TERMS Y $0.00
Balance Due $14.595.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Heartland Golf Cars & Equipment
IN SUM OF $
7005 State Road 37 North
Martinsville, IN 46151
$14,595.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
24324 I 117100 1 102-670.99 J $14,595.00 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 u i c 292
,
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Yescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
kn invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
vhom, 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))
117100 $14,595-00
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