214832 11/20/2012 CITY OF CARMEL, INDIANA VENDOR: 295200 Page 1 of 1
ONE CIVIC SQUARE STORAGE SOLUTIONS, INC
CARMEL, INDIANA 46032 910 E 169TH ST CHECK AMOUNT: $620.00
WESTFIELD IN 46074
CHECK NUMBER: 214832
CHECK DATE: 11/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4463000 0060911-IN 620 . 00 FURNITURE & FIXTURES
Invoice Page: 1
Storage Solutions,Inc. Invoice Number. 00609114N
910 E.169th Street Invoice Date: 11/14/2012
Westfield,IN 46074'
317-867.2001;Fax:317-867-2047
Toll Free:800-448-0891 Order Number. 0054005
3178672001 Order Date 11/9/2012
Salesperson: 0008
Customer Number. 00-CAR3000
. . o
Carmel Fire Department Carmel Fire Department
2 Civic Square CPU
Carmel,IN 46032 ERIC RUSSELL 317-752-2706
Carmel,IN 46032
Confirm To:
ERIC RUSSELL 317-752-2706
VERBAL CPU Net 30 Days
® e .• •
UT42096ATTG-XXX EACH 6.0 6.0 0.0
42'X 96"TEARDROP,3"X 1-5/8
6012026RDBA-535 EACH 12.0 12.0 0.0
120"X 2-3/4"SHAVED RIVET STE
W42354AW382-561 EACH 4.0 4.0 0.0
42'X 35"DBL WATERFALL,4 CH
W42283AW381-364 EACH 7.0 7.0 0.0
42"X 28-1/2"WIRE DECK- 3 C
SADA08713-536 EACH 4.0 4.0 0.0
87"ANGLE POST/DELUXE/BLUE
SADJ08713536 EACH 3.0 3.0 0.0
87"BOX POST/DELUXE/BLUE
SADS036018G-536 EACH 10.0 10.0 0.0
SHELF I DELUXE 136"X 18-1 G
SADY01813-536 EACH 3.0 3.0 0.0
SIDE BRACE/18"1 DELUXE/BL
SADX036B-456 EACH 2.0 2.0 0.0
BACK BRACE/DELUXE/36"/BL
PLEASE CONTACT'ERIC RUSSELL 317-752-"2706 WHEN ORDER IS READY FOR PICKUP.
Net Invoice: 620.00
Less Discount: 0.00
Freight: 0.00
Sales Tax: 0.00
Invoice Total: 620.00
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))
11/14/12 0060911-IN $620.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Storage Solutions, Inc. IN SUM OF $
910 E. 169th St —
Westfield, IN 46074
$620.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 0060911-IN 1 2201-630.001 $620.00 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
.-j Monday, November 19, 2012
6/ �y
�_/Vvv
Y
v Street Commispioner
Street ConTiti'essioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund