250994 11/04/15 CITY OF CARMEL, INDIANA VENDOR: 00351914
ONE CIVIC SQUARE BARTH ELECTRIC COMPANY CHECK AMOUNT: $"q`"2,559.00'
CARMEL, INDIANA 46032 1934 N ILLINOIS ST CHECK NUMBER: 250994
INDIANAPOLIS IN 46202 CHECK DATE: 11/04/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350100 33165 146498 2,559.00 ELECTRICAL WORK
INVOICE 146498
No. 146498
BARTH ELECTRIC COMPANY, INC.• 1934 NORTH ILLINOIS STREET• INDIANAPOLIS, INDIANA 46202•(317) 924-6226
SOLD TO: CITY OF CARMEL DATE: 10/20/2015
31 FIRST AVE NW YOUR ORDER NO:
CARMEL, IN 46032 OUR JOB NO: C 145516 4
ALL INVOICES DUE 10 DAYS FROM
DATE OF INVOICE. NO CASH DISCOUNT
JAE DESCRIPTION PRICE Cust#: 1048
Name of Project: POLICE BARN
Location: 3 CIVIC SQUARE CARMEL IN
Work Ordered By: TODD LUCKOWSKI
Description of Work:
FURNISH AND INSTALL A NEW LOAD CENTER TO REPLACE EXISTING ONE.
FURNISH AND INSTALL A DEDICATED CIRCUIT AND RACK GROUND.
FURNISH AND INSTALL(4)PIECES OF PLUG MOLD ON EXISTING CIRCUIT.
DISCONNECT WIRES GOING OUTSIDE BEHIND PANEL.
GROUND THE SERVICE.
LUMP SUM CONTRACT AMOUNT $2,559.00
I
CURRENT PAYMENT DUE $2,559.00
Please remit to:
Barth Electric Co., Inc.
An Equal Opportunity Employer 1934 N. Illinois St.
Indianapolis, IN 46202
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INDIANA RETAIL TAX EXEMPTCity o Carme,
I
CERTIFICATE NO.003120155 002 0 yl � PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 3399
35-60000972
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 REQUISITION NO. VENDOR NO. DESCRIPTION
gt9ii�95
Dedh Hisdae Co., Inc. P®llco Dopattmont
VENDOR
SHIP 3 Civic 6qum
M4 N. lililaals Stmot TO ftmol, IN a=
Indimapol a, IN 46M (397)571
CONFIRMATION BLANKET I CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43 9.00
9 Each eledriml work per attached quote $2,809.00 $2,800.00
Sub Total: $2,809.00
°a •`V4
Send Invoice To:
Carmol Police Dopwt mt
Attn: Pat Young
3 Civic Squama
Cumol, IN - PLEASE INVOICE IN DUPLICATE
DEPARTMENT t ACCOUNT PROJECT PROJECT ACCOUNT OUNT
Camel Police Dept. r PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPE/R'SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY T AT THERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID.
THIS APPROP T7�SUACIENT TO PAY FOR THE AB VE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY ! /�
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ,p/ ,/�.,
SHIPPING LABELS. /b I(dl o�Pollco
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE /
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO,
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 3 16 5 A.P.V..COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
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
20
...-.............................................................---...............-...........-_.... ....-.........-..-...------...------..--...........- .........
Signature
--.._-...-.. - ...__.... –...--------.._.. ...._....---------------— –..__....
Title
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 Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
10/20/15 146498 cycle barn work $2,559.00
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
t
VOUCHER NO. WARRANT NO.
ALLOWED 20
Barth Electric Co., Inc.
IN SUM OF $
1934 N. Illinois Street
Indianapolis, IN 46202
$2,559.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
33165 I 146498 I 43-501.00 I $2,559.00 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
Thurs y, October 29, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund