227489 12/17/2013 CITY OF CARMEL, INDIANA VENDOR: 359261 Page 1 of 1
ONE CIVIC SQUARE SAFETY SYSTEMS
CARMEL, INDIANA 46032 4113 TURNER ROAD CHECK AMOUNT: $1,989.10
RICHMOND IN 47374 CHECK NUMBER: 227489
�iro_co
CHECK DATE: 12/1712013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4467099 24527 131209I5 1, 328 . 19 LIGHTS - E40
102 4467099 24527 131209I6 660 . 91 LIGHTS - E40
Safety Systems INVOICE
4113 Turner Road
Richmond, IN 47374 Invoice Number: 13120915
Invoice Date: Dec 9, 2013
Page: 1
Voice: 765-935-3566 Duplicate
Fax: 765-935-9713
Carmel Fire Dept.
2 Civic Square
Carmel, IN 46032
CustcmeiD x Gustomer�PO ff Pa ment Terms z k
- � ,- �.. a a��
�� ....rte..-� _. ..�� :�� ..,��,.��
--- carmelf.d. cz-- Q Cv.� � —Net-30-Days— —_
:� ¢ SalesRep IQ �' m °Shppirtg.Methotl'� Du'e Date '
UPS Ground 1/8/14
N �+ P Y� ARM °rte
Quanttty� E item Description': Unit Price mount`
-'E .°�_'_..:,:.��� ' .�3, _.— .�.�...,,,: .n�ae�Yim��.� �
1.00 PFP213 —° 862.80 862.80
1.00 PBAKMEB 96.60 96.60
2.00 6SCOENZR — 177.60 355.20
1.00 shipping shipping 13.56 13.56
Subtotal 1,328.16
Sales Tax
Total Invoice Amount 1,328.16
Check/Credit Memo No: Payment/Credit Applied
Safety Systems INVOICE
4113 Turner Road
Richmond, IN 47374 Invoice Number: 13120916
Invoice Date: Dec 9, 2013
Page: 1
Voice: 765-935-3566 Duplicate
Fax: 765-935-9713
Carmel Fire Dept.
2 Civic Square
Carmel, IN 46032
carmel f-d. --Net-30 Days-
2W,Saies',ReDrxShipping Method' „c cShipDate " Due Date
3..
UPS Ground 1/8114
� f
Quantity them .. ,. F m De criptionUn�t Pnee..� yam.. •,Amount
� ... .. .
2.00 6EFLANGE 11.70 23.40
2.00 9SCOENZR 314.40 628.80
1.00 shipping shipping 8.71 8.71
Subtotal 660.91
Sales Tax
Total Invoice Amount 660.91
Check/Credit Memo No: Payment/Credit Applied
f,
VOUCHER NO. WARRANT NO.
ALLOWED 20
Safety Systems
IN SUM OF $
4113 Turner Road
Richmond, IN 47374
$1,989.10
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
24527 13120915 102-670.99 $1,328.19 1 hereby certify that the attached invoice(s), or
24527 13120916 102-670.99 $660.91 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
ZK ."a
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))
13120915 $1,328.19
13120916 $660.91
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