239022 11/11/2014 W.��q
�y ''" CITY OF CARMEL, INDIANA VENDOR: 367520
/ � ONE CIVIC SQUARE FACILITY SOLUTIONS GROUP CHECK AMOUNT: $*******795.53*
s.. ?� CARMEL, INDIANA 46032 PO BOX 952143 CHECK NUMBER: 239022
9M�i roN�� DALLAS TX 75395-2143 CHECK DATE: 11/11/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350100 365504000 795.53 BUILDING REPAIRS & MA
FACIL17YSOLUTIInvoice# 3655040-00
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51 -440-7985 ext# 12150 Luressa Smith
xxxxk v oice Date Due Date Terms Page
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Cust# 747931-0003 ne
Ship to: Carmel Clay Parks & Recreation Placed By Customer P.O.# PO Date
Attn: Jim Ransford 106125 37418 10/17/14
1235 Central Park Drive East Dawn Koepper On all sums due FSG which have not been paid, Customer
agrees to promptly pay a calculated service charge of 1.5%per
Carmel, I N 46032 317-573-4026 month (not exceeding the highest amount lawfully allowed by
contract in this state). If FSG commences litigation to collect
payment of any amounts due, Customer agrees to pay
reasonable attorneys'fees which may be due.
Carmel Clay Parks & Recreation
Attn: Accounts Payable VIA SHIPPED SHIP#
1411 East 116th Street 0-NOT-SHIP
Carmel, IN 46032
Shipped from: FSG MDC MidWest
LN PRODUCT AND QUANTITY QUANTITY QUANTITY QTYUNIT PRICE AMOUNT
DESCRIPTION ORDERED B.O. SHIPPED UIM PRICE. U/M
1 EC5T832GUNV3L 5 EA 83.88 EA 419.40
EC5T832GUNV3L ECOSYS 3L 32WT8 DIM BLST
2 EC3DT4MWKU2S 5 EA 72.22 EA 361.10
EC3DT4MWKU2S 2L 26W T4 4-pin DBX 120/277V Dimm.
2 Lines Total Qty Shipped Total 10 Total 780.50
Shp/Hand-Out 15.03
Invoice Total 795.53
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0q3 - q- 3501 0 �
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Invoice delivery is now available to your email address. It's fast, easy and
environmentally responsible. To arrange for invoicing by email to one or more
email addresses, email our Customer Support team at creditdept@fsgi.com.
Remit to: Facility Solutions Group ****** PO Box 952143 Dallas TX 75395-2143 **'`***
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
10/17/14 365504000 Lighting ballasts 37418 $ 795.53
Total $ 795.53
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
1
i
Voucher No. Warrant No. I
367520 Facility Solutions Group ` Allowed 20
P.O. Box 952143
Dallas, TX 75395-2143
In Sum of$
$ 795.53
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
i
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1093 365504000 4350100 $ 795.53 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
i
i
6-Nov 2014
Signature
$ 795.53 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund