243760 03/31/15 CITY OF CARMEL, INDIANA VENDOR: 368041
•ii ® ONE CIVIC SQUARE LUMINAIRE SERVICE INC CHECK AMOUNT: $*******123.75*
CARMEL, INDIANA 46032 10652 DEANDRA DRIVE CHECK NUMBER: 243760
ZIONSVILLE IN 46077 CHECK DATE:, 03/31/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4350000 62316 123.75 EQUIPMENT,REPAIRS & M
Invoice
Luminaire Service, Inc. . , : . � L.UIV' INAIRE
10652 Deandra Drive
Zionsville, IN 46077 LMAR 2 3 2015 c o M NI E R C I A L ' L I O H T I N c
(317) 808-7010 (317) 808-7015 (fax) j
3/13/2015
Invoice No.: 62316
Bill to: Carmel Clay Parks & Recreation Service at: Monon Community Center
1427 E. 116th Street 1235 Central Park Drive, Carmel Clay Park_
Carmel, IN 46032 Carmel, IN 46032
Description: Work Order 24394 Indoor Service Customer ID: 1275
_ Reference: Work Order 24394
Terms e_n-0-Days - - PO Number: Tq -
Item Description Quantity Unit Price Amount
Labor
Performed troubleshooting. 1.25 $75.00 $93.75
Labor Subtotal: $93.75
Miscellaneous
Trip Charge 1.00 $30.00 $30.00
Miscellaneous Subtotal: $30.00
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Purchaser Q Dato: ac3
Straightened the disconnect and reattached wires to the breaker to clear the short. Subtotal: $123.75
Sales Tax: $0.00
Payments: $0.00
Total Due: $123.75
ITEM
M F . LUMINAIRE
G QTY MATERIAL BTOTAL
NO. O COST COST service,inc. 2828 N. Webster Avenue Indianapolis, Indiana 46219
317-808-7010 FAX 317-808-7015
COMMERCIAL L10HTINO 800-899-0448
ORDER
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COST.
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LABOR ' OFFICE Customer signatureg satisfactory completion
TYPE DATE NAME FROM TO HOURS USE ONLY below acknowledges satisfacto letion of work. WORK
COMPLETED
CUSTOMER YES NO
I SIGNATURE DATE
LABOR OFFICE
.21 3 /f3�l !J y j 'j `� G�', TYPE DATE NAME FROM TO HOURS USE ONLY
r
II TECHNICIAN SIGNATURE
V WHITE-OFFICE CANARY-CUSTOMER BILLING GOLDENROD-PAYROLL GREEN-CUSTOMER
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.
368041 Luminaire Service, Inc. Terms
10652 Deandra Drive
Zionsville, IN 46077
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
3/13/15 62316 Repair Monon Greenway Traffic light xx1879 $ 123.75
Total $ 123.75
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
i
Voucher No. Warrant No.
I
368041 Luminaire Service, Inc. Allowed 20
10652 Deandra Drive �.
Zionsville, IN 46077
In Sum of$
$ 123.75
1
ON ACCOUNT OF APPROPRIATION FOR
f
101 General Fund
i
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 62316 4350000 $ 123.75 1 hereby certify that the attached invoice(s), or
bill(s)is(are)true and correct and that the
l
materials or services itemized thereon for
` which charge is made were ordered and
` received except
i
J
i
March 25, 2015
l Q`
Signature
$ 123.75 Accounts Payable Coordinator
Cost distribution ledger classification if i Title
claim paid motor vehicle highway fund