225075 10/08/2013 CITY OF CARMEL, INDIANA VENDOR: 359261 Page 1 of 1
ONE CIVIC SQUARE SAFETY SYSTEMS
CARMEL, INDIANA 46032 4113 TURNER ROAD CHECK AMOUNT: $5,442.00
RICHMOND IN 47374 CHECK NUMBER: 225075
CHECK DATE: 10/8/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4467099 13919I1 5, 442 . 00 OTHER EQUIPMENT
Safety Systems 0MV(DICE
4113 Turner Road
Richmond, IN 47374 Invoice Number: 1391911
Invoice Date: Sep 19, 2013
Page: 1
Voice: 765-935-3566 Duplicate
Fax: 765-935-9713
Biii°To: Shipto.:.;
Carmel Fire Dept.
2 Civic Square
Carmel, IN 46032
Customer ID.• .�' -- Customer Raymenf Terms:
Carmel f.d. —Net 30-D ays
" Sales'.Re IQ. _ _ .: Shi in Method ::
p pp 9 r X>rck;;A. Shi Date' Due.Date.
p:.
Cust. Pickup 10/19/13
:_ `t ; :=Amount
Quantt` ;tt= :Item "_`:` . F.wDesc�iption;" . . a-4 r Unif`Price: a.
Y ,
1.00 PACE Custom Truck Cabinet 5,442.00 5,442.00
Subtotal 5,442.00
Sales Tax
Total Invoice Amount 5,442.00
Check/Credit Memo No: Payment/Credit Applied
To TA • r,:%,'. f,.: 5,442:00
"" r ::;
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))
1391911 $5,442.00
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
Safety Systems
IN SUM OF $
4113 Turner Road
Richmond, IN 47374
$5,442.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1120 I 1391911 1 102-670.99 I $5,442.00 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
OCT -7 20 13
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund