215385 12/11/2012 CITY OF CARMEL, INDIANA VENDOR: 366668 Page 1 of 1
ONE CIVIC SQUARE PAC VAN
CARMEL, INDIANA 46032 75 REMITTANCE DR#3300 CHECK AMOUNT: $13,800.00
CHICAGO IL 60675-3300
CHECK NUMBER: 215385
CHECK DATE: 12/11/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4467099 24400 PSI-1458494 13 , 800 . 00 SECURITY CONTINERS
Pac-Van, Inc. INVOICE
75 Remittance Drive Suite 3300
Chicago, IL 60675-3300
EXPECT MORE.WE'LL DELIVER. Billing Inquiries: (866) 613-8778 Invoice Date: 11/30/12
Sales and Service: (800) 546-1050 Invoice Number: PSI-1458494
www.pacvan.com Quote No. SFQ-106163
Page: 1
Please note our new remittance address
Bill To: Carmel Fire Department Ship To: Carmel Fire Department
2 Civic Square Steve Frye
Carmel, IN 46032 510 3rd Ave SW
Carmel, IN 46032
Customer ID CARFIR P.O. Number
Sales'Rep DENNY MCKINZIE Customer Job No.
LOCaI Branch Pac an, Inc. - Inuianapoiis, HA Purchaser Stevc-Frye----- - —
RR No. Terms Due Upon Receipt
Item/Description Serial No. Quantity Unit Price Total Price
40' Storage Container PVC40-7014 1 $ 2,200.00 $ 2,200.00
Delivery 1 $ 100.00 $ 100.00
40' Storage Container PVC40-1338 1 $ 2,200.00 $ 2,200.00
Delivery 1 $ 100.00 $ 100.00
40' Storage Container PVC40-1298 1 $ 2,200.00 $ 2,200.00
Delivery 1 $ 100.00 $ 100.00
40' Storage Container PVC40-1371 1 $ 2,200.00 $ 2,200.00
Delivery 1 $ 100.00 $ 100.00
40' Storage Container PVC40-1374 1 $ 2,200.00 $ 2,200.00
Delivery 1 $ 100.00 $ 100.00
40' Storage Container PVC40-1833 1 $ 2,200.00 $ 2,200.00
Delivery 1 $ 100.00 $ 100.00
Subtotal: $ 13,800.00
Sales Tax: $ 0.00
Amount Subject Your current account Property Tax: $ 0.00
to Sales Tax balance as of today is: Total This Invoice: $ 13,800.00
$ 0.00 $ 13,800.00
Amniint n,,P if nairi after 12/30/12 $ 15.180.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pac Van
�C� 41- IN SUM OF $
1`850°rK-eent-ws4-AueaUe
indianap'olis,M-46221 �` 'l Cq
$13,800.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
24400 I PSI-1458494 102-670.99 I $13,800.00 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
DEC 1 .0 2012
a
/J
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
'rescribed 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))
PSI-1458494 $13,800.00
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