221625 07/02/2013 CITY OF CARMEL, INDIANA VENDOR: 358990 Page 1 of 1
ONE CIVIC SQUARE MUNICIPAL EMERGENCY SERVICES CHECK AMOUNT: $84.50
CARMEL, INDIANA 46032 DEPOSITORY ACCOUNT
75 REMITTANCE DR STE 3135 CHECK NUMBER: 221625
CHICAGO IL 60675
CHECK DATE: 7/2/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 423430 84 . 50 OTHER CONT SERVICES
i
' Invoice
F MES - Indiana Number ......:00423430_SNV
6975 Hillsdale Court Date .........:6/18/2013
r Page .... ....: 1 of 2
E S Inc.a apc•+15, IN 4625E Sales order ..:SO 371268
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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 Snvder
Item number Size Color Description Quantity Unit Unit price _ Amount
%.00951-03 — - -- M8 PIG_TAIL!3FP1..KIS•*SVC- -- — -1.00_
ITEM
LSCBA LABOR SCBA SERVICE PER 0.50 EA 69.00 34.50
HOUR
Merchandise Restocking Fee S&H Sales tax Discount Total due
84.50 0.00 0.00 0.00 0.00 84.50 USD
Thank You For Your Order !
All returns must be processed within 30 days of receipt and require a return authorization number and are subject to a restocking fee.
Custom orders are not returnable. Effective 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))
423430 SCBA Repair $84.50
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
Municipal Emergency Services
IN SUM OF $
75 Remittance Drive, Suite 3135
Chicago, IL 60675
$84.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT
Board Members
1120 I 423430 I 43-509.00 I $84.50 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
1UL.®,1200113
CY-
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund