238783 11/05/14 CITY OF CARMEL, INDIANA VENDOR: 056800
ONE CIVIC SQUARE CHAPMAN ELEC SUPPLY INC CHECK AMOUNT: $********42 29*
CARMEL, INDIANA 46032 1500 WESTFIELD ROAD CHECK NUMBER: 238783
9y�ioN. NOBLESVILLEIN 46062 CHECK DATE: 11/05/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
609 5023990 1091132 42.29 OTHER EXPENSES
INVOICE
Chapman Electric Supply, Inc. INVOICE
Branch: 01 Main Branch 1091132
1500 Westfield Rd. Invoice Date Page
Noblesville,,IN 46062 10/10/2014 15:33:141 1 of 1
ORDER NUMBER
1096149
317-773-6712
Bill To: Ship To:
CITY OF.CARMEL-UTILITIES CITY.OF CARMEL-UTILITIES
3450 W. 131ST STREET 3450 W. 131ST STREET
CARMEL,IN 46074 CARMEL,IN 46074
— Customer]D:-1-00569 - — - -- -- — -— - ---- --—-- --- -----
PO Number Terms Description Net Due Date Disc Due Date Discount Amount
" TJ10I014 Net 30 11/09/14 11/09/14 0.00
Order Date Pick Ticket No Primary Sa[esrep Name Taker
10/10/2014 14:10:32 1080714 HOUSE ACCOUNT DOUG
Quantities Pricing
Item ID UOM Unit Extended
Ordered .S1Up'p'edj Reritaining UUMa Item Description Unit Size Price Price
Unit Size A
Carrier: Tracking#:
4.0000 4.0000 0.0060 EA FERATQR8 EA 10.571429 42.29
1.0 CLASS CC 8A 500V FUSE 1
Shipment Accepted By:T7
• ire , .
"Totai Lin&s.•1 F' SUB-TOTAL: 42.29
TAX: o.00
__:...:... ...: _ AMOUNTDUE., 42.29
ORIGINAL
VOUCHER # 142171 WARRANT# ALLOWED
56800 IN SUM OF $
CHAPMAN ELECTRIC SUPPLY INC.
1500 Westfield Road
Noblesville, IN 46060
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
1091132 07-1052-12 $42.29
Voucher Total $42.29
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
56800
CHAPMAN ELECTRIC SUPPLY INC. Purchase Order No.
1500 Westfield Road Terms
Noblesville, IN 46060 Due Date 10/28/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/28/201, 1091132 $42.29
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.
Date fficer