215049 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 366314 Page 1 of 1
ONE CIVIC SQUARE HUGHES SAFETY INC
0 CHECK AMOUNT: $524.28
CARMEL, INDIANA 46032 2365 BILL SMITH ROAD
MARTINSVILLE IN 46151 CHECK NUMBER: 215049
CHECK DATE: 12/4/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 2012-0099 524 .28 OTHER CONT SERVICES
HUGHES SAFETY INCORPORATED Invoice
2365 BILL SMITH RD
Date Invoice#
MARTINSVILLE, IN 46151
317-538-7373 11/21/2012 2012-0099
Bill To
CARMEL FIRE DEPARTMENT
BOB VANVOORST
2 CIVIC SQUARE
CARMEL,IN 46032
P.O. No. Terms Project
Net 30
Quantity Description Rate Amount
1 TOP SECTION FOR 30-1225A STANDARD LADDER,SOLID SIDE ALUMINUM 265.00 265.00
1 FREIGHT 124.28 124.28
30 LADDER TEST PER FOOT 1.50 45.00
1 MISC.LADDER SERVICE LABOR 60.00 60.00
0 TRIP CHARGE,PER MILE (NO CHARGE) 1.00 0.00
30 HALYARD ROPE REPLACEMENT PER LADDER FOOT 1.00 30.00
Total $524.28
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hughes Safety Inc.
IN SUM OF $
2365 Bill Smith Road
Martinsville, IN 46151
$524.28
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 2012-0099 I 43-509.00 I $524.28 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
DEC 2 2019
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
3rescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
4n invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
nrhom, 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))
2012-0099 $524.28
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