221554 07/02/2013 CITY OF CARMEL, INDIANA VENDOR: 366314 Page 1 of 1
` ONE CIVIC SQUARE HUGHES SAFETY INC
' I 2365 BILL SMITH ROAD CHECK AMOUNT: $1,699.50
CARMEL, INDIANA 46032
MARTINSVILLE IN 46151 CHECK NUMBER: 221554
CHECK DATE: 7/2/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 2013-030 1, 699 . 50 OTHER CONT SERVICES
HUGHES SAFETY INCORPORATED Invoice
2365 BILL SMITH RD
Date Invoice#
MARTINSVILLE, IN 46151
317-538-7373 6i21i2013 2013-030
Bill To
CARMEL FIRE DEPARTMENT
BOB VANVOORST
2 CIVIC SQUARE
CARMEL,IN 46032
P.O. No. Terms Project
ladder test Net 30
Quantity Description Rate Amount
977 LADDER TEST PER 1-001' 1.50 1,465.50
52 HEAT SENSOR INSTALLATION 2.00 104.00
1 WELDED OR EXPANDED RUNG REPLACEMENT 90.00 90.00
40 TRIP CHARGE,PER MILE 1.00 40.00
Total $1.699.50
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))
2013-030 Ladder Test $1,699.50
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
Hughes Safety Inc.
IN SUM OF $
2365 Bill Smith Road
Martinsville, IN 46151
$1,699.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#(TITLE AMOUNT Board Members
1120 I 2013-030 I 43-509.00 I $1,699.50 I hereby certify that the attached invoice(s), or
bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund