227440 12/17/2013 CITY OF CARMEL, INDIANA VENDOR: 358990 Page 1 of 1
ONE CIVIC SQUARE MUNICIPAL EMERGENCY SERVICES CHECK AMOUNT: $1,523.10
CARMEL, INDIANA 46032 DEPOSITORY ACCOUNT
75 REMITTANCE DR STE 3135 CHECK NUMBER: 227440
CHICAGO IL 60675
CHECK DATE: 12/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4356003 473487 97 . 10 SAFETY ACCESSORIES
1120 4356003 24503 PB-404240 1, 426 . 00 PLUG & CRIBBING BAGS
MES - Indiana Telephone (888)322-8402
6975 Hillsdale Court Fax 317-596-1701
Indianapolis, IN 46250 KA E ra
MUNUM EMERCEW 5EIMCE5,INC.
Ship To: Invoice
CARMEL FD
2 CARMEL CIVIC SQUARE Number PB_404240
CARMEL, IN 46032 Date 10/30/2013
Page 1 of 1
Contact: Sales order,{ SO_404240
Phone: Requisition,'
Your ref.
Our ref. kschulthei
Bill To: Payment Net 30
CARMEL FD Sales Rep !, kschulthei
2 CARMEL CIVIC SQUARE Terms of delivery Customer Pays Freight-NOT Taxable
CARMEL, IN 46032 Ship complete No
Item number Description Size Color Quantity Unit Unit price Amount
S2G Hydrant Wrench Plug Bag 18" L x 9"W x 10" 7.00 EA 158.00 1,106.00
-Add Shoulder Strap like High
Rise Bag
-Add Carmel Fire Dept. Patch
on Flap
Custom Cribbing Bag Cribbing Bag 26 x 16 x 16 With 2.00 EA 140.00 280.00
CFD on the Bag
Sales balance Deposit received S&H Sales tax Total
1,386.00 0.00 40.00 0.00 1,426.00 USD
All returns must be processed within 30 days of receipt and require a return authorization number and are subject to a restocking fee.
Custom orders are not returnable.Effective tax rate will be applicable at the time of invoice.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Municipal Emergency Services
IN SUM OF $
75 Remittance Drive, Suite 3135
Chicago, IL 60675
$1,426.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
24503 I PB-404240 I 43-560.03 I $1,426.00 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
PEC 1 6 2010
Fire Chief
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
Nhom, 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))
P B-404240 $1,426.00
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
120
Clerk-Treasurer
I nvoice
MES- Indiana Number ......:00473487_SNV
KAES 6975 Hillsdale Court Date .........: 12/10/2013
Indianapolis, IN 46250 Page .........: 1 of 2
Sales order ..:SO_413425
MUNICIPAL EMEa8ENCYSENYICE3,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
13002 10.OW BLK 019 ATAC 8"Station Plus(MES 1.00 EA 90.00 90.00
Exclusive)
Merchandise Restocking Fee S&H Sales tax Discount Total due
90.00 0.00 7.10 0.00 0.00 97.10 USD
Thank You For Your Order !
All returns must be processed within 30 days of receipt and require a return authorization number and are subject to a restocking fee.
Cuslcm orders are not retumable.Efliecdve tax fate will be applicable at the time of Invoice.
VOUCHER NO. WARRANT NO.
Municipal Emergency Services ALLOWED 20
IN SUM OF $
75 Remittance Drive, Suite 3135
Chicago, IL 60675
$97.10
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1120 I 473487 I 43-560.03 I $97.10 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
DEC 16 rL
� 12 _
C ..P
C
Fire Chief
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))
473487 $97.10
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
120
Clerk-Treasurer