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224047 09/10/2013 CITY OF CARMEL, INDIANA VENDOR: 358990 Page 1 of 1 ONE CIVIC SQUARE MUNICIPAL EMERGENCY SERVICES CHECK AMOUNT: $726.03 �? CARMEL, INDIANA 46032 DEPOSITORY ACCOUNT oN i� 75 REMITTANCE DR STE 3135 CHECK NUMBER: 224047 CHICAGO IL 60675 CHECK DATE: 9/10/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4356003 443963 272 . 00 SAFETY ACCESSORIES 102 4467006 443981 323 . 02 EMS EQUIP 1120 4237000 444516 131 . 01 REPAIR PARTS Invoice *AX MES- Indiana Number ......:00444516_SNV KA E S 6975 Hillsdale Court Date .........:8/30/2013 2 of: Indianapolis, IN 46250 Page ......... 1 sales order ..: 1 of 213 MUNICIPAL EMERDENCY 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 36313001 URETHANE HANDLE FOR B- 3.00 EA 19.48 58.44 100-A 51254000 ROLL PIN 79-028-187-1.375 3.00 EA 1.75 5.25 721317 HANDLE W/RECESS ZYTEL 3.00 EA 14.16 42.48 BLACK Merchandise Restocking Fee S&H Sales tax Discount Total due 106.17 0.00 24.84 0.00 0.00 131.01 USD Thank You For Your Order ! All retums must be processed wHhin 30 days of receipt and require a return authorization number and are subject to a resWWng fee. Custom orders are not retumable.Effective tax rate will be applicable at the time of Invoice. 6&1*� Invoice 'N MVM MES- Indiana Number ......:00443981_SNV 6975 Hillsdale Court Date .........:8/29/2013 MES,� Indianapolis, IN 46250 Page .........: 1 of 2 Sales order ..:SO_384307 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 _1.501 3 pc_Replacement Foam Set 1.00 EA 37.00 37.00 1550EMS 1550EMS case Black 1.00 EA 242.00 242.00 Merchandise Restocking Fee S&H Sales tax Discount Total due 279.00 0.00 44.02 0.00 0.00 323.02 USD Thank You For Your Order ! All returns must be processed within 30 days of receipt and require a return authortration number and are subject to a reslocUng flee. Custom orders are not returnable.Effecdve tax rate will be applicable at the time of Invoice. Invoice *0 fkA 1 MES - Indiana Number ......:00443963_SNV KA E S 6975 Hillsdale Court Date .........:8/29/2013 Indianapolis, IN 46250 Page .........: 1 of 2 Sales order ..:SO_376122 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 CMCOMBO CompanySCBAMarkers 3 3.00 EA 27.75 83.25 -- - letters CMCOMBO CompanySCBAMarkers 4 2.00 EA 27.75 55.50 Letters CMCOMBO CompanySCBAMarkers 5 4.00 EA 29.75 119.00 letters Merchandise Restocking Fee S&H Sales tax Discount Total due 257.75 0.00 14.25 0.00 0.00 272.00 USD Thank You For Your Order ! All returns must be processed with/n 30 days of receipt and require a retum audwrizat/on number and are subject to a restocking fee. Custom orders are not returnable.ENecdwe 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)) 443981 EMS Case $323.02 443963 $272.00 00444516 I I $131.01 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 $726.03 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 443981 102-670.06 $323.02 1 hereby certify that the attached invoice(s), or 1120 443963 43-560.03 $272.00 bill(s) is (are) true and correct and that the 1120 I 00444516 I 42-370.00 I $131.01 materials or services itemized thereon for which charge is made were ordered and received except SEP -, 9 2013 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund