223638 08/27/2013 CITY OF CARMEL, INDIANA VENDOR: 359261 Page 1 of 1
ONE CIVIC SQUARE SAFETY SYSTEMS
CARMEL, INDIANA 46032 4113 TURNER ROAD CHECK AMOUNT: $575.35
�`�• RICHMOND IN 47374
CHECK NUMBER: 223638
CHECK DATE: 8/27/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 138121I 511 . 51 REPAIR PARTS
1120 4237000 13819I8 63 . 84 REPAIR PARTS
Safety Systems INVOICE
4113 Turner Road
Richmond, IN 47374 Invoice Number: 1381211
Invoice Date: Aug 12, 2013
Page: 1
Voice: 765-935-3566 Duplicate
Fax: 765-935-9713
Bril Tti:' 4 x r. �Sfiip to
s
3 mss•. s �.t
Carmel Fire Dept.
2 Civic Square
Carmel, IN 46032
r"1 �', merID` �� Custorner�PO Pa ment7erms'
Gusto
-`— carmel f.d. - --- Car#42- - -Net 30 Days
s 1 7777'7777 r *e
Shipping Metod' �:. Ship,Date
UPS Ground 9/11/13
�
ash, r
Quantitym= ' g:'T r Item : Descnpt on Un1t Prree h mount
,.,
1.00 P KG-PS M-209 494.47 494.47
1.00 shipping shipping 17.04 17.04'
Subtotal 511.51
Sales Tax
Total Invoice Amount 511.51
Check/Credit Memo No. Payment/Credit Applied
TOTAL N § s�,wy �` 51A151
Safety Systems INVOICE
4113 Turner Road
Richmond, IN 47374 Invoice Number: 1381918
Invoice Date: Aug 19, 2013
Page: 1
Voice: 765-935-3566 Duplicate
Fax: 765-935-9713
�'Y
-_BillTa .r_..� .. ��° ...,� ��, ��.4,�'., ,:���� whip
Carmel Fire Dept.
2 Civic Square
Carmel, IN 46032
Customer�ID GustomerPO w�F PaymeritTerms .'
., _'v. •�� ,ii, ,s;u .. ,.; rs� •.
�— carmel f.d..- -Net-30-Days — —
�n Salesfiep ID Ship ping Methotl' ,� Sh`ipQate x Due Dated';
Hand Deliver 9/18/13
Quantity 2 Item y De cnptwn Unit P'rc f Amount s
s
_. »,F„
1.00 C-3075-4 63.84 63.84
Subtotal 63.84
Sales Tax
Total Invoice Amount 63.84
Check/Credit Memo No: Payment/Credit Applied
TOTAL 63 84-
r
VOUCHER NO. WARRANT NO.
ALLOWED 20
Safety Systems
IN SUM OF $
4113 Turner Road
Richmond, IN 47374
$575.35
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 1381211 42-370.00 $511.51 I hereby certify that the attached invoice(s), or
1120 1381918 42-370.00 $63.84 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
AUG 2 6 2013
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
kn 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))
1381211 $511.51
1381918 $63.84
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