250280 10/07/15 Cqq
CITY OF CARMEL, INDIANA VENDOR: 154450
o: t
® it ONE CIVIC SQUARE INDIANA POWER SVC & SUPPLY INC CHECK AMOUNT: S"""'1,464.00"
?� CARMEL, INDIANA 46032 1415 COUNTRY CLUB ROAD CHECK NUMBER: 250280
INDPLS IN 46234 CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350000 33107 S20537 1,464.00 GENERATOR REPAIR
Indiana Power Service & Supply, Inc.
1415 Country Club Road Invoice Number: S20537
Indianapolis, IN 46234 Invoice Date: Se 22, 2015
USA p
Page: 1
Voice: 317/271-1672 S0091 Ei1 5-8
Fax: 317/271-1673
Bill To: 'Seruiice Location
Carmel Clay Communications Carrnel Clay Communications
31 First Avenue N.W. 31 First Avenue N. W.
Carmel, IN 46032 Carmel, IN 46032
Customer ID Customer P4"D Payment Terms
CARM�F- 3�310iw._rz:==��,-_�m..._:,__.–__- fJet 30 Days
Technician ID Requested by Service Date Due Date
RLC ci/16115 10/22/15
Quantity Item Description Unit Price Amount
1.25 LB TOTAL HOURS LABOR 90.00 112.50 i
2.00 TT TOTAL TRAVEL TIME 90.00 180.00
54.00 ML TOTAL MILEAGE . 1.25 67.50,
1.00 OIL PRESSURE SENDER #193-.0448 309.00 309.00
1.00 AIR FILTER#140-:131,117 91.00 91.00
1.00 AIR FILTER#GM4.2266 37.00 37.00,'
1.00 REMOTE ANNUNCIATOR #x`300-5929-02 642.00 642.00
REPLACED AIR FILTER, OIL PRESSURE
SWITCH AND REMOTE ANNUNCIATOR
ON THE OMAN 150KW(3ENERATOR.
I
REPLACED AIR FILTER ON THE:: KOHLER
20 KW GENERATOR.
IKOHLER MODEL 2DOERD
SERIAL#2073662
HOURS
ONAN MODEL. 150DGFA
SERIAL#D970636166
Subtotal Continued
Sales Tax Continued:
Shipping-- ------------- --- ----- Continued
Total Invoice Arnount Continued
Check/Credit Memo No: Payment/Credit Applied
TOTAL – _ —_ Continued
Overdue invoices are subject to late charges.
Indiana Power Service & Supply, Inc.
1415 Country Club Road Invoice Number: S20537
Indianapolis, IN 46234 Invoice Date: Se 22, 2015
USA p
Page: 2
Voice: 317/271-1672 SO091515-8
Fax: 317/271-1673
Bill To: Service Location
Carmel Clay Communications Carmel Clay Communications
31 First Avenue N.W. 31 First Avenue N. W.
Carmel, IN 46032 Carmel, IN 46032
_ Customer ID .Customer PO Payment Terms �
CARM 33107 Net 30 Days —
Technician ID ^Requested by Service Date I Due Date
RLC 9/16/15 10/22/15
Quantity Item J Description _ Unit Price Amount
CONTACT IS BRIAN SMITH AT 671.2694
OR 460.7744
I
I I
Subtotal 1,439.00
Sales
Shipping 25.00
Total Invoice Amount 1,464.00
Check/Credit Memo No: Payment/Credit Applied
TOTAL 1,464.00
Overdue invoices are subject to late charges.
m INDIANA RETAIL TAX EXEMPT Page 1 of 1
Cty
� of
Carel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NU BER
FEDERAL EXCISE TAX EXEMPT 33107
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION N0. VENDOR NO. DESCRIPTION
8126/2015 154450 Generator Repair at CCC
INDIANA POWER SVC &SUPPLY INC Communications
VENDOR 1415 COUNTRY CLUB ROAD SHIP 31 1st Avenue N.W.
TO Carmel, IN 46032-
INDPLS JN 46234- (317) 571-2576
CONFIRMATION BLANKET I CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1115 Account: 43-500.00 Fund., 101 General Fund
1 Each Generator repairs $1,464.00 $1,464.00
Sub Total $1,464.00
Send Invoice To:
Communications
31 1st Avenue N.W.
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECTACCOUNT AMOUNT
PAYMENT $1,464.00
SHIPPING INSTRUCTIONS A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
*SHIP PREPAID. VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
*C.O.D.SHIPMENT CANNOT BE ACCEPTED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. THIS AP ROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
TIT D' a or
DOCUMENT CONTROL NO. 33107 CLERK-TREASURER
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s) or bill(s))
09/22/15 I S20537 I I $1,464.00
1115 101
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.
ALLOWED 20
INDIANA POWER SVC & SUPPLY INC
1415 COUNTRY CLUB ROAD IN SUM OF $
INDPLS, IN 46234
$1,464.00
ON ACCOUNT OF APPROPRIATION FOR
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
33107 I 520537 I 43-500.00 I $1,464.00 1 hereby certify that the attached invoice(s), or
1115 101
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
Thursday, October 01, 2015
Terry rockett, Director
Cost distribution ledger classification if
claim paid motor vehicle highway fund