HomeMy WebLinkAbout226729 12/03/2013 CITY OF CARMEL, INDIANA VENDOR: 176650 Page 1 of 1
ONE CIVIC SQUARE KOORSEN ENVIRONMENTAL SERVICESCHECK AMOUNT: $355.90
CARMEL,INDIANA 46032 2719 N ARLINGTON AVE
INDIANAPOLIS IN 46218-3300 CHECK NUMBER: 226729
CHECK DATE: 12/3/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350100 3088989 355 . 90 BUILDING REPAIRS & MA
Kporsail INVOICE
FIRE & SECURITY 3088989 Date of 11/20/2013
Cust.
REMIT TO:Koorsen Fire$Security NQ,. Work: Order
2719 N Arlington Avenue #.
Indianapolis,IN 46218-3322 Invoice Date: 11/21/2013 SO#: 2661832 Date 12/16/2013
1-888-KOORSEN Include invoice#on check. Due:
Cust ID 01CAR3111 JOB# SERVICE01 / 0
Sold To: Location:
CARMEL CLAY COMMUNICATION CENT CARMEL CLAY COMMUNICATION CENT
31 1ST AVE NW 31 1ST AVE NW
CARMEL, IN 46032 CARMEL, IN 46032
01-VANAGS / 01-000693 / TKOl-07
NOVEMBER FIRE EXTINGUISHER SERV Annual Exp 10/2016
12.00 INSP-FE-A INSPECTION OF FIRE EXTINGUISHER ANNUAL 6.55 78.60
1.00 SIX-DC10 SIX YEAR MAINTENANCE DRY CHEM 10# STORED PRESSURE 39.75 39.75
1.00 BR6092A VALVE STEM,RPLCMNT-AMEREX DC/HALON ALUM P5 12.95 12.95
1.00 BROR27 O-RING,REPLACEMENT AM5241,BG16370 P10 4 .45 4.45
1.00 CIKLO11-01 LABEL, INSPECTION,HYDROTST 6YR,SLVR, INDPLS N/C .00
12 .00 CIKTO01 TAG, INSPECTION-KOORSEN *F/E -PAPER- YEL P50 N/C .00
12.00 CIKTO03 TAG,OSHA-KOORSEN PAPER MONTHLY INSPECT-BUFF P50 1.35 16.20
1.00 CIKTO23 COLLAR,SERVICE VERIFICATN SMALL P100 N/C .00
12.00 BRKSR SEAL,TAMPER KOORSEN LOGO YEAR 2013 RED P1000 N/C .00
1.00 EE13H-H EXCHANGE EXTINGUISHER 13# HALON HYDRO TESTED 139.00 139.00
1.00 99SCE1 SERVICE CALL FIRE EXTING 1 47.00 47.00
1.00 99FUELSC FUEL CHARGE T 7.95 7.95
1.00 99MATLGPB SERVICE MATERIALS GEN PROD B 10.00 10.00
TOTAL SALES/SERVICES XMP# 0031201550-020 355.90
TOTAL 355.90
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
355.90 0.00 0.00 355.90
VOUCHER NO. WARRANT NO.
ALLOWED 20
Koorsen Fire & Security, Inc.
IN SUM OF $
2719 N. Arlington Avenue
Indianapolis, Indiana 46218
$355.90
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1115
3088989 I 43-501.00 I $355.90 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
Tuesday, November 26, 2013
Director
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))
11/21/13 I 3088989 I I $355.90
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