241274 01/22/15 ,;r CITY OF CARMEL, INDIANA VENDOR: 367520
j; ® J ONE CIVIC SQUARE FACILITY SOLUTIONS GROUP CHECK AMOUNT: $*******300.00*
=Q CARMEL, INDIANA 46032 PO BOX 952143 CHECK NUMBER: 241274
49'''�i6N-�°';@ DALLAS TX 75395-2143 CHECK DATE: 01/22/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350100 821803 300.00 BUILDING REPAIRS & MA
FAau c�cW
9715 Kincaid Drive Ste 2000 Fishers, IN 46037 - 214-217-0190/
Invoice# 821803
Customer No: 747431-0002
Salesrep# 830 Bill Gustin
Work Address: Invoice Date Due Date I Terms Page#
Monon Community Center 01/07/15 02/06/15 INET 30 1
1195 Central Park Drive West Called In By Customer P.O.# Call Date
Carmel, IN 46032 Mike Kilpatrick 01/05/15
Work Order# Signed By Completed
Bill Address: 1652727 01/05/15
Carmel Clay Parks & Recreation Quote Nte Job#
1411 East 116th Street
Attn: Accounts Payable
Carmel, IN 46032
Service Requested
1. Provide "acid install -new -duplex -receptacle - surface mount - -- -
2. Utilizing existing circuitry and controls
71AM
7Description of Work PerformedTechnician completed work per quote. 0 7 2015
These services were quoted at a fixed price of: 300.00
Sub Total 300.00
Sales Tax 0.00
----------
Invoice Total 300.00
Balance Due 300.00
Remit to: Facility Solutions Group P.O. Box 952143 - Dallas, TX 75395-2143
Please note Invoice# 821803 on return payment to insure accurate application of remittance.
On all sums due, which have not been paid,Customer agrees to pay a calculated service charge of 1.5%per month(not exceeding the highest amount lawfully allowed by
contract 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
1/7/15 821803 Labor&material to move outlets in East Bldg 37956 $ 300.00
Total $ 300.00
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 I Allowed 20
P.O. Box 952143 1
I
Dallas, TX 75395-2143
In Sum of$
$ 300.00
i
I
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1093 821803 4350100 $ 300.00 1 hereby certify that the attached invoice(s), or
bill(s)is(are)true and correct and that the
i materials or services itemized thereon for
which charge is made were ordered and
received except
( January 15, 2015
I
Signature
$ 300.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
i