226404 11/19/2013 CITY OF CARMEL, INDIANA VENDOR: 358990 Page 1 of 1
ONE CIVIC SQUARE MUNICIPAL EMERGENCY SERVICES CHECK AMOUNT: $103.22
o CARMEL, INDIANA 46032 DEPOSITORY ACCOUNT
75 REMITTANCE DR STE 3135 CHECK NUMBER: 226404
CHICAGO IL 60675
CHECK DATE: 11/19/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4356003 462706 103 . 22 SAFETY ACCESSORIES
Invoice
fau MES- Indiana Number ......:00462706_SNV
KA E S 6975 Hillsdale Court Date .........: 10/31/2013
Indianapolis, IN 46250 Page .........: 1 of 2
Sales order ..: SO_400152
MUNICIPAL EMERGENCY SERVICES.INC. Requisition ...
Your ref. ......
Telephone : (888)322-8402 Our ref. ......: kschulthei
Fax ........: 317-596-1701 Payment .....:Net 30
Sales Rep ...: kschulthei
Inv Acct ......:30195
Bill To: Ship To:
CARMEL FD CARMEL FD
2 CARMEL CIVIC SQUARE 2 CARMEL CIVIC SQUARE
CARMEL, IN 46032 CARMEL, IN 46032
Denise Snyder
Item number Size Color Description Quantity Unit Unit price Amount
RP20Y LIME/YEL REFLEXITE 5.00 EA 18.00 90.00
TETRAS,SHEET OF 20
I
Merchandise Restocking Fee S&H Sales tax Discount Total due
90.00 0.00 13.22 0.00 0.00 103.22 USD
Thank You For Your Order !
All returns must be processed WWn 30 days of receipt and require a ruMm a0wrtradw number and are subject to a restocking fee.
Custom orders are not►ettonabke. EHecdve tax rate rWll be applkable at the time of invoice.
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))
462706 $103.22
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
Municipal Emergency Services
IN SUM OF $
75 Remittance Drive, Suite 3135
Chicago, IL 60675
$103.22
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1120 I 462706 I 43-560.03 I $103.22 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 18 2013
JJJfJ�'.^J
U
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund