212307 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 358990 Page 1 of 1
ONE CIVIC SQUARE MUNICIPAL EMERGENCY SERVICES
CARMEL, INDIANA 46032 DEPOSITORY ACCOUNT CHECK AMOUNT: $335.00
75 REMITTANCE DR STE 3135
o CHECK NUMBER: 212307
CHICAGO IL 60675
CHECK DATE: 8/2812012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4356003 337011 335 . 00 SAFETY ACCESSORIES
Invoice
*INAI MES-Indiana Number ......:0033701 1—SNV
6975 Hillsdale Court Date .........:8/20/2012
IMES_� Indianapolis,IN 46250 Page .........:1 of 2
Sales order ..:SO_292180
MNNICIvurMelaENCYSIFIM 5,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
_- _BT5006- 11.0EEE BLACK PRO-Warrington 14 inch 1.00 EA 335.00 335.00
Structural Pull On Sloped Back
Merchandise Restocking Fee S&H Sales tax Discount Total due
335.00 0.00 0.00 0.00 0.00 335.00 USD
Thank You For Your Order !
All mWms must be processed wlddn 30 days of recelpt and requite a return audrortzation number and are sub/Rot to a res4oddng lee.
Custom orders are not rewmable.
'rescribed 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))
337011 $335.00
I 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
MES kj[g)
IN SUM OF $
75 Remittance Drive
Chicago, IL 60675
$335.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#!TITLE AMOUNT Board Members
1120 I 337011 I 43-560.03 I $335.00 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
AUG 2 .7 2012
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund