212995 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 093500 Page 1 of 1
ONE CIVIC SQUARE FEDERAL SIGNAL CORP
` CARMEL, INDIANA 46032 75 REMITTANCE DRIVE CHECK AMOUNT: $238.00
SUITE 3257 CHECK NUMBER: 212995
CHICAGO IL 60675-3257
CHECK DATE: 9125/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4237000 97062391 238 . 00 REPAIR PARTS
FEDERAL SIGNAL CORP. INVOICE WIRE TRANSFERS to:
EMERGENCY PRODUCTS Mail Payments To: Wells Fargo Bank N.A.
2645 FEDERAL SIGNAL DRIVE Federal Signal Corporation Acct No. 4122213390
UNIVERSITY PARK IL 60484-3167 75 Remittance Dr Suite 3257 ABA No. 121000248
Chicago, IL 60675-3257 Swift No. WFBIUS6S
Billing/Credit 708-534-3400 x5600
Invoice No. 97062391 Page 1
Invoice Date 09-07-12 Cust Fax: 3175712512
Our Order No.
SHIP TO:
SOLD TO: 9324231 CARMEL CITY POLICE DEPT
CARMEL CITY POLICE DEPT CITY OF CARMEL
CITY OF CARMEL 3 CIVIC SQUARE
3 CIVIC SQUARE CARMEL, IN 46032
CARMEL, IN 46032 USA
N
REP: 1550 REGION: 11550 TE
BILL.TO'NO. CU8TOMER'S.ORDER:NO......, PAYMENT TERMS SHIPPED VIA DATE SHIPPED
9324231 1 20891-WAR 0.00/000/030
QUOTE/PROMO# F.O.B TRACKING#
ORIGIN
ITEM QUAN. QUAN. QUAN. UNIT TOTAL
N0. ORDERED BACK ORD. SHIPPED PART NUMBER/DESCRIPTION PRICE AMOUNT
1 1 0 1 2005441 C-BBLBB 119.00 119.00
OBS/BASE MDL,END,LEGEND
2 1 0 1 2005442C-TBBB 119.00 119.00
OBS/BASE MDL,INT,LEGEND
ROC BOARD BILLING
TO BE RETURNED
ON RMA 202346
PLEAS USE NEW REMIT INFO. 'EFF 7/26/201'2 sue-TOTAL 238.00
SEND AYME T DETAILS T TAXES 0.00
fSCal feder Isgnal. Orn Shipping & Handling 0.00
INVOICE TOTAL $ 238.00
Original Form Revised July 26th 2012
Prescribed 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
whom, 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))
09/07/12 97062391 light bar panels/car 80 $238.00
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
Federal Signal Emergency Products
TS I"40 el — bra Sic— 3x57 IN SUM OF $
Chicago, IL 69694- (0010 s"' 3z57
$238.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110
97062391 I 42-370.00 I $238.00 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
Wednesday, September 19, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund