HomeMy WebLinkAbout215084 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 176650 Page 1 of 1
ONE CIVIC SQUARE KOORSEN PROTECTION SERVICE,INC CHECK AMOUNT: $152.95
,. ro CARMEL, INDIANA 46032 2719 N ARLINGTON AVE
INDIANAPOLIS IN 46218-3300 CHECK NUMBER: 215084
CHECK DATE: 12/4/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350900 2808883 152 . 95 OTHER CONT SERVICES
INVOICE
FIRE & SECURITY
2808883 Date 11/14/2012 oust.
REMIT TO:Koorsen Fire&Security No.. Work: Order
2719 N Arlington Avenue #.
Indianapolis, IN 46218-3322 Invoice Date: 11/15/2012 SO#: 2448952 Date 12/10/2012
1-888-KOORSEN Include invoice#on check. Due:
Cust ID O1CAR3111 JOB# SERVICE01 / 0
Sold To: Location:
CARMEL CLAY COMMUNICATION CENT CARMEL CLAY COMMUNICATION CENT
31 1ST AVE NW 31 1ST AVE NW
CARMEL, IN 46032 CARMEL, IN 46032
O1-FAUST / O1-000693 / TKOl-07
AMOUNT
NOVEMBER FIRE EXTINGUISHER SERV Annual Exp 10/2016
11.00 INSP-FE-A INSPECTION OF FIRE EXTINGUISHER ANNUAL 6.25 68.75
1.00 INSP-FECO2S-A INSPECTION OF CO2 FIRE EXTNG 2 .5-9# ANNUAL 6.25 6.25
12.00 CIKTO01 TAG, INSPECTION-KOORSEN *F/E -PAPER- YEL P50
12 .00 CIKTO03 TAG,OSHA-KOORSEN PAPER MONTHLY INSPECT-BUFF P50 1.25 15.00
12.00 BRKSY SEAL,TAMPER KOORSEN LOGO YEAR 2012 YELLOW P1000
1.00 99SCE1 SERVICE CALL FIRE EXTING 1 47.00 47.00
1.00 99FUELSC FUEL SURCHARGE-TEMPORARY T 7.95 7.95
1.00 99MATLGPA MATERIAL SERVICE SUPPLIES GEN PROD A 8. 00 8.00
TOTAL SALES/SERVICES XMP# 0031201550-020 152 .95
TOTAL 152.95
Pay online @ www.koorsen.com. To pay by credit card,please phone or return to us:
Circle:VISA MC AMEX Card Number — —
Name on Card Expiration Date_/_
L�:1:5 l Sales Taxable Sales Tax Amount Shipping Charge
2.95 0.00 0.00 Invoice Total b 152.95
VOUCHER NO. WARRANT NO.
ALLOWED 20
Koorsen Fire & Security, Inc.
IN SUM OF $
2719 N. Arlington Avenue
Indianapolis, Indiana 46218
$152.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1115 I 2808883 I 43-509.00 I $152.95 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
Tuesday, Nov lnb`er 27, 2012
Director
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))
11/15/12 2808883 $152.95
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