223873 09/10/2013 a CITY OF CARMEL, INDIANA VENDOR: 358585 Page 1 of 1
ONE CIVIC SQUARE CERTIFIED FIRE SYSTEMS CONSULTAIIT
t' CCK AMOUNT: $400.00
CARMEL, INDIANA 46032 358 W OLD SOUTH STREET
BARGERSVILLE IN 46106 CHECK NUMBER: 223873
CHECK DATE: 9/10/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4351501 2203 400 . 00 EQUIPMENT MAINT CONTR
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Certified Fire System Consultants j Tv /j�za,�
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358 West Old South Street ��05 Invoice
Bargersville, In. 46106
Number: 2203
317-422-0893 Office
317-422-0894 Fax Date: August 21, 2013
Bill To: Ship To:
Jeff Barnes
Carmel Civic Center
1 Civic Square
Carmel, IN 46032
PO Number Terms
verbal net 30
Date Description Quantity Price Amount
08/21/13 Annual Fire Sprinkler System Inspection w/ Dry Pipe Valve Trip Test 1.00 400.00 400.00
SEP092013
By
Total $400.00
Email Address cfscinc @comcast.net
0 -30 days 31 -60 days 61 -90 days > 90 days Total
$400.00 $0.00 $0.00 $0.00 $400.00
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))
08/21/13 2203 $400.00
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
Certified Fire System Consultants
IN SUM OF $
358 West Old South Street
Bargersville, IN 46106
$400.00
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1205 I 2203 ( 43-515.01 I $400.00 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
Monday, September 09, 2013
Direct r, Administra on
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund