244439 04/21/15 CITY OF CARMEL, INDIANA VENDOR: 369282
t. ONE CIVIC SQUARE BIG ASS SOLUTIONS CHECK AMOUNT: $ 570.00
?q' CARMEL, INDIANA 46032 PO BOX 1108 CHECK NUMBER: 244439
LEXINGTON KY 40588 CHECK DATE: 04/21/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 257729 570.00 OTHER EXPENSES
Delta T Corporation
dba Big Ass Solutions Remit Payment to:
Correspondence: Big Ass Solutions
P.O. Box 11307 P.O. Box 1108 ISIG �5 ,
Lexington KY 40575-1307 SOLUTIONS,
g Lexington KY 40588
Invoice: 257729 1N1/O10E Page: 1 of 1
Date: 2/4/2015
Sold To: 10301119 Ship To: 10301119
JEFF COOPER
CITY OF CARMEL CITY OF CARMEL
9609 Hazel Dell Pkwy 9609 Hazel Dell Pkwy
Indianapolis IN 46280-2935 Indianapolis IN 46280-2935
UNITED STATES UNITED STATES
ff
O Number: S149878 Terms: Trial 60 Days F.O.B: DEFAULTFOB
Sales Rep: BJ Baird Ordered: 1/30/2015 Ship Via: FedEx Freight
Packing Slip: 116310 Sales Order: 136855 Ship Date: 2/4/2015
Lme Quenty Part Nuimber/Description ., Unat Price Ext Price
Please Note that this Invoice. is related to your Trial Agreement for Big Ass High
Bay LED. As agreed, you have a 60 day trial period and if the product is
returned withinthat ti=me, you will owe nothing.
1 1.00 BAL-HBL1-20050103100100 570.000OOEA 570.00
Ceiling Light Fixture, LED,20,000 Lumens, Big Ass High
Bay LED, 5000K, 120-277V, Wide Lens, 1 Oft Power Cord,
Mounting-Cable 1 Oft
SerialNumber BALO-15029-182-01
Invoice laxes-
Line Description Taxable Amt Percent Amount
1 INDIANA 570.00 7.00 % 39.90 5-7o •(n
Pa meet`S6hu a �,
Total:USD 6
etl90
1 4/5/2015 609.90
Tota/ 609.90
riiiForrn:oo;:oo""For billing inquiry please contact Barbie Hauck at receivables@bigasssolutions.com, by phone at 859-977-1357,
or by fax at(859) 977-0730.
VOUCHER # 155327 WARRANT # ALLOWED
369282 IN SUM OF $
BIG ASS SOLUTIONS
PO BOX 1108
LEXINGTON, KY 40588
�I
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR ;I
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Board members
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PO# INV# ACCT# AMOUNT Audit Trail Code
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257729 01-7202-06 $570.00
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1
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Voucher Total $570.00
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
369282
BIG ASS SOLUTIONS Purchase Order No.
PO BOX 1108 Terms
LEXINGTON, KY 40588 Due Date 4/15/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
i
4/15/2015 257729 ! $570.00
4
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I hereby certify that the attached invoice(s), or bill(s) is (are)true and
11
correct and I have audited same in accordance with IC 5-11-10-1.6
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Date " Officer