217293 02/13/2013 CITY OF CARMEL, INDIANA VENDOR: 366503 Page 1 of 1
` ONE CIVIC SQUARE ON-DUTY DEPOT INDIANAPOLIS CHECK AMOUNT: $235.90
CARMEL, INDIANA 46032 2090 RELIABLE PARKWAY
CHICAGO IL 60686 CHECK NUMBER: 217293
CHECK DATE: 2113/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 3331 235 . 90 REPAIR PARTS
REMITTANCE ADDRESS:
r . �! ON-DUTY DEPOT, INC. INVOICE
2090 RELIABLE PARKWAY
CHICAGO IL'.60686 Date Invoice #
9750 EAST 150th STREET SUITE 900 1/25/2013 3331
NOBLESVILLE, IN 46060 (Address Is for CHECKS Only!)
Phone: 317-770-7661 FAX: 317-770-7662
WWW.ONDUTYDEPOT.COM
SALES REP. DAVID
An A4PD company with DHARTMAN @ONDUTYDEPOT.COM
1"FN cE J, a. L'/l�/,N�.
INDUSTRIES
B SALES RECEIPT#1488
Carmel Fire Department
1 2 Civic Square
Carmel, IN 46032
L
L
-- -- —.PO-NUMBER SHIP TERMS DI 1E;D TF
L41 1/25/2013 Net 30 2/24/2013 "
Quantity Item Code Description Price Each Amount
2 Siren Brake#212 Siren Brake 117.95 235.90T
Federal Signal Siren Brake Service Part
Z828013003J-02
Tax item used for transactions created in QuickBooks 0.00% 0.00
POS
PLEASE PAY.FROM THIS DOCUMENT&REFERENCE INV#ON-PAYMENT.
We'accept Visa,;
Mastercard,' American Express&Discover.
To.p y ) cr,card p leas e ca1270 685-6374 FAX 27 0-685 62'
14 or Lhhudson mmom
RETURNS MUST:BE,WITHIN 30 DAYS(RETURN VIA TRACEABLE MEANS)
A,15%Restocking Fee(off minimum$35)will.be due, in addition to freight c,arges Please call for TOTAL DUE $235,90
:instructions&-include all paperwork with returns ,
.:
We have stores in=KY IN,,and TN!
Headquarters located m Owensboro, KY 1477-851-9222 FAX.270-685-6379
'rescribed by State Board of Accounts City Form No.201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
Nn 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))
3331 L41 Parts $235.90
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
On-Duty Depot Indianapolis
IN SUM OF $
9750 East 150th Street, Ste. 900
Noblesville, IN 46060
$235.90
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
x-
1120 I 3331 I 42-370.00 I $235.90 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 exc RB 1 12013
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund