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222506 07/30/2013 CITY OF CARMEL, INDIANA VENDOR: 358990 Page 1 of 1 ONE CIVIC SQUARE MUNICIPAL EMERGENCY SERVICES CHECK AMOUNT: $989.80 CARMEL, INDIANA 46032 DEPOSITORY ACCOUNT oM io 75 REMITTANCE DR STE 3135 CHECK NUMBER: 222506 CHICAGO IL 60675 CHECK DATE: 7/30/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4356003 00429237 214 .46 SAFETY ACCESSORIES 1120 4356003 00429926 538 . 00 SAFETY ACCESSORIES 102 4467006 00432189 237 . 34 EMS EQUIP Invoice MES- Indiana Number ......i 00429926_SNV 6975 Hillsdale Court Date .........:7/11/2013 KA E S olis IN 46250 Page .........: 1 of 2 Indianapolis, Sales order ..:SO_368553 MUNICIPAL EMERGENCY SERVICES,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 C-TRD-5422A2221 White 880 with ESS goggles 2.00 EA 220.00 440.00 BYB18044 6in Leather Front with Velcro 2.00 EA 39.00 78.00 Sewn Passport Patch REF.BYB18044 Merchandise Restocking Fee S&H Sales tax Discount Total due 518.00 0.00 20.00 0.00 0.00 538.00 USD Thank You For Your Order ! All mtums must be processed wlMin 30 days of receipt and require a retum audwrtradon number and are subject to a mstocWng fee. Custom orders are not retumable.Effective tax retie will be applicable at the time of Invoice. Invoice MES- Indiana Number ......:00429237_SNV KA E S 6975 Hillsdale Court Date .........:7/9/2013 Indianapolis, IN 46250 Page .........: 1 of 2 p Sales order ..:SO 374240 MUNICIPAL EMERGENCY SERVICES,INC. Requisition ... Your ref. ...... Telephone : (888)322-8402 Our ref. ......:AUlrich 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 31001045 Nose Cup for AV-3000 Large 6.00 EA 34.00 204.00 GREY Merchandise Restocking Fee S&H Sales tax Discount Total due 204.00 0.00 10.46 0.00 0.00 214.46 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 dme of Invoice. %*41h, Invoice MES- Indiana Number ......:00432189_SNV IjEs� 6975 Hillsdale Court Date .........:7/19/2013 Indianapolis, IN 46250 Page .........: 1 of 2 p Sales order ..: SO_374489 MUNICIPAL EMERGENCY SERVICES,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 1500 EMS 1500 EMS Case Black 1.00 EA 200.00 200.00 Merchandise Restocking Fee S&H Sales tax Discount Total due 200.00 0.00 37.34 0.00 0.00 237.34 USD Thank You For Your Order ! All returns must be processed wllhin 30 days of receipt and require a retum audxwtradon number and are subject to a restocking fee. Custom orders are not retumable.Effective tax rate will be applicable at the time of Invoice. VOUCHER NO. WARRANT NO. ALLOWED 20 Municipal Emergency Services IN SUM OF $ 75 Remittance Drive, Suite 3135 Chicago, IL 60675 $989.80 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 00432189 102-670.06 $237.34 1 hereby certify that the attached invoice(s), or 1120 00429926 43-560.03 $538.00 bill(s) is (are) true and correct and that the 1120 I 00429237 I 43-560.03 I $214.46 materials or services itemized thereon for which charge is made were ordered and received except JUL 2 9 2013 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No.201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 4n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by Nhom, 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)) 00432189 EMS Box $237.34 00429926 $538.00 00429237 I I $214.46 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