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218958 04/09/2013 CITY OF CARMEL, INDIANA VENDOR: 358990 Page 1 of 1 • ONE CIVIC SQUARE MUNICIPAL EMERGENCY SERVICES CARMEL, INDIANA 46032 DEPOSITORY ACCOUNT CHECK AMOUNT: $996.23 75 REMITTANCE DR STE 3135 CHECK NUMBER: 218958 CHICAGO IL 60675 CHECK DATE: 4/9/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4467099 396322 996 . 23 OTHER EQUIPMENT Invoice *0 VkA 1 MES - Indiana Number ......:00396322_SNV KA E S 6975 Hillsdale Court Date .........:3/21/2013 Indianapolis, IN 46250 Page .........: 1 of 2 Sales order ..:SO_342338 MUNICIPAL EMERRENCYSERYICES,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 CLF 4200 Battle Fogger(Timer Remote 1.00 EA 946.23 946.23 Included) Merchandise Restocking Fee S&H Sales tax Discount Total due 946.23 0.00 50.00 0.00 0.00 996.23 USD Thank You For Your Order ! All returns must be processed within 30 days of receipt and require a return audwhatfon 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 $996.23 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members 1120 I 396322 1 102-670.99 I $996.23 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 APR - 8ZOO 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)) 396322 Fog Machine-Training $996.23 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