218616 03/25/2013 CITY OF CARMEL, INDIANA VENDOR: 359261 Page 1 of 1
ONE CIVIC SQUARE SAFETY SYSTEMS
' CARMEL, INDIANA 46032 4113 TURNER ROAD CHECK AMOUNT: $903.11
?' RICHMOND IN 47374 CHECK NUMBER: 218616
CHECK DATE: 3/25/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 133181I6 700 . 97 REPAIR PARTS
1120 4237000 13318I1 202 . 14 REPAIR PARTS
Safety systems RMWQAcr�
4113 Turner Road
Richmond, IN 47374 Invoice Number: 1331811
Invoice Date: Mar 18, 2013
Page.- 1
Voice: 765-935-3566 Duplicate
Fax: 765-935-9713
Ship to:
Carmel Fire Dept.
2 Civic Square
Carmel, IN 46032
-i Customer ID' Customer P'O:. 'Payment Term's
carmelf.d.- -- -- - --- ---- - - --- Net-30-Days
Sales,Rep ID :Shipping Method Ship Date Due Date
UPS Ground 4/17/13
Quantity,r;k" Item-. Description: Unit Price, Amount
1.00 40A02ZC R 78.60 78.60
1.00 60R02FRR 111.60 111.60
1.00 shipping shipping 11.94 11.941
i
Subtotal 202.14
Sales Tax
Total Invoice Amount 202.14
Check/Credit Memo No: Payment/Credit Applied
TOTAL .:'..: 202.144-"
Safety Systems
t 4113 Turner Road
Richmond, IN 47374 Invoice Number: 1331816
Invoice Date: Mar 18, 2013
Page: 1
Voice: 765-935-3566 Duplicate
Fax: 765-935-9713
Bill To:. r Ship'to:
Carmel Fire Dept.
2 Civic Square
Carmel, IN 46032
s,
Customer ID"'..' Customer PO °w Payment Terms
Carmel f.-d.
Sales:Rep ID, Shipping Method , Ship_Date Due Date.
UPS Ground 4/17113
Quantity.. . Item:`, Description, Unit Price. . Amount.
3.. }. { - ..-
1.00 L31 HAF 345.00 345.00
1.00 L31 HRF 345.00 345.00
1.00 shipping shipping 10.97 10.97
Subtotal 700.97
Sales Tax
Total Invoice Amount 700.97
Check/Credit Memo No: Payment/Credit Applied
VOUCHER NO. WARRANT NO.
ALLOWED 20
Safety Systems
IN SUM OF $
4113 Turner Road
Richmond, IN 47374
$903.11
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members
1120 1331811 42-370.00 j $202.14 I hereby certify that the attached invoice(s), or
1120 13318116 42-370.00 $700.97 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
MAR 2 2 2013
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))
1331811 Lights- E46 $202.14
13318116 Rotator Lights- E46 $700.97
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