219022 04/09/2013 CITY OF CARMEL, INDIANA VENDOR: 359261 Page 1 of 1
` ONE CIVIC SQUARE SAFETY SYSTEMS CHECK AMOUNT: $248.77
CARMEL, INDIANA 46032 4113 TURNER ROAD
.o;w RICHMOND IN 47374 CHECK NUMBER: 219022
CHECK DATE: 4/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 13321I5 248 . 77 REPAIR PARTS
�
�� INVORCE- '� � ° �
4113 Turner Road
Richmond, IN 47374 Invoice Number: 1332115
Invoice Date: Mar 21. 2O13
Page: 1
Voice: 765-935'3568 Duplicate
Fax: 765'935'8713
Carmel Fire Dept.
2 Civic Square
Carmel, IN 46032
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in
PP g *Paw
UPS Ground 1 4/20/13
3.00 40R02ZCR 78.60 235.80
1.00 shipping shipping 12.97 12.97]
Subtotal 248.77
Sales Tax
Total Invoice Amount 248.77
Check/Credit Memo No: Payment/Credit Applied
VOUCHER NO. WARRANT NO.
ALLOWED 20
Safety Systems
IN SUM OF $
4113 Turner Road
Richmond, IN 47374
$248.77
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members
1120 I 1332115 I 42-370.00 I $248.77 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
�P��2f192
1 �
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Irescribed 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))
1332115 $248.77
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