226661 12/03/2013 CITY OF CARMEL, INDIANA VENDOR: 359513 Page 1 of 1
ONE CIVIC SQUARE FIRE SYSTEMS SERVICES INC
CARMEL, INDIANA 46032 1424 SADLIER CIRCLE E DR CHECK AMOUNT: $685.00
.' t:°.• INDIANAPOLIS IN 46239 CHECK NUMBER: 226661
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CHECK DATE: 12/3/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 S13-5484 350 . 00 OTHER EXPENSES
601 5023990 S13-5490 335 . 00 OTHER EXPENSES
FIRE SYSTEMS SERVICES, INC. Invoice
1424 Sadlier Circle E. Drive
Indianapolis, IN 46239 DATE INVOICE#
(317) 375-4390 11/19/2013 513-5490
(317) 375-4391 FAX
BILL TO SHIP TO
City of Carmel Wastewater Utilities Carmel Water Ops Facility
Accts Payable
3450 West 131 st Street
Westfield, IN 46074
P.O. NO. TERMS PROJECT/JOB
Greg Net 15 days
QTY DESCRIPTION RATE AMOUNT
Serviced Dry Pipe Valve.
3 Hours Labor (Regular Time 85.00 255.00
1 Truck Trip Charge 80.00 80.00
0.00% 0.00
Thank you for your business.
Total $335.00
FIRE SYSTEMS SERVICES, INC. Invoice
1424 Sadlier Circle E. Drive
Indianapolis, IN 46239 DATE INVOICE#
(317-) 375-4390 11/12/2013 513 5484
(3)17) 375-4391 FAX
BILL TO SHIP TO
City of Carmel Wastewater Utilities Carmel Water Ops Facility
Accts Payable
3450 West 131 st Street
Westfield,IN 46074
P.O. NO. TERMS PROJECT/JOB
Grey Net 15 days
QTY DESCRIPTION RATE AMOUNT
Witnessed 2013 Fire Sprinkler Testing and Inspection.
350.00 350.00
0.00% 0.00
Thank you for your business.
Total $350.00
VOUCHER # 133409 WARRANT#. ALLOWED
359513 IN SUM OF $
FIRE SYSTEMS SERVICES INC
L�iov c iiT� n
INDIANAPOLIS, IN 46239
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
S13-5484 01-6360-06 $350.00
513-5N 9b `� 33Sc}c�
Voucher Total $900
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
359513
FIRE SYSTEMS SERVICES INC Purchase Order No.
1445 BROOKVILLE WAY, SUITE D Terms
INDIANAPOLIS, IN 46239 Due Date 11/20/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/20/201, S13-5484 $350.00
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
I 112 -7/,?
Date Officer