225882 11/05/2013 *F CITY OF CARMEL, INDIANA VENDOR: 178450 Page 1 of 1
ONE CIVIC SQUARE KUSSMAUL ELECTRONICS CO IN
CARMEL, INDIANA 46032 170 CHERRY AVE
CHECK AMOUNT: $36.31
WEST SAYVILLE NY 11796-1221
a� CHECK NUMBER: 225882
CHECK DATE: 11/5/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 17955 36 .31 REPAIR PARTS
`ZEDKUSSMAU` Invoice No 0000017955 ELECTRONICS Remit To:
Phone:800-346-0857 170 Cherry Ave. Sales Order No 008226-00
Fax:631-567-5826 West Sayville,
E-Mail:sales @kussmaul.com NY 11796
Packing List No 009335
Bill to : CAR033 Ship to :
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
United States United States
Phone(317)571-2600
Customer PO Number Invoice Date Terms FOB Ship Via Coordinator
E-46 JASON 10/18/2013 NET 30 DAYS WEST SAYVILLE, NY UPS GROUND RDL
Item Part/Description Serial Number Quantity Unit Price Extended Price
000010 3X681 1.00 26.00000 26.00
PRESSURE SWITCH
000020 SHIPPING 1.00 10.31000 10.31
Shipping/Freight Charge, Ref Shipper No 009335
Shipped on 10/18/2013
Thank you for your order. Total Item Price 26.00
Tracking# 1Z1335780321931654 Shipping 10.31
Sales Tax 0.00
Total Inv Price US$ 36.31
Please pay balance due by Sunday November 17 2013.
CUSTOMER COPY
Page 1 Authorized Signature
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))
17955 $36.31
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Kussmaul Electronics
IN SUM OF $
170 Cherry Avenue
West Sayville, NY 11796
$36.31
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#!TITLE AMOUNT Board Members
1120 I 17955 I 42-370.00 I $36.31 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
NOY 4 2013
s
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund