224565 09/25/2013 CITY OF CARMEL, INDIANA VENDOR: 176650 Page 1 of 1
ONE CIVIC SQUARE KOORSEN PROTECTION SERVICE, INC CHECK AMOUNT: $1,240.00
CARMEL, INDIANA 46032 2719 N ARLINGTON AVE
INDIANAPOLIS IN 46218-3300 CHECK NUMBER: 224565
CHECK DATE: 9/25/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351501 03035658 1, 240 . 00 EQUIPMENT MAINT CONTR
INVOICE
0 3 0 3 5 6 5 8 Date of Gust.
F� 88 O:Koorsen Fire&Security No.. Work: Order
Arlington Avenue #
olis, IN 46218-3322 Invoice Date: 09/09/2013 SO#: 03035658 Date 10/05/2013
P "OORSEN Include invoice#on eck. Due:
ust—TI�2 CAR0002 JOB# SERVICE21 / 6
Sold To: Location:
CARMEL FIRE DEPT CARMEL FIRE DEPT - RESCUE 45
2 CIVIC SQ 10701 N COLLEGE AVE
CARMEL, IN 46032 INDIANAPOLIS, IN 46280
21-HOUSE
. -- .. :.
AMOUNT
ANNUAL BILLING AIR SAMPLE SERVICE 540 . 00
OCTOBER 01, 2013 THRU SEPTEMBER 30, 2014
ANNUAL BILLING AIR COMPRESSOR MAINT 700 . 00
OCTOBER 01, 2013 THRU SEPTEMBER 30, 2014
Total 1, 240 . 00
Pay online @ www.koorsen.com. To pay by credit card, please phone or return to us:
Circle:VISA MC AMEX Card Number —
Name on Card Expiration Date_/_
Total Sales Taxable Sales Tax Amount Shipping Charge Invoice Total
1, 240 . 00 1, 240 . 00 0 . 00 1, 240 . 00
VOUCHER NO. WARRANT NO.
fxro-Air— ALLOWED 20
IN SUM OF $
1,4 26 Ail: 9five
$1,240.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1120 I 03035658 I 43-515.01 I $1,240.00 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
cEP 2 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
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))
03035658 $1,240.00
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