229916 03/12/14 F. CITY OF CARMEL, INDIANA VENDOR: 367520
® it ONE CIVIC SQUARE FACILITY SOLUTIONS GROUP CHECK AMOUNT: S'""'1,348.00`
=4 CARMEL, INDIANA 46032 PO BOX 952143 CHECK NUMBER: 229916
�wiioN'�°" DALLAS TX 75395-2143 CHECK DATE: 03/12/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350100 330158 1,348.00 BUILDING REPAIRS & MA
FAOLJ
9900 Westpoint Drive Indianapolis, IN 46256 - 214-217-0190
Invoice# 330158
Customer No: 747431.-0002
Salesrep# 804 FSGE Service House
Work Address: Invoice Date I Due Date I Terms Page#
Monon Community Center 12/25/13 1 01/24/14 INET 30 1
1195 Central Park Drive West Called In By Customer P.O.# Call Date
Carmel, IN 46032 Dawn Koepper 36439 12/09/13
Work Order# Signed By Completed
Bill Address: 1487700 12/15/13
Carmel Clay Parks & Recreation Quote Nte Job#
1411 East 116th Street
Attn: Accounts Payable 1, 348 .001
Carmel, IN 46032
Service Requested
Relamp (32) 1000W fixtures in pool area, (11) 40OW wall
fixtures in pool area, (10) single 40OW ET18 fixtures in
pool area, (2) double 40OW ET18 fixtures in pool area.
Includes floor protection (81x4 ' 3/4" plywood) & lift.
Description of Work Performed
Technician completed work per quote. 7MA 2014
All requested work is 100% complete. DM
Signed off by: J. Ransford on 12/15/13
These services were quoted at a fixed price of: 1,348 .00
Sub Total 1,348.00
Sales Tax 0.00
Invoice Total 1,348.00
Balance Due 1,348 . 00
A 3% convenience fee will be added to all credit card payments.
Remit to: Facility Solutions Group P.O. Box 952143 - Dallas, TX 75395-2143
Please note Invoice# 330158 on return payment to insure accurate application of remittance.
F0..11s.,-s,d.e, whichhave not teen PaidCustomeragrees to pay a calculated service charge of 1.5%per month(not exceeding the highest amount lawfullyonat in this state). If litigation commences to collect payment of amounts due,Customer agrees to pay reasonable attorneys'sums which may be due.
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
367520 Facility Solutions Group Terms
P.O. Box 952143
Dallas, TX 75395-2143
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
12/25/13 330158 Relamp indoor pools 36439 $ 1,348.00
Total $ 1,348.00
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
20_
Clerk-Treasurer
Voucher No. Warrant No.
367520 Facility Solutions Group Allowed 20
P.O. Box 952143
Dallas, TX 75395-2143
In Sum of$
$ 1,348.00
ON ACCOUNT'OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1093 330158 4350100 $ 1,348.00 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
6-Mar 2014
Signature
$ 1,348.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund