219420 04/24/2013 a CITY OF CARMEL, INDIANA VENDOR: 358990 Page 1 of 1
ONE CIVIC SQUARE MUNICIPAL EMERGENCY SERVICES CHECK AMOUNT: $408.24
CARMEL, INDIANA 46032 DEPOSITORY ACCOUNT
s�.0 75 REMITTANCE DR STE 3135 CHECK NUMBER: 219420
CHICAGO IL 60675
CHECK DATE: 4/24/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4356003 00402001 408 . 24 SAFETY ACCESSORIES
*WfA I
Invoice# 00402001 SNV
KAESI�MUNICIPAL EMERGENCY SERVICES,INC.
Payment Remittance Slip
To insure proper processing,please return this slip with your payment.
Please Send Payments To: *Wire Instructions:
Municipal Emergency Services Routing#: 121000248
Acco#:2000030294606
Depository Account
Depository Drive Bank Name:Wells Fargo Bank, N.A.
Co Name: Municipal Emergency Services, Inc.
Suite 3135
o Box
Chicago, IL 60675 Southbury,
CT 06488
Remittance Advice: ar@mesfire.com
Include customer#and Inv#
Amount Due . . . .. . . : 408.24
Amount Enclosed*
Customer name . . . : CARMEL FD
Customer number .: 30195
Additional Payment Notes:
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))
00402001 Suspenders for Stock $408.24
I 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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Municipal Emergency Services IN SUM OF $
75 Remittance Drive, Suite 3135
Chicago, IL 60675
$408.24
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 00402001 I 43-560.03 I $408.24 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 2 2 2013
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund