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Home My WebLink About213427 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 079150 Page 1 of 1 ONE CIVIC SQUARE DONLEY SAFETY CARMEL, INDIANA 46032 5546 ELMWOOD AVE CHECK AMOUNT: $2,963.77 INDIANAPOLIS IN 46203 CHECK NUMBER: 213427 CHECK DATE: 1019/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4351000 35322-A 2, 084 . 00 AUTO REPAIR & MAINTEN 1120 4351000 W2640 879 . 77 AUTO REPAIR & MAINTEN 110WInvoice Please visit us on the web at wmv.donleysalety.com Phone 317.786.2268 Date Invoice# 5546 Elmwood Ct. Fax 317-786-2532 Indianapolis, IN 46203 10/1/2012 35322-- Bill To Service Info CARMEL,CITY OF CARMEL,CITY OF ONE CIVIC SQUARE 2 CIVIC SQUARE CARMEL,IN 46032 CARMEL,IN 46032 S.0. No. Terms Rep Vehicle Mileage VIN Customer P.O. NET 30 H Item Quantity Description Rate UOM Amount AMBULANCE I Changes to new ambulances during building 2.084.00 2,084.00 process. VIN IFDUF4GT9CEC39654 IN 1 FDUF4GTOCEC39655 Sales Tax (7.0%) $0.00 PRICE DISCREPANCIES,RETURN REQUESTS OR SHIPMENT ERRORS MUST BE REPORTED WITHIN Total $2.084.00 30 DAYS TO RECEIVE CREDIT. If you have questions about this invoice.Please call Debra O'Dair n 317-786-2268 or email to dodair ci donleysafety.com DOALEY I acv®ice MWPlease visit us on the web at www donleysafety,com Phone 317-7e5-nse Date Invoice# 5546 Elmwood Ct. Fax 317-786-2532 Indianapolis,IN 46203 9/27/2012 W2640 Bill To Service Info CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT 2 CIVIC SQUARE 2 CIVIC SQUARE CARMEL,IN 46032 CARMEL, IN.46032 S.O. No. Terms Rep Vehicle Mileage VIN Customer P.O. DUE ON RECEIPT FS AMB-45 131450 3HTMNAALX3N585816 Item Quantity Description Rate UOM Amount REPAIR PARTS 1 INTERNATIONAL 109 B VALVE PN 134.99 134.99 3542905CI REPAIR PARTS 1 INTERNATIONAL 104F VALVE 135.85 135.85 PN16897851-91 LABOR 5 TROUBLE SHOOT AIR RIDE SYSTEM AND 85.00 LABOR HRS 425.00 -DISCOVERED THAT CUSTOMER INSTALLED WRONG VALVES IN SYSTEM, REMOVED VALVES AND PURCHASED INTERNATIONAL VALVES T14AT FIXED THE PROBLEM 02840860 1 RH OFFSET ROTARY LATCH 18.69 EA 18.69 LABOR 1.2 REPLACED ROTARY LATCH STREET SIDE 85.00 LABOR HRS 102.00 REAR COMPARTMENT AND ADJUSTED NADOR PIN SHOP MISC. SHOP SUPPLIES,CLEANING 63.24 63.24 SUPPLIES,ETC. Sales Tax (7.0%) $0.00 PRICE DISCREPANCIES,RETURN REQUESTS OR Total i $879.77 SHIPMENT ERRORS MUST BE REPORTED WITHIN 30 DAYS TO RECEIVE CREDIT. If you have questions about this invoice,Please call Debra O'Dair @ 317-786-2268 or email to dodair @donleysafety.com Drescribed 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)) 35322-A $2,084.00 W2640 A45 $879.77 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 Donley Safety IN SUM OF $ 5546 Elmwood Court Indianapolis, IN 46203 $2,963.77 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members 1120 35322-A 43-510.00 j $2,084.00 1 hereby certify that the attached invoice(s), or 1120 W2640 43-510.00 $879.77 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 OCT ®82012 y a Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund