221226 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 359261 Page 1 of 1
4 4 � ONE CIVIC SQUARE SAFETY SYSTEMS CHECK AMOUNT: $755.16
®i+a CARMEL, INDIANA 46032 4113 TURNER ROAD
o� RICHMOND IN 47374 CHECK NUMBER: 221226
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 1360413 755 . 16 REPAIR PARTS
Safety Systems HNVOICE
4113 Turner Road
Invoice Number: 1360413 Richmond. |N 47374
Invoice Date: Jun 4. 2O13
Page, 1
Voice: 705-935-3588 Duplicate
Fax: 765-935'8713
Carmel Fire Dept.
2 Civic Square
Carmel, IN 46032
--cdrrTiel Net 30 Days
Hand Deliver 7/4/13
1.00 C-3010 315.84 315.84
1.00 C-TMW-F1 50-02 106.68 106.68
1.00 C-TCB-2 126.00 126.00
1.00 C-CUP2-1 35.28 35.28
1.00 C-AP-1395 65.52 65.52
1.00 C-MD-202 63.84 63.84
Subtotal 755.16
Sales Tax
Total Invoice Amount 755.16
Check/Credit Memo No: Payme nt/C red it Applied
— |
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))
1360413 I Parts-Impalas I $755.16
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
Safety Systems
IN SUM OF $
4113 Turner Road
Richmond, IN 47374
$755.16
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 1360413 I 42-370.00 I $755.16 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 excell IN 117
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund