210966 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 358990 Page 1 of 1
0 ONE CIVIC SQUARE MUNICIPAL EMERGENCY SERVICES
CARMEL, INDIANA 46032 DEPOSITORY ACCOUNT CHECK AMOUNT: $241.00
75 REMITTANCE DR STE 3135 CHECK NUMBER: 210966
CHICAGO IL 60675
CHECK DATE: 7/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4356003 00325459 241 . 00 SAFETY ACCESSORIES
Invoice
fWFA I"" MES-Indiana Number ......:00325459_SNV
6975 Hillsdale Court Date ..........:6/29!2012
KAE!b� Indianapolis, IN 46250 Page .........:1 of 2
Sales order ...:SO_278130
MUNICIPAL EMINENCY SERVIM,INC. Requisition ....
Your ref. .......
Telephone .:(888)322-8402 Our ref. .......:kschulthei
Fax ........:317-596-1701 Payment .....:Net 30
Sales Rep ....:kschulthei
Inv Acct ......:30195
Bill To: Ship To:
CARMEL FD CARMEL FD
2 CARMEL CIVIC SQUARE 2 CARMEL CIVIC SQUARE
CARMEL,IN 46032 CARMEL,IN 46032
Denise Snyder
Item number Size Color Description Quantity Unit Unit price Amount
BTS1406 10.5M SLVR-BLACK Servus MES Exclusive 16in 1.00 PR 105.00 105.00
Aluminized Enhanced Insulation
690-9451 11.0M BOOT RUBBER 15 inch NFPA 1.00 EA 120.00 120.00
KEVLAR/NOMEX
Backorders
Remaining
Item number Description quantity Unit
690-9451 BOOT RUBBER 15 inch NFPA 2.00 EA
KEVLAR/NOMEX
690-9451 BOOT RUBBER 15 inch NFPA 1.00 EA
KEVLAR/NOMEX
Merchandise Restocking Fee S&H Sales tax Discount Total due
225.00 0.00 16.00 0.00 0.00 241.00 USD
Thank You For Your Order !
All returns must be processed wWn 30 days of receipt and mqu8e a return authorization number and are subject to a restocking tee.
Custom orders are not returrreble.
VOUCHER NO. WARRANT NO.
MES (PU't'h 'r ALLOWED 20
' "yVG,:,' IN SUM OF $
75 Remittance Drive
Chicago, IL 60675
$241.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 00325459 I 43-560.03 I $241.00 I 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
JUL 16 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
4n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
Nhom, 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))
00325459 $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