246784 06/30/15 a°�'��Nb
�. CITY OF CARMEL, INDIANA VENDOR: 367520
® ONE CIVIC SQUARE FACILITY SOLUTIONS GROUP CHECK AMOUNT: $*****2,435.72*
r ?� CARMEL, INDIANA 46032 PO BOX 952143 CHECK NUMBER: 246784
9a`,��TON�°. DALLAS TX 75395-2143 CHECK DATE: 06/30/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350000 380049100 150.72 EQUIPMENT REPAIRS & M
1093 4350100 870357 2,285.00 BUILDING REPAIRS & MA
FAau a\6grap
9715 Kincaid Drive Ste 2000 Fishers, IN 46037 - 214-217-0190/
Customer No: 747431-0002 Invoice# 870357
Salesrep# 830 Bill Gustin
Work Address: Invoice Date I Due Date I Terms Page#
Monon Community Center 06/17/15 1 07/17/15 INET 30 1 1
1195 Central Park Drive West Called In By Customer P.O.# Call Date
Carmel, IN 46032 Mike 5625 05/11/15
Work Order# Signed By Completed
Bill Address: 1707769 06/15/15
Carmel Clay Parks & Recreation Quote Nte Job#
1411 East 116th Street
Attn: Accounts Payable 2,285,001 0
Carmel, IN 46032
Service Requested
Pool--area emergency"--light ng repair. See Mike upon arrival. RIF,C IP-11 i 7lk -'XD
Description of'Work Performed i JUN 18 2015
Technician arrived onsite & checked in with Mike. Troubleshot lighting,.__„ j
issues. Found burnt wiring in Payne Sparkman unit. Need to order new unit_- _---------. __'
& replace. Spoke with Carl @ Payne Sparkman & ordered unit per Mike's
instruction. While onsite, tech looked .at additional light outages.
Replaced (2) lamps & (2) ballast(s) (customer supplied) .
Ordering new Payne Sparkman unit & returning before hours to install due to
safety protocol.
Returned & installed Payne Sparkman parts as quoted.
These services were quoted at a fixed price of: 2,285.00
Sub Total 2,285.00
Sales Tax 0.00
Invoice Total 2,285.00
Balance Due 2,285.00
Remit to: Facility Solutions Group P.O. Box 952143 - Dallas, TX 75395-2143
Please note Invoice# 870357 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 maybe due.
FACILITYSOLUTIONSaroup Invoice# 3800491-00
�/ 1- 512-440-7985 Inside Sales
5091 Steadmont Houston, TX 77040 Invoice Date Due Date Terms Page
net
Cust# : 747431-0002
Ship to: Monon Community Center Placed By Customer P.O.# PO Date
106125 XX-2318 06/18/15
1195 Central Park Drive West 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, IN 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 VIA SHIPPED I SHIP#
Attn: Accounts Payable
1411 East 116th Street rnd-Commerc 06/18/15
Carmel, IN 46032
Attn: Jim
Shipped from: FSG Houston
LN PRODUCT AND - QUANTITY -QUANTITY _ QUANTITY _ QTY- _ UNIT PRICE AMOUNT
DESCRIPTION ORDERED B.O. SHIPPED U/M PRICE U/M -
1 19937 4 0 4 EA 34.07 EA 136.28
B224PUNV-C 2L 24W T5 HO 120/277V Electronic
1 Lines Total Qty Shipped Total 4 Total 136.28
Shp/Hand-Out 14.44
Invoice Total 150.72
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. ti
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
6/17/15 870357 Repair Payne Sparkman pool lighting box 38683 $ 2,285.00
6/18/15 380049100 Replacement of Universal Accustart ballast xx2318 $ 150.72
Total $ 2,435.72
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 Allowed 20
P.O. Box 952143
Dallas, TX 75395-2143
In Sum of$
$ 2,435,72 I
i
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
Po#or INVOICE No. ACCT#1TITL AMOUNT ? Board Members
Dept#
1093 870357 4350100 $ . 2,285.00. 1 hereby certify that the attached invoice(s), or
1093 380049.100 ;; 35DOC�17 $ 150.72 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
June 25, 2015
Signature
$ 2,435.72 I Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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