215390 12/11/2012 CITY OF CARMEL, INDIANA VENDOR: 359374 Page 1 of 1
ONE CIVIC SQUARE PERFORMANCE ADVANTAGE CO
CARMEL, INDIANA 46032 P 0 Box 306
CHECK AMOUNT: $732.02
LANCASTER NY 14086 CHECK NUMBER: 215390
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CHECK DATE: 12/11/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4467099 24408 0043829—IN 732 . 02 IRONS
TWL
MODUMING PERFORMANCE ADVANTAGE COMPANY, INC. INVOICE 0043829-IN
1 PAC WAY
P.O. BOX 306 INVOICE DATE: 11/29/2012
LANCASTER, NY 14086
SYSTEMS 8885140083 CUSTOMER NO: 9909204
ORDER NUMBER: 0042165
ORDER DATE: 11/27/2012
SOLD TO: SHIP TO:
CARMEL FIRE DEPT CARMEL FIRE DEPT
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL, IN 46032 CARMEL, IN 46032
UNITED STATES UNITED STATES
---Tracking Number:- —1Z1-172480349686117 — -- ---"
CUSTOMER P.O. SHIP VIA F.O.B. TERMS
24408 UPS NET 30 DAYS
ITEM NO. PRODUCT DESCRIPTION ORDERED SHIPPED BACKORDER PRICE AMOUNT
K5003 IRONSLOK 3.00 3.00 0.00 229.95 689.85
s
Net Invoice: 689.85
Less Discount: 0.00
All returns subject to a 15% restocking fee. Freiaht: 42.19
Sales Tax: 0.00
www.pactoolmounts.com INVOICE TOTAL: => 732.04
PAYABLE IN US FUNDS
VOUCHER NO. WARRANT NO.
ALLOWED 20
Performance Advantage Co., Inc.
IN SUM OF $
P.O. Box 306
Lancaster, NY 14086
$732.02
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
24408 I 0043829-IN 1 102-670.99 I $732.02 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
BEE 1 0 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
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))
0043829-IN $732.02
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
120
Clerk-Treasurer