HomeMy WebLinkAbout213900 10/23/2012 - f CITY OF CARMEL, INDIANA VENDOR: 079150 Page 1 of 1
ONE CIVIC SQUARE DONLEY SAFETY
CARMEL, INDIANA 46032 5546 ELMWOOD AVE CHECK AMOUNT: $139.81
INDIANAPOLIS IN 46203 CHECK NUMBER: 213900
CHECK DATE: 10123/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 35405 139. 81 REPAIR PARTS
D &MNVOME
Please visit us on the web at www.donleysafe1j1xorn
Phone 317-786-2268 Date Invoice#
5546 Elmwood Ct. Fax 317-786-2532
Indianapolis, IN 46203 10/12/2012 35405
Bill To Ship To
CARMEL,CITY OF CARMEL,CITY OF
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL, IN 46032 CARMEL, IN 46032
P.O. Number Terms Salesperson Ship Via F.O.B. S.O.#
DUE ON RECE... FS WILL CALL
Ordered Shipped Bi0 Item Number Description Unit Price UOM Ext. Price
1 1 02840861 LH OFFSET ROTARY LATCH 21.53 EA 21.53
2 2 REPAIR PARTS 10001917 BEZEL,LEFT DOOR 29.57 59.14
2 2 REPAIR PARTS 10001918 BEZEL,RIGHT DOOR 29.57 59.14
Sales Tax (7.0%) $0.00
PRICE DISCREPANCIES, RETURN REQUESTS OR Total
SHIPMENT ERRORS MUST BE REPORTED WITHIN 30 $139.81
DAYS TO RECEIVE CREDIT.
Questions about this invoice? Please call 317-786-2268.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Donley Safety
IN SUM OF $
5546 Elmwood Court
Indianapolis, IN 46203
$139.81
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 35405 I 42-370.00 I $139.81 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
OCT 222012
7
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))
35405 $139.81
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