HomeMy WebLinkAbout224566 09/25/2013 CITY OF CARMEL, INDIANA VENDOR: 178450 Page 1 of 1
ONE CIVIC SQUARE KUSSMAUL ELECTRONICS CO IN CHECK AMOUNT: $321.10
CARMEL, INDIANA 46032 170 CHERRY AVE
WEST SAYVILLE NY 11796-1221 CHECK NUMBER: 224566
CHECK DATE: 9125/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 16022 321 . 10 AUTO REPAIR & MAINTEN
6C E KUSSAUL Invoice No 0000016022
ELECTRONICS Remit To:
Phone:800-346-0857 170 Cherry Ave. Sales Order No 006252-00
Fax:631-567-5826 West Sayville,
E-Mail:sales @kussmaul.com NY 11796
Packing List No 007134
Bill to : CAR033 Ship to :
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
United States United States
Phone(317)571-2600
Customer PO Number Invoice Date Terms FOB Ship Via Coordinator
E46 09/16/2013 NET 30 DAYS WEST SAYVILLE, NY UPS GROUND CST
Item Part/Description Serial Number Quantity Unit Price Extended Price
000010 091-9C-HO-CHARGER 1.00 321.10000 321.10
PUMP PLUS HO CHARGER 12V A009419 1
000020 SHIPPING 1.00 0.00000 0.00
Shipping/Freight Charge, Ref Shipper No 007134
Shipped on 09/16/2013
Thank you for your order. Total Item Price 321.10
Tracking# 1Z1335780321913389 Shipping 0.00
Sales Tax 0.00
Total Inv Price US$ 321.10
_ Please-pay-balance-due-by Wednesday_October_16.201
CUSTOMER COPY
Page 1 Authorized Signature
VOUCHER NO. WARRANT NO.
ALLOWED 20
Kussmaul Electronics
IN SUM OF $
170 Cherry Avenue
West Sayville, NY 11796
$321.10
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1120 I 16022 j 43-510.00 I $321.10 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 SEP 2 3 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))
16022 $321.10
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