HomeMy WebLinkAbout220580 06/04/2013 CITY OF CARMEL, INDIANA VENDOR: 079150 Page 1 of 1
ONE CIVIC SQUARE DONLEY SAFETY
CARMEL, INDIANA 46032 5546 ELMWOOD AVE CHECK AMOUNT: $330.84
?� INDIANAPOLIS IN 46203
CHECK NUMBER: 220580
CHECK DATE: 6/4/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 39688 330 . 84 REPAIR PARTS
ONLEY INVOICE
Please visit us on the web at www.donleysatety.com
Phone 317-786-2268 Date Invoice#
5546 Elmwood Ct. Fax 317-786-2532
Indianapolis, IN 46203 5/20/2013 39688
Bill To Ship To
CARMEL FIRE DEPARTME CARMEL FIRE DEPARTMENT
AM:BOB VAN VOORST ATTN:
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL,IN 46032 CARMEL,IN.46032
P.O. Number Terms Salesperson Ship Via F.O.B. S.O.#
VERBAL NET 30 H WILL CALL SHIP POINT
Ordered Shipped Bio Item Number Description Unit Price UOM Ext. Price
2 2 0 MISC. DIAMOND PLATE SHELF 19"X 330.84 661.68
53.5"WITH 2"LIP;HARDWARE
KIT;BLACK MAT-A-FLEX
-1 DISCOUNT DONLEY AGREES TO SPLIT COST 330.84 -330.84
IN 1/2
z1- --�k
Sales Tax (7.0%) $0.00
PRICE DISCREPANCIES, RETURN REQUESTS OR Total
SHIPMENT ERRORS MUST BE REPORTED WITHIN 30 $330.84
DAYS TO RECEIVE CREDIT.
Questions about this invoice? Please call 317-786-2268.
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))
39688 A44&A45 $330.84
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Donley Safety
IN SUM OF $
5546 Elmwood Court
Indianapolis, IN 46203
$330.84
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 39688 I 42-370.00 I $330.84 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
JUN 0@M3
,(
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund