216129 01/09/2013 CITY OF CARMEL, INDIANA VENDOR: 358990 Page 1 of 1
ONE CIVIC SQUARE MUNICIPAL EMERGENCY SERVICES
CARMEL, INDIANA 46032 DEPOSITORY ACCOUNT CHECK AMOUNT: $665.75
75 REMITTANCE DR STE 3135 CHECK NUMBER: 216129
CHICAGO IL 60675
CHECK DATE: 1/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 368585 SNV 301 . 60 OTHER CONT SERVICES
1120 4356003 370686 SNV 364 . 15 SAFETY ACCESSORIES
Invoice
WL An MES - Indiana Number ......: 00368585–SNV
6975 Hillsdale Court + Date .........: 12/17/2012
MES� '
Indianapolis, IN 46250 Page .........: 1 of 2
Sales order ..: SO_321991
MUNICIPAL EMERGENCY SERVICES,INC. Requisition ..: STEVE REEVES
Your ref. .....:JASON REECER
Telephone : (888)322-8402 Our ref. ......:cleris
Fax ........:317-596-1701 Payment .....: Net 30
Sales Rep ...:GCoy
Inv Acct ......:30195
Bill To: Ship To:
CARMEL FD CARMEL FD
2 CARMEL CIVIC SQUARE 2 CARMEL CIVIC SQUARE
CARMEL,IN 46032 CARMEL, IN 46032
Denise Snyder
Item number Size Color Description Quantity Unit Unit price Amount
803380-02_-_ __ ___—_____ _ _ VALVE-BODY ASSY.(450OPS1)-- – 1.00 EA 161.00 161.00
805600-01 HANDWHEEL KIT 1.00 EA 62.00 62.00
36713-00 VALVE PLUG&SEAT ASSY 1.00 EA 10.00 10.00
'KB*
26954-01 4.5 CYLVLV SAFETY DEV 1.00 EA 27.20 27.20
RPL KIT
LSCBA LABOR SCBA SERVICE PER 0.60 EA 69.00 41.40
HOUR
Y Y
Merchandise Restocking Fee S&H Sales tax Discount Total due
301.60 0.00 0.00 0.00 0.00 301 60 USD
Thank You For Your Order !
All returns must be processed within 30 days of receipt and require a return authorization number and are subject to a restocking fee.
Custom orders are not returnable.
Invoice
M AM MES- Indiana Number ......:00370686_SNV
6975 Hillsdale Court Date .........: 12/21/2012
KAES� Indianapolis, IN 46250 Page .........: 1 of 2
Sales order ..:SO_313964
MUNICIPAL EMEAQENCYSENCES,INC. Requisition ...
Your ref. ......
Telephone : (888)322-8402 Our ref. ......:kschulthei
Fax ........:317-596-1701 Payment .....:Net 30
Sales Rep ...:kschulthei
Inv Acct ......:30195
Bill To: Ship To:
CARMEL FD CARMEL FD
2 CARMEL CIVIC SQUARE 2 CARMEL CIVIC SQUARE
CARMEL,IN 46032 CARMEL, IN 46032
Denise Snyder
item number Size Color Description Quantity Unit Unit price Amount
10046723 Nomex Ear Flaps 880 2.00 EA 32.00 64.00
L655G Nomex Ear Flap 1010 3.00 EA 32.00 96.00
10046712 Chinstrap for 880 3.00 EA 36.00 108.00
C922P CHINSTRAP,W/QR AND 2.00 EA 39.78 79.56
SLIDE, PKG
Merchandise Restocking Fee S&H Sales tax Discount Total due
347.56 0.00 16.59 0.00 0.00 364.15 USD
Thank You For Your Order !
All returns must be processed within 30 days of receipt and require a return audwrtzallon number and are subject to a restocidng fee.
Custom orders are not returnable.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Municipal Emergency Services
IN SUM OF $
75 Remittance Drive, Suite 3135
Chicago, IL 60675
$665.75
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
1120 370686_SNV 43-560.03 $364.15 1 hereby certify that the attached invoice(s), or
1120 368585_SNV 43-509.00 $301.60 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
JAN v 7 2013
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
kn invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
vhom, 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))
370686_SNV Safety Eqpt. $364.15
368585_SNV SCBA Repair $301.60
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