210922 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 00352211 Page 1 of 1
ONE CIVIC SQUARE KNOX CO CHECK AMOUNT: $241.00
CARMEL, INDIANA 46032 1601 W DEER VALLEY ROAD
ti -ro��o PHOENIX AZ 85027 CHECK NUMBER: 210922
CHECK DATE: 7/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4239099 INVO0508414 241 . 00 OTHER MISCELLANOUS
KNOX G Invoice
Number .............. .. I NVO0508414
Date .....................: 6/27/2012
The Knox Company Page .....................: 1 of 1
1601 W Deer Valley Road Sales order ..............: SO0001260802
Phoenix, AZ 85027 Requisition ..............
Telephone ..............: (800)552-5669 Your ref. .................: Web Invoice# 287431N
Fax .......................: (623)687-2290 Our ref. ..................: MM002
Payment ................: Net 30
Invoice account .......: CUS104304
Mode of delivery .......: FXG
Invoice address Delivery address
Carmel Fire Dept Carmel Fire Dept
2 CIVIC SQ Bruce Knott
CARMEL, IN 46032-7543 2 CIVIC SQ
CARMEL, IN 46032-7543
Item number Description QuantityUnit Unit price Discount Amount
3201 3200 SURFACE, BLACK, LIFT-OFF, NO TS 1.00EA 215.00 215.00
PS-29-0031-10-89
Quantity 1,00 Serial number : 32-337631
Installation address : 2 Civic Square, , , CARMEL IN, 46032
Please pay this invoice to Knox address above. Service charge of 1 1/2%will be charged per month after due date.
Misc. charges
Transaction text value
Shipping &Handling 26.00
Sales balance Total discount Misc. charges Sales tax Round-off Total
215.00 0.00 26.00 0.00 0.00 $ 241.001
Payment per 7/27/2012
Irescribed 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))
INVO0508414 $241.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Knox Company
IN SUM OF $
1601 West Deer Valley Road
Phoenix, AZ 85027
$241.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT
Board Members
1120 I INVO0508414 I 42-390.99 I $241.00 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
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund