HomeMy WebLinkAbout226374 11/19/2013 CITY OF CARMEL, INDIANA VENDOR: 176650 Page 1 of 1
ONE CIVIC SQUARE KOORSEN ENVIRONMENTAL SERVICES
CHECK INDIANA 46032 CHECK AMOUNT: $112.51
2719 N ARLINGTON AVE
�.o�.,. INDIANAPOLIS IN 46218-3300 CHECK NUMBER: 226374
CHECK DATE: 11/19/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350000 3073914 112 . 51 EQUIPMENT REPAIRS & M
P R 0 A I R INVOICE
3073914 Date of 10/31/2013 c-st.
REMIT TO:Koorsen Fire&Security No.: Work: Order
2719 N Arlington Avenue #.
Indianapolis,IN 46218-3322 Invoice Date: 10/31/2013 SO#: 2678283 Date 11/25/2013
1-888-KOORSEN Include invoice#on check. Due:
Cust ID 21CAR0003 JOB# SERVICE21 / 0
Sold To: Location:
CARMEL POLICE DEPARTMENT CARMEL POLICE DEPARTMENT
3 CIVIC SQUARE 3 CIVIC SQUARE
ATTN: TERESA ANDERSON ATTN: TERESA ANDERSON
CARMEL, IN 46032 CARMEL, IN 46032
21-HOUSE / 21-HOUSE / STOCK21
QUANTITY
AMOUNT
SHIPMENT OF SCUBA YOKE WITH ADAPTER
1.00 SCUBA YOKE WITH ADAPTER 107.00 107.00
1.00 99SHIP SHIPPING CHARGE -TX- 5.51 5.51
TOTAL SALES/SERVICES 112 .51
7.00% INDIANA SALES TAX on 107.00 7.49
TOTAL 120.00
Pay online @ www.koorsen.com. To pay by credit card, please phone or return to us:
Circle:VISA MC AMEX Card Number — — —
Name on Card Expiration Date
Total Sales Taxable Sales Tax Amount Shipping Charge Invoice Total I=>
112.51 107.00 7.49 120.00
VOUCHER NO. WARRANT NO.
Koorsen Fire & Security ALLOWED 20
IN SUM OF $
2719 N Arlington Ave
Indianapolis, IN 46218-3322
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
( -5 I hereby certify that the attached invoice(s), or
1110 3073914 I 43-500.00 22 0.Q
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
Thursday, November 14, 2013
Chief of Police
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))
10/31/13 3073914 scuba yoke with adapter $120.00
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