241790 02/03/15 r Coq
J`�u ';c. CITY OF CARMEL, INDIANA VENDOR: 00352503
® `i!r ONE CIVIC SQUARE MIDLAND ELECTRIC SUPPLY INC CHECK AMOUNT: $*******624.65*
x. aq CARMEL, INDIANA 46032 5818 MASSACHUSETTS AVE CHECK NUMBER: 241790
9M,�TON. INDIANAPOLIS IN 46218 CHECK DATE: 02/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 62996 624.65 OTHER EXPENSES
MIDLAND ELECTRIC SUPPLY INC. HNVOOCE
5818 MASSACHUSETTS AVE NUE
INDIANAPOLIS, IN 46218-2567 Invoice Number: 62996
Invoice Date: Jan 7,2015
Page: 1
Voice: (317) 542-1096
Fax: (317) 549-0645
http://www.midiandelectricsupply.com
Bill,To: Ship to:
CARMEL WASTEWATER UTILITIES(WWTP) CARMEL W.W.T.P.
ACCOUNTS PAYABLE LARRY 716-3935
760 THRID AVE. SW, SUITE 110 9609 HAZEL DELL PARKWAY
CARMEL, IN 46032 INDIANAPOLIS, IN 46280
Customer ID Customer'PQ Payment Terms
--- ---------CAR528-- VER&ACLARR T°io f0;Net-30 Days
Sales Rep l) Shipping Method _ Ship"Date Due Date.
JL WILL CALL 1/7/15 2/6/15
77-
Quantity":B/O'Qty Item = " Description , if rid Amount
1.00 22CUC32AA SIEMENS STRTR, FVR SZO, 3-12A, OPEN, 624.65 624.65
120V-240V DUAL COIL
REF SO# 108640
If paid by check, NO POST DATED CHECKS. No joint Subtotal 624.65
checks accepted. There will be a$25.00 fee for all NSF Sales Tax
checks.
Freight
Total Invoice Amount 624.65
Payment/Credit Applied
TOTAL AMOUNT DUE, 624.65
Our Return Policy for credit is 30 days. All warranty and non-stock items are subject to manufacturer approval. All made to order material is non
cancellable,nonreturnable. For all stock items,there will be a$10.00 or 25%restocking charge,whichever is greater,unless otherwise agreed upon.
Merchandise is not returnable for credit without written authorization.
VOUCHER # 146568 WARRANT# j ALLOWED
352503
IN SUM OF $
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MIDLAND ELECTRIC SUPPLY INC '
5818 Massachusetts Avenue i
ii
Indianapolis, IN 46218 Zq;-7
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNTAudit Trail Code
,I ,
62996 01-7202-06 $624.65
i
I
4
I
Voucher Total $624.65 1
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
I
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
352503 i
MIDLAND ELECTRIC SUPPLY INC i Purchase Order No.
5818 Massachusetts Avenue Terms
Indianapolis, IN 46218 ; Due Date 1/28/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/28/2015 62996 $624.65
i
I
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 5-11-10-1.6
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Date Officer