250580 10/21/15 *" CITY OF CARMEL, INDIANA VENDOR: 00351914
it ONE CIVIC SQUARE BARTH ELECTRIC COMPANY CHECK AMOUNT: $"""7,619.10'
CARMEL, INDIANA 46032 1934 N ILLINOIS ST CHECK NUMBER: 250580
INDIANAPOLIS IN 46202 CHECK DATE: 10/21/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 R4350000 32393 145179 1,757.28 REPAIR TORNADO SIREN
1115 4350000 146454 4,907.35 EQUIPMENT REPAIRS & M
1115 R4350000 32393 146454 954.47 REPAIR TORNADO SIREN
INVOICE
14+ 454.
No. 146454
BARTH ELECTRIC COMPANY, INC.• 1934 NORTH ILLINOIS STREET• INDIANAPOLIS, INDIANA 46202•(317) 924-6226
SOLD TO: CITY OF CARMEL DATE.. 10/8 12015
31 FIRST AVE NW
YOUR ORDER NO:
CARMEL, IN 46032TM 143970 4
OUR JOB'NO:
ALL INVOICES DUE 10 DAYS FROM
DATE OF INVOICE. NO CASH DISCOUNT
#. 1048
DESCRIPTION PRICE
Name of Project: SIREN 410
Location:
Work Ordered By: TODD LUCKOSKI
Description of Work:
CHECKED SIREN,FOUND CONDUCTORS BETWEEN DC POWER SUPPLY AND CONTROL PANEL BURNED
REPLACED CONDUCTORS AND TEST-OK
FOUND CHOPPER CONTACTOR DAMAGED
REPLACED CONTACTOR AND TEST-OK
PARTIAL#2
MATERIAL $1,887.82
LABOR DATES 7/28-9/04 LABOR 3,884.00
MOBILIZATION/TOOL CHARGES 90.00
TOTAL AMOUNT DUE $5,851.82
Please remit to:
Barth Electric Co., Inc.
An Equal Opportunity Employer 1934 N. Illinois St.
Indianapolis, IN 46202
I W' 010E
145179
r-,
No. 145179
�a
BARTH ELECTRIC COMPANY, INC.• 1934 NORTH ILLINOIS STREET• INDIANAPOLIS, INDIANA 46202 •(317) 924-6226
SOLD TO: CITY OF CARMEL DATE: 7/8/2015
31 FIRST AVE NW YOUR ORDER NO:
CARMEL, IN 46032 OUR JOB NO:TM 143970 4
ALL INVOICES DUE 10 DAYS FROM
DATE OF INVOICE. NO CASH DISCOUNT
JAE DESCRIPTION PRICE CUSt#: 1048
Name of Project: SIREN 410
Location:
Work Ordered By: TODD LUCKOSKI
Description of Work:
CHECKED SIREN,FOUND CONDUCTORS BETWEEN DC POWER SUPPLY AND CONTROL PANEL BURNED
REPLACED CONDUCTORS AND TEST-OK
FOUND CHOPPER CONTACTOR DAMAGED
REPLACED CONTACTOR AND TEST-OK
MATERIAL $269.28
LABOR DATES 4/08-6/05 LABOR 1,443.00
MOBILIZATION/TOOL CHARGES 45.00
TOTAL AMOUNT DUE $1,757.28
I
Please remit to:
Barth Electric Co., Inc.
1934 N. Illinois St.
An Equal Opportunity Employer Indianapolis, IN 46202
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INDIANA RETAIL TAX EXEMPT PAGE
City-, lof. li C°,�ISJsanalCERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 32393
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
'CARMEL, INDIANA 46032-2584. VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED y REQUISITION NO. VENDOR NO. DESCRIPTION
7/22/209 _. t Tornado Siren repair,Site 410
federal .9 rvice>s Carmel Communication Center
VENDOR TOIP 31 1St Ave NW
irtt�et Carmel, IN 46032
.Pkmft Iib i3 (39 7)571-2576
CONFIRMATION BLANKET CONTRACT 'PAYMENT TERMS FREIGHT
_
QUANTITY UNIT OF MEASURE DESCRIPTION �'
UNIT PRICE EXTENSION
Account 43-500.00
1 Each Repair to Tornado Siren,Site 410 storm damage $5,861.75 $5,861.75
Sub Tota)fe $5,861.75
�
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3
Send Invoice To: 1
Carmel Communication Center
31 1 st Ave NW
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1115 Communications PAYMENT $5,861.75
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS-THE PROPER SWORN AFFIDAVIT ATTACHED.
n
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
• SHIP REPAID.
THIS APPROPRIGON SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
i•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Director
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
IOCUMENT CONTROL NO. 3 2 3 93 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
i A.
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
d.
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I 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
;i
20
...............................................................--.....--- ---
Signature
Title
y.
Cost distribution ledger classification if
claim paid motor 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 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))
07/08/15I 145179 I I $1,757.28
1115 101
10/08/15I 146454 I I $4,907.35
1115 101
10/08/15 I 146454 I I $954.47
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
r
VOUCHER NO. WARRANT NO.
ALLOWED 20
BARTH ELECTRIC COMPANY
1934 N ILLINOIS ST IN SUM OF $
INDIANAPOLIS, IN 46202
$7,619.10
ON ACCOUNT OF APPROPRIATION FOR
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
32393 I 145179 I 43-500.00 I $1,757.28 1 hereby certify that the attached invoice(s), or
1115 Encumbered 101
146454 I 43-500.00 I $4,907.35 bill(s) is (are) true and correct and that the
1115 101
32393 I 146454 I 43-500.00 I $954.47 materials or services itemized thereon for
1115 Enewnbered 101 which charge is made were ordered and
received except
Thursday, October 15, 2015
er Cr c t, Director,
Cost distribution ledger classification if !
claim paid motor vehicle highway fund
i