225923 11/05/2013 CITY OF CARMEL, INDIANA VENDOR: 366503 Page 1 of 1
-, ONE CIVIC SQUARE ON-DUTY DEPOT INDIANAPOLIS CHECK AMOUNT: $104.45
s' CARMEL, INDIANA 46032 2090 RELIABLE PARKWAY
CHICAGO IL 60686 CHECK NUMBER: 225923
CHECK DATE: 11/5/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 4622 104 . 45 REPAIR PARTS
REMIT>TANCE'ADDRESS: �
..a y INVOICE
ON DUTY,DEPOT,
2090--RELIABLE PARKWAY'
CHICAGO' Date Invoice #
9750 EAST 150th STREET SUITE 900 " 10/29/2013 4622
NOBLESVILLE,IN 46060 (Address is for CHECKS Only!)
Phone: 317-770-7661 FAX: 317-770-7662
W W W.ONDUTYDEPOT.COM
SALES REP. DAVID
An MPD company/with
� DHARTMAN @ONDUTYDEPOT.COM
IMAFMI
INDUSTRIES BL IiNC.
B SALES RECEIPT#2056
Carmel Fire Department
1 2 Civic Square BOB VAN WORST
Carmel,IN 46032
L
L RRS-- —QQ-" ! .""SE.°, " vuL ^
MT
Code 3 Parts 10/29/2013 Net 30 11/28/2013'_�.
Quantity Item Code Description Price Each Amount
3 Replacement Bulb,Halogen#1198 Code3 Replacement Bulb,Halogen Clear 26.00 78.00T
Code 3's Replacement bulb For code 3 lighthead
T89990
1 Installation Kit for HG2 #5003 Code 3 Diffuser/Filter 9.95 9.95T
T02212
1• Replacement Lens'Clear 9x#1284 Replacement Lens Clear 90 16.50 16.50T
Code 3's Replacement Lens Code 9x7 Light head
T02321
Tax item'used for transactions created in QuickBooks 0.00% 0.00
POS
PLEASE, TROM THISaD&GMEN,,REFERENCE INV#-ON PAYMENT.°
f
We accept Visa,-Mastercard 'American Express&Discover
ro";pay by,cr card,please ca11 270 685 6374 FAX 270-6 ,orLhhudson,@mpdinc coin '-
Rt TURNS` ST BE WITHIN"3`0 DAYS(RETURN VIA TRACEABLE MEANS)
335)w ioA�15%Restocking Fee(or mimmum m rt' n to fr`e'ight charges TOTAL DUE $104.4$
Please call°'#above'Por return4'mstructions INCLUDE ALL PAPERWORK wrtH returns: IeaSe send checks 10
We have stores m KY IN and TNT Remittance Address
Headquarters,,'located�n Owensboro KY 1-877,-854,'-9222,,FAX 2767685 6379 at top of invoice.
VOUCHER NO. WARRANT NO.
ALLOWED 20
On-Duty Depot
IN SUM OF $
2090 Reliable Parkway
Chicago, IL 60686
$104.45
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 4622 I 42-370.00 I $104.45 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
NOV 4
gAW'-.*V OPP-
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))
4622 $104.45
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