217747 02/26/2013 *F CITY OF CARMEL, INDIANA VENDOR: 358990 Page 1 of 1
0 ` ONE CIVIC SQUARE MUNICIPAL EMERGENCY SERVICES CHECK AMOUNT: $548.52
CARMEL, INDIANA 46032 DEPOSITORY ACCOUNT
75 REMITTANCE DR STE 3135 CHECK NUMBER: 217747
CHICAGO IL 60675
CHECK DATE: 2/26/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4467006 384547 450 . 00 EMS EQUIP
1120 4356003 384548 98 . 52 SAFETY ACCESSORIES
4006� Invoice
MES-Indiana Number ......:00384547_SNV
KAES 6975 Hillsdale Court Date .........:2/12/2013
Indianapolis, IN 46250 Page .........: 1 of 2
Sales order ..:SO_328516
MUNICIPAL EMERGENCY SERVICES,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 MES-INDIANA
2 CARMEL CIVIC SQUARE 6975 HILLSDALE COURT
CARMEL,IN 46032 Indianapolis, IN 46250
Denise Snyder
Item number Size Color Description Quantity Unit Unit price Amount
1550 1500 EMS Case color Black 1.00 EA 225.00 225.00
1550 1500 EMS Case Color Tan 1.00 EA 225.00 225.00
Merchandise Restocking Fee S&H Sales tax Discount Total due
450.00 0.00 0.00 0.00 0.00 450.00 USD
Thank You For Your Order !
All returns must be processed within 30 days of receipt and require a retum audwrkat/on number and are subject to a restocking flee.
Custom orders are not retumable.
Invoice
Nk AN MES- Indiana Number ......:00384548_SNV
AE!5 6975 Hillsdale Court Date .........:2/12/2013
Indianapolis, IN 46250 Page .........: 1 of 2
p Sales order ..: SO 328959
MUNICIPA L EAtEAOENCYSERYIfS,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
V-7AFR0412VL-O Class 2,5 pt.Breakaway, 1.00 EA 70.00 70.00
Hook and Loop Front&Sides,
Silver HT Trim, Reg.&Over.,
L/Y
PANEL Silver Reflective Title Panel,4" 1.00 EA 12.00 12.00
x 18",Sewn on Garment
"SAFETY"
Merchandise Restocking Fee S&H Sales tax Discount Total due
82.00 0.00 16.52 0.00 0.00 98.52 USD
Thank You For Your Order !
All returns must be processed within 30 days of receipt and require a return audwrtration number and are subject to a restocking fee.
Custom orders are not retumable.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Municipal Emergency Services
IN SUM OF $
75 Remittance Drive, Suite 3135
Chicago, IL 60675
$548.52
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 384547 102-670.06 $450.00 1 hereby certify that the attached invoice(s), or
1120 384548 43-560.03 $98.52 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received exce 3
%fW&'1PYL1Y1(17
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Drescribed 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))
384547 EMS Boxes $450.00
384548 Safety Eqpt $98.52
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