250210 10/07/2015 i
♦W.C;IA•Nf
�" CITY OF CARMEL, INDIANA VENDOR: 367520
j ® "i; ONE CIVIC SQUARE FACILITY SOLUTIONS GROUP CHECK AMOUNT: $"""'659.14*
CARMEL,INDIANA 46032 PO BOX 952143 CHECK NUMBER: 250210
4i�oH-�, DALLAS TX 75395-2143 CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350000 385406900 659.14 EQUIPMENT REPAIRS & M
i
FACILITYSOLUTIONSrou�„/ Invoice# 3854069-00
�J 1- 512-440-7985 Inside Sales
5091 Steadmont Houston, TX 77040 Invoice Date Due Date Terms Page
ne
Cust# 747431-0002 U9724/ib iU/z4/1D
Ship to: Monon Community Center Placed By Customer P.O.# PO Date
106125 39096 09/24/15
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, I N 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
A SHIPPED SHIP
Attn: Accounts Payable VI
1411 East 116th Street rnd-Commerc 09/24/15
Carmel, IN 46032
Attn: Mike or Jim
Shipped from: FSG Houston
LN PRODUCT AND QUANTITY QUANTITY QUANTITY QTY UNIT PRICE I AMOUNT
DESCRIPTION ORDERED B.O. SHIPPED U/M PRICE UIM
1 EC5T554JUNV-2 6 0 6 EA 106.71 EA 640.26
EC5T554JUNV-2 Lutron ballast
1 Lines Total Qty Shipped Total 6 Total 640.26
Shp/Hand-Out 18.88
Invoice Total 659.14
SEP 218 2015
�Y:
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.
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
9/24/15 385406900 Staff office ballast 39096 $ 659.14
Total $ 659.14
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
, 20
Clerk-Treasurer
Voucher No. Warrant No.
367520 Facility Solutions Group Allowed 20
P.O. Box 952143
Dallas, TX 75395-2143
In Sum of$
$ 659.14
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. ACCT#fTITLE AMOUNT Board Members
Dept#
1093 385406900 4350000 $ 659.14 1 hereby certify that the attached invoice(s), or
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
October 1, 2015
Signature
$ 659.14 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund