217231 02/13/2013 CITY OF CARMEL, INDIANA VENDOR: 178450 Page 1 of 1
ONE CIVIC SQUARE KUSSMAUL ELECTRONICS CO IN
CARMEL, INDIANA 46032 170 CHERRY AVE CHECK AMOUNT: $538.85
WEST SAYVILLE NY 11796-1221 CHECK NUMBER: 217231
CHECK DATE: 2/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 74295 538 . 85 OTHER CONT SERVICES
-------------------------
------------------------
------------
---------
---
i!s K u
88MAUL
�ELE
CTRp INVOIC
1VICS C E
jl 170 CHERRY -. IN 74295
RY AVENUE WEST SAYVILLE NY 11796-1221 C�
TEL: 631-567-0314, FAX: 631-567-5826, www.kussmaul.com, salesQkussmaul:
Page Date
com
1 1/28/13
Sold to:
CARMEL FIRE DEPARTMENT Ship to:
2 CIVIC SQUARE CARMEL FIRE DEPARTMENT
CARMEL
IN 46032 2 CIVIC SQUARE
CARMEL
IN 46032
AG'��NTN
CuSTL'MER OR+»' r
Sr1:LESPE?FLSON
CAR033
E45 r
ORDER DnrE CHRIS TAMARGO
SALES ORDER
SHtPPEij VTA NET 3 0
DAYS
1.128113 DArE SHIPPED ;
20720
W SAYVILLE
UPS GROUND SERVICE
QTY;ORDERED
NQ.AgCKAGES
PARTNU►vjgER / DESCRIPTION 1/28/13
SER1Ai.NO. UNIT PRICE 1
1 091-9-DPP-CHARGER
NET gRICE
AUTO CHARGE D PUMP PLUS, A�roNr.,
12 VOLT 001775 829. 00 538. 85
538.85
1 TRADE-IN
UNIT HAS BEEN DISCOUNTED BY 35% OFF . 00 . 00
OF LIST PRICE. FREE UPS GROUND 00
SHIPPING GIVEN FOR TRADING IN AN OLD
MODEL
SHIPPING TRACKING ##:
IZ1335780321778339
kSE WRITE INVOICE NUMBE R ONE ALL PAYMENTS
RETURNS ON C.O.D. SHIPMENTS OR ANY SHIPMENTS UNDER$50.00
RETURNS SUB3ECT TO 10%RESTOCKING CHARGE SUBTOTAL 538 85
DLUTELY NO RETURNS AFTER 30 DAYS SHIPPING & HANDLING
�� ���� U S,UOLLARS TAX 00
TOTAL
P
LEA
SE P AY T
HIS AMOUNT------
110ME OF THE AUTO CHARGE-AUTO EJECT-AIR EJECT-AUTO PUMP
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))
74295 $538.85
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Kussmaul Electronics
IN SUM OF $
170 Cherry Avenue
West Sayville, NY 11796
$538.85
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1120 I 74295 I 43-509.00 I $538.85 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
FEB 112013
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund