HomeMy WebLinkAbout222931 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 367293 Page 1 of 1
ONE CIVIC SQUARE FIRE INNOVATIONS
CARMEL, INDIANA 46032 Po Box 2111 CHECK AMOUNT: $875.89
PETA LUMA CA 94953
CHECK NUMBER: 222931
CHECK DATE: 8/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4356003 24475 13-566142 875 . 89 SCBA STRAPS
. �., INVOICE
Y _ P.O. Box 2111
® Petaluma, CA 94953 DATE INVOICE#
7/22/2013 13-566142
BILL TO ACCOUNT# SHIP TO
City of Carmel Fire Dept Carmel Fire Department
2 Civic Square Atten: QM Carter
Carmel, IN 46032 2 Civic Square
Attention: Denise Snyder Carmel, IN 46032
USA
LEVEL
PURCHASE ORDER TERMS DUE DATE REP SALES ORDER SHIP VIA
Verbal Carter Due on receipt 7/22/2013 SB 13-4551 UPS 85A7R7
POS DESCRIPTION QTY RATE AMOUNT
1101-0177 - Fire Innovations?: Adjustment Strap Retainer: Arashield Rev#: A 87 9.95 865.65T
Shipping - Shipping & Handling Tracking: iZ85A7R70391353108 1 10.24 10.24
RESALE# SUBTOTAL $875.89
SALES TAX(0.0%) $0.00
Thank you for your order.
TOTAL $875.89
Balance $875.89
Fire Innovations, LLC 707-763-9900 fax 707-763-9996 www.fireinnovations.com
VOUCHER NO. WARRANT NO.
ALLOWED 20
Fire Innovations
IN SUM OF $
PO Box 2111
Peta Luma, CA 94953
$875.89
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
24475 I 13-566142 I 43-560.03 I $875.89 I 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
IAl �nt�
A
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
'rescribed 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
vhom, 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))
13-566142 $87589
I 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