220720 06/04/2013 CITY OF CARMEL, INDIANA VENDOR: 358990 Page 1 of 1
ONE CIVIC SQUARE MUNICIPAL EMERGENCY SERVICES
CARMEL, INDIANA 46032 DEPOSITORY ACCOUNT CHECK AMOUNT: $133.72
�+ 75 REMITTANCE DR STE 3135
o� CHECK NUMBER: 220720
CHICAGO IL 60675
CHECK DATE: 6/4/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4356003 413124 133 . 72 SAFETY ACCESSORIES
Invoice
MES- Indiana Number ......:00413124 SNV
K E 6975 Hillsdale Court Date .........:5/15/2013
Indianapolis, IN 46250 Page .........: 1 of 2
p Sales order ..: SO 360516
muNICIvALEMEReENCYSE{IVICES,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
690-9451 10.0W BOOT RUBBER 15 inch NFPA 1.00 EA 122.00 122.00
KEVLAR/NOMEX
I
Merchandise Restocking Fee S&H Sales tax Discount Total due
122.00 0.00 11.72 0.00 0.00 133.72 USD
Thank You For Your Order !
All netums must be processed within 30 days of mcelpt and require a return aut wkstion number and are subject to a restocking tee.
Custom orders are not retumable.Eftecdve tax rate will be applicable at the time of Invoice.
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))
413124 Boots $133.72
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
Municipal Emergency Services
IN SUM OF $
75 Remittance Drive, Suite 3135
Chicago, IL 60675
$133.72
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
x-
1120 I 413124 I 43-560.03 I $133.72 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 3�Dja
Fire Chief
Title
Cost distfibution ledger classification if
claim paid motor vehicle highway fund