215905 12/25/2012 CITY OF CARMEL, INDIANA VENDOR: 359261 Page 1 of 1
ONE CIVIC SQUARE SAFETY SYSTEMS
CARMEL, INDIANA 46032 4113 TURNER ROAD CHECK AMOUNT: $2,873.34
RICHMOND IN 47374
pro„ CHECK NUMBER: 215905
CHECK DATE: 12/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4467099 24415 1212111 2, 873 .34 LIGHTBARS
Safety Systems HHWOUCIE
4113 Turner Road
Richmond, IN 47374 |nvoiooNumber: 121211|1
|nvoice Date: Dec 11. 2O12
Page: 1
Voice: 765'935'3588 Duplicate
Fax: 785'935'9713
Carmel Fire Dept.
2 Civic Square
Carmel, IN 46032
UPS Ground 1/10/13
14.00 UT-1 01 Havis Laptop Mounts 202.81 2,839.34'
1.00 shipping shipping 34.00 34.00
Subtotal 2,873.34
Sales Tax
Total Invoice Amount 2,873.34
Check/Credit Memo No: Payment/Credit Applied
_
VOUCHER NO. WARRANT NO.
ALLOWED 20
Safety Systems
IN SUM OF $
4113 Turner Road
Richmond, IN 47374
$2,873.34
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#(TITLE AMOUNT Board Members
24415 ( 12121111 1 102-670.99 I $2,873.34 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 17 2042
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))
12121111 $2,873.34
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