HomeMy WebLinkAbout228062 1/14/2014 CITY OF CARMEL, INDIANA VENDOR: 178450 Page 1 of 1
ONE CIVIC SQUARE KUSSMAUL ELECTRONICS CO IN
CHECK AMOUNT: $233.24
CARMEL, INDIANA 46032 170 CHERRY AVE
WEST SAYVILLE NY 11796-1221 CHECK NUMBER: 228062
CHECK DATE: 1/14/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 21836 233 . 24 OTHER CONT SERVICES
m KUSSMAUL Invoice No 0000021836
ELECTRONICS Remit To:
Phone:800-346-0857 170 Cherry Ave. Sales Order NO 012167-00
Fax:631-567-5826 West Sayville,
E-Mail:sales@kussmaul.com NY 11796
Packing List No 013658
Bill to : CAR033 Ship to :
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
United States United States
Phone(317)571-2600
Customer PO Number Invoice Date Terms FOB Ship Via Coordinator
STOCK PART 12/27/2013 NET 30 DAYS WEST SAYVILLE, NY FED-EX GROUND JC
Item Part/Description Serial Number Quantity Unit Price Extended Price
000010 REPAIR OF 091-9 1.00 221.00000 221.00
S/N:20238 REPAIR#:P72041
000020 SHIPPING 1.00 12.24000 12.24
Shipping/Freight Charge, Ref Shipper No 013658
Shipped on 12/27/2013
Thank you for your order. Total Item Price 221.00
Tracking# 023887570013491 Shipping 12.24
Sales Tax 0.00
Total Inv Price US$ 233.24
Please pay balance due by Sunday January 26 2014.
CUSTOMER COPY
Page 1 Authorized Signature
VOUCHER NO. WARRANT NO.
ALLOWED 20
Kussmaul Electronics
IN SUM OF $
170 Cherry Avenue
West Sayville, NY 11796
$233.24
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1120 I 21836 I 43-509.00 I $233.24 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
JAN 1 3
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))
21836 Repair Auto Eject $233.24
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