HomeMy WebLinkAbout213148 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 252310 Page 1 of 1
ONE CIVIC SQUARE PRO AIR INC
J 1126 AIR DRIVE CHECK AMOUNT: $1,160.00
CARMEL, INDIANA 46032
BLOOMINGTON IN 47404 CHECK NUMBER: 213148
CHECK DATE: 9/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351501 2756919 1, 160 . 00 EQUIPMENT MAINT CONTR
P R 0 A I R INV ® ICE
No.: 2 7 5 6 919 Date
REMIT TO:Koorsen Fire&Security
Workk:: Order
2719 N Arlington Avenue #.
Indianapolis, IN 46218-3322 Invoice Date: 09/12/2012 SO#: 2756919 Date 10/07/2012
1-888-KOORSEN Include invoice#on check. Due:
Cust ID 21CAR0002 JOB# SERVICEII / 6
Sold To: Location:
CARMEL FIRE DEPT CARMEL FIRE DEPT - RESCUE 45
2 CIVIC SQ 10701 N COLLEGE AVE
CARMEL, IN 46032 INDIANAPOLIS, IN 46280
21-HOUSE
,...=sue: - ';-V h-,`�,W;' E"2,,W' 9
ANNUAL BILLING AIR SAMPLE SERVICE 480 . 00
OCTOBER 01, 2012 THRU SEPTEMBER 30, 2013
ANNUAL BILLING AIR COMPRESSOR MAINT 680 . 00
OCTOBER 01, 2012 THRU SEPTEMBER 30, 2013
Total 1, 160 . 00
Pay online @ www.koorsen.com. To pay by credit card,please phone or return to us:
Circle:VISA MC AMEX Card Number —
Name on Card Expiration Date
Total Sales Taxable Sales Tax Amount Shipping Charge Invoice Total
1, 160 . 00 1, 160 . 00 0 . 00 1, 160 . 00
Prescribed by Mate Board of Accounts City Form No.201 (Rev 1995)
PAYABLL VOUCHER
CITY OF CARMEL
All invoice or Dili ,u be Propeiiy iicmized nnusi shove: !.,ind of service,wherc periuri ed, dates service rendered, by
whom, rates per day, nr un ihcr of hours, rare 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))
2756919 $1,160.00
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. VVARRANT NO.
ALLOWED 20
Pro-Air
IN SUM OF $
1126 Air Drive --
Bloomington, IN ,41.7404 ---------- -- — ---
$1,160.00
ON ACCOUNT OF APPROPRIATION FOR -
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members
1120 ( 2756919 I 43-515.01 I $1,160.00 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
SEP 2 4 2012
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund