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218644 03/25/2013 a CITY OF CARMEL, INDIANA VENDOR: 360767 Page 1 of 1 ONE CIVIC SQUARE TERMINAL SUPPLY CO CARMEL, INDIANA 46032 PO BOX 1253 CHECK AMOUNT: $1,012.32 TROY MI 48099 CHECK NUMBER: 218644 CHECK DATE: 3/25/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4237000 15949-00 1, 012 .32 REPAIR PARTS U��� l8OO ""~ ° /ou/�u�uu/^u SS#6775�4 9A�E- O1 <Sin > TROY,MICHIGAN 48084 Since 0 �4� 3���� ° � _.�— FAX (248)362-0824 REMIT TO:' -- C�ft — mmn /cnmnmSxpy'yCo.mn, TERMINAL SUPPLY CO. 1OO5D9 P.O. BOX 1253 TROY, MI 48099 S 13222 S 13222 0 CARMEL FIRE DEPT n CARMEL FIRE DEPT L 2 CIVIC SQUARE | 2 CIVIC SQUARE D p T CARMEL IN 460 32 T CARMEL IN 46O32 0 0 DATE TSC ORDER NO. F.O.B. CUSTOMER P.O. NO. INVOICE NO. SHIPPING POINT DATE SHIPPED SHIPPED VIA TERMS ACCOUNT NO. SLSM UNIT CE EXTENSION SHIPPED BACKOODEREU DESCRIPTION PRI' iclo 100 14-3 SJDOW--100 SJOOW SERVICE CORD 1302- S3/ M 130. 2S 100 100 14 GPT-1;0C­RE0 GPT` PRIMARY WIRE 21 . S3/ C 21. 533 100 1 OC; 12 NEEDS TO BR SPOOLED t,,IEEDS TO BE SPOOLED NEEDS TO BE SPOOLED We certify that these goods were produced in compliance with all applicable re- SALES TAX FREIGHT quirements of Sections 6, 7 and 12 of the Fair Labor Standards Act, as amended, and SUB of Regulations and orders of the United States Department of Labor issued under TOTAL Section 14 thereof. All material on this invoice is on consignment until invoice is paid in full.A re-stocking charge may apply. ORIGINAL INVOICE AMOUNT� ISO 9002 Certified THANK YOU DUE REV.7/2003 PLEASE PAY LAST AMOUNT IN THIS COLUMN lUUU1liUNU��b1�U SS#677574 ""~ ° l����� 02 TROY,MICHIGAN 48084 41:�Siinuce 1966 /248\ 362-0790 ° OU 989-9032 FAX (248 4WD� on"m?bn,/md�oyy/�Co�wn' TERMINAL SUPPLY CO. 1OO5O9 P.O. BOX 1253 TROY,MI 48099 13222 13222 S a o CARMEL FIRE DEPT n CARMEL FIRE DEPT L 2 CIVIC SQUARE | 2 CIVIC SQUARE D p T CARREL IN 46032 T CARMEL IN 46032 0 0 DATE ;-TSCORDERNO. F.O.B. CUSTOMER P.O. NO. INVOICE NO. 1�3 4 JASON/BOB 15V4 SHIPPING POINT DATE SHIPPED SHIPPED VIA TERMS ACCOUNT No. 3/12/13 up S, NET 30 DAYS LVW1 13222 25 90-8 14 SHRINK RING TERMINAL 144. 66/ C 3 6. 100 100 SHRINK BUTT CONNECTOR 50. 99/ C st-�. SHRINK BUTT CONNECTOR. — 52. 32/ C BLA�CK SHRINK TUBING 4. 15/EA RUBBER GROMMET ea. 10.1-, C +***CONTINUED***** We certify that these goods were produced in compliance with all applicable re- TAX FREIGHT quirements of Sections'6, 7 and 12 of the Fair Labor Standards Act, as amended, and SUB of Regulations and orders of the United States Department of Labor issued under TOTAL Section 14 thereof. All material on this invoice is on consignment until invoice is paid in full.A re-stocking charge may apply. ORIGINAL INVOICE AMOUNT� ISO 9002 Certified THANK YOU DUE REV.7/2003 PLEASE PAY LAST AMOUNT IN THIS COLUMN U���� l8OO ""~ ° /our"u��o/mu SS#677574 ��A�E- O3 TROY,MICHIGAN 48084 Since 1966 (248) 3h2-079O ° (800)989-9632 FAX (248) nn"n ]hnn/valSxyph/[o.mm TERMINAL SUPPLY CO. lOO5O9 P.O. BOX 1253 TROY;MI 48099 13222 13222 S a 0 CARMEL FIRE DEPT * CARMEL FIRE DEPT L 2 CIVIC SQUARE | 2 CIVIC SQUARE D p T CARREL IN 46032 T CARMEL IN 46032 o 0 _P�_T�. TSC ORDER NO. F.O.B. CUSTOMER P.O. NO. INVOICE NO.. SHIPPING POINT DATE SHIPPED SHIPPED VIA TERMS ACCOUNT NO. SLSM LVW 13222 D 1,J QUANTITY '6RD'ERED -ORDERED DESCRIPTION UNIT PRICE EXTENSION 25 25 BCL-8­14 I I TSC-7SO-14 BLACK SHRINK TUBING A 7. 61/FA 7. L! We certify that these goods were produced in compliance with all applicable re- SALES TAX FREIGHT. quirements of Sections 6, 7 and 12 of the Fair Labor Standards Act, as amended, and S" of Regulations and orders of the United States Department of Labor issued under . 00 7. 23 TOTAL J.ki Section 14 thereof. All material on this invoice is on consignment until invoice is paid in full.A re-stocking charge may apply. i 0 12. 2 ORIGINAL INVOICE AMOUNT� ISO 9002 Certified THANK YOU DUE REV.7/2003 PLEASE PAY LAST AMOUNT IN THIS COLUMN VOUCHER NO. WARRANT NO. ALLOWED 20 Terminal Supply IN SUM OF $ P.O. Box 1253 Troy, MI 48099 $1,012.32 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 I 15949-00 I 42-370.00 I $1,012.32 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 MAR 2 2 2013 J - 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 vvhom, 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)) 15949-00 Misc. Parts $1,012.32 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