213635 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 00350811 Page 1 of 1
s 0 ONE CIVIC SQUARE RENEWED PERFORMANCE INC(RPI) CHECK AMOUNT: $11,011.00
CARMEL, INDIANA 46032 PO BOX 196
TIPTON IN 46072-0196 CHECK NUMBER: 213635
CHECK DATE: 10/9/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 6876 11, 011 . 00 REFURB TRUCK
INVOICE
Remit To: DATE INVOICE#
P.O. BOX 196
RENEWED PERFORMANCE, INC. TIPTON, IN 46072-0196
9/24/2012 6876
PH.(765)675-7586 FAX(765)675-7589
BILLTO:
Carmel Fire Department
Attn: Bob Vanvoorst
2 Civic Square
Carmel,IN 46032
Customer Order NO: - - � - - - - - TERMS
Due Upon Receipt
DESCRIPT • •
PROGRESS PAYMENT TO REFURBISH ONE(1) KME FIRE TRUCK(ENGINE 45):
50% OF CONTRACT PRICE OF$22,022.00=AMOUNT DUE 11,011.00
• • TOTAL $11,011.00
RPI INVOICE PMd(Rev 3104) MPI.Inc 17651675-9556 t
VOUCHER NO. WARRANT NO.
ALLOWED 20
Renewed Performance Inc. IN SUM OF $
P.O. Box 196
Tipton, IN 46074
$11,011.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1120 I 6876 I 43-510.00 I $11,011.00 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
orT — 9 2012
f
t ro yy
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Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
6876 E45 $11,011.00
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