213912 10/23/2012 CITY OF CARMEL, INDIANA VENDOR: 093500 Page 1 of 1
ONE CIVIC SQUARE FEDERAL SIGNAL CORP
o CARMEL, INDIANA 46032 75 REMITTANCE DRIVE CHECK AMOUNT: $513.28
SUITE 3257 CHECK NUMBER: 213912
CHICAGO IL 60675-3257
CHECK DATE: 10/23/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4467099 97068001 513 . 28 OTHER EQUIPMENT
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
75 Remittance Dr Suite 3257 ABA No. 121000248
UNIVERSITY PARK IL 60484-3167 Swift No. WFBIUS6S
?F9 Chicago, IL 60675-3257
Customer Service: 800-264-3578
Invoice No. 97068001 SHIPPER: 1591503 Page 1
Invoice Date 10-08-12 Cust Fax:
Our Order No. 1056859
SHIP TO:
SOLD TO: 6969 CARMEL FIRE DEPT
CARMEL FIRE DEPT 2 CIVIC SQUARE
2 CIVIC SQUARE ATTN BOB VANVOORST
CARMEL, IN 46032 CARMEL, IN 46032
USA
N
REP: 1550 REGION: 21550 EA
BILL TO NO. - CUSTOMER'S ORDER NO. PAYMENT TERMS SHIPPED VIA DATE SHIPPED
-A45---- — 0.00/00/030 UPS 10-08-12
- - - - -
QUOTE/PROMO# F.O.B TRACKING#
ORIGIN 1 Z4208X80304910877
ITEM QUAN. QUAN.: QUAN. UNIT TOTAL.
N0. ORDERED BACK ORD. SHIPPED PART NUMBER/DESCRIPTION PRICE AMOUNT
1 1 0 1 Z861603313-03 505.00 505.00
LEGACY EQ2B,LOW-PROFILE
PLEAS USE NEW REMIT INFO. EFF 7/26/2012 SUB-TOTAL 505.00
SEND AYMErJT DETAILS To : TAXES 0.00
Shipping & Handling 8.28
fscar feder (signal: Om INVOICE TOTAL $ 513.28
VOUCHER NO. WARRANT NO.
ALLOWED 20
Federal Signal
IN SUM OF $
75 Remittance Drive, Suite 3257
Chicago, IL 60675-3257
$513.28
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#iTITLE AMOUNT
Board Members
1120 I 97068001 1 102-670.99 I $513.28 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 22 2012
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
✓vhom, 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))
97068001 $513.28
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