211387 07/31/2012 CITY OF CARMEL, INDIANA VENDOR: 358990 Page 1 of 1
` ONE CIVIC SQUARE MUNICIPAL EMERGENCY SERVICES
CARMEL, INDIANA 46032 DEPOSITORY ACCOUNT CHECK AMOUNT: $1,073.00
75 REMITTANCE DR STE 3135 CHECK NUMBER: 211387
"ON` CHICAGO IL 60675
CHECK DATE: 7/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4356003 329007 717 . 00 SAFETY ACCESSORIES
1120 4350900 329049 356 . 00 OTHER CONT SERVICES
Invoice
MES- Indiana Number ......:00329007_SNV
6975 Hillsdale Court Date .........:7/19/2012
Indianapolis, IN 46250 Page .........: 1 of 2
P Sales order ..:SO_286649
MUNICIPAL EMEABENCYSEM S,INC. Requisition ...
Your ref. ......
Telephone :(888)322-8402 Our ref. ......:AUlrich
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
B T 9010 10.5E BLACK SIZE 10.5E PRO 14 inch- 1.00 EA 306.00 306.00
Leather/Defender Power Toe/
Heel
BT9010 10.0E BLACK SIZE 10E PRO 14 inch- 1.00 EA 306.00 306.00
Leather/Defender Power Toe/
Heel
BTS1406 13.OM SLVR-BLACKServus MES Exclusive 16in 1.00 PR 105.00 105.00
Aluminized Enhanced
Insulation Struct. Pull On
Bunker Boots
Merchandise Restocking Fee S&H Sales tax Discount Total due
717.00 0.00 0.00 0.00 0.00 717.00 USD
Thank You For Your Order !
All return must be processed wdh/n 30 days of receipt and require a return audwrtzadon number and are subject to a restocking flee.
Custom orders are not retumab/e.
Invoice
MES - Indiana Number ......:00329049_SNV
1919 6975 Hillsdale Court Date .........:7/19/2012
ES� olis, IN 46250 Page .........: 1 of 2
Indianapolis, Sales order ..:SO_286727
Mumavn�ex+rxcaas�ancrs.ixc. Requisition ..:STEVE REEVES
Your ref. ......
Telephone :(888)322-8402 Our ref. ......: BThompson
Fax ........:317-596-1701 Payment .....: Net 30
Sales Rep ...:GCOY
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
10005368 GASKET 1.00 EA 11.50 11.50
804094-03 GAUGE LINE TUBING 1.00 EA 260.00 260.00
ASSY,CRICKET
LSCBA LABOR SCBA SERVICE PER 0.50 EA 69.00 34.50
HOUR
FTR FLOW TEST-REGULATOR 2.00 EA 25.00 50.00
Merchandise Restocking Fee S&H Sales tax Discount Total due
356.00 0.00 0.00 0.00 0.00 356.00 USD
Thank You For Your Order !
All returns must be processed within 30 days of receipt and require a return authorization number and are subject to a restocking fee.
Custom orders are not returnable.
)rescribed 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
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))
329049 $356.00
329007 $717.00
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
(M u-,,, �m e f IN SUM OF $
75 Remittance Drive
Chicago, IL 60675
$1,073.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 329049 43-509.00 $356.00 1 hereby certify that the attached invoice(s), or
1120 329007 43-560.03 $717.00 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 3
® 2��
A r
f r 3
f/ Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund