251240 11/04/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 366310
ONE CIVIC SQUARE SCHAFER POWDER COATING INC CHECK AMOUNT: $*****1,395.50"
CARMEL, INDIANA 46032 4518 W 99TH STREET CHECK NUMBER: 251240
CARMEL IN 46032 CHECK DATE: 11/04/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350080 83945 275.00 STREET LIGHT REPAIRS
2201 4239032 84674 1,120.50 POSTS & HARDWARE
Schafer Powder Coating, Inc. INVOICE
4518 West 99th Street,
Carmel, IN 46032
INVOICE#: 84674
CUST.#: City of Carmel
Eric
PH:(317)733-2001
BILL TO: SHIP TO:
City of Carmel City of Carmel
One Civic Square One Civic Square
I Carmel, IN 46032 i Carmel IN 46032
INVOICE DATE P #. W/O# SALESPERSON c.-- :TERMS- SHIP VIA
10/28/2015 See Below See Below Net 30 Days
ORDER QTY:.j'SHIPPED`QTYc: PART'NUMBER•'. .:r`.;.'. PART::DESCRIPTION UNIT PRICE: EXT:.PRICE
11 .11 Bracket - 1.500 /ea. $16.50
Shipped:10/28/2015
Po:10-27-15 P/L:87802 w/o: 126144
138 j 138 Sign Frame 8.000 /ea. $1,104.00
Shipped:10/28/2015
Po:10-27-15 P/L:87802 w/o: 126144
I
SUBTOTAL: $1,120.50
Surcharge: 0.00
Cert: 0.00
i Tax 1: .
0.00
Tax 2: { 0.00 ,
Charges: 0.00
Freight: 0.00
Page 1 of 1 INVOICE ISO TOTAL: $1,120.50
Schafer Powder Coating, Inc. INVOICE
4518 West 99th Street,
Carmel, IN 46032
INVOICE#: 83945
CUST.#: City of Carmel
Eric
PH:(317)733-2001
BILL TO: SHIP TO:
City of Carmel City of Carmel
One Civic Square One Civic Square
Carmel, IN 46032 Carmel IN 46032
INVOICE DATE PO#f W/O# SALESPERSON `. TERMS: SHIP•VIA
10/01/2015 See Below See Below Net 30 Days Customer Truck
-ORDER QTY:: ..SHIPPED Q'rY PART.NUMBER ,':':.: PART;DESGRIP.TION.';'rUNIT-PRICE:``:':;
11 (
11 Street Light Fixture 25.000 lea. $275.00
Shipped:10/01/2015
PO:Brad Henders P/L:87080 w/O: 125162
SUBTOTAL:( $275.00J
j Surcharge: 0.00
Cert: I 0.00
Tax 1: i 0.00
Tax 2: I 0.00
Charges: 0.00
Freight: 0.00
Page 1 of i INVOICE ISO ! TOTAL: $275.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Schafer Powder Coating, Inc.
IN SUM OF$
4518 W. 99th Street
Carmel, IN 46032
$1,395.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 83945 43-500.80 $275.00 1 hereby certify that the attached invoice(s), or
2201 84674 42-390.32 $1,120.50 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
Thur y, t 42 ;,q 15
��v
a L Cam miliimiw1w
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))
10/01/15 83945 $275.00
10/28/15 84674 $1,120.50
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