252277 12/08/15 CITY OF CARMEL, INDIANA VENDOR: 367520
4�
® ail ONE CIVIC SQUARE FACILITY SOLUTIONS GROUP CHECK AMOUNT: $*****6,567.97*
CARMEL, INDIANA 46032 PO BOX 952143 CHECK NUMBER: 252277
DALLAS TX 75395-2143 CHECK DATE: 12/08/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4238900 388964900 152.97 OTHER MAINT SUPPLIES
1093 4350100 923820 6,415.00 BUILDING REPAIRS & MA
FACILITYSOLUTIONSrou Invoice# 3889649-00
9' p 512-440-7985 Inside Sales
Chicago, IL Invoice Date Due Date Terms Page
ne
Cust# : 747431-0005
Ship to: Central Bark Park Placed By Customer P.O.# PO Date
106125 XX-3041 11/24/15
1427 E. 116th Street 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, IN 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
Attn: Accounts Payable 1� ��?�y IA SHIPPED SHIP#
1411 East 116th Street ��`EC �� �rd-CV,mmerc 11/25/15
Carmel, IN 46032 DEC - 1 2015
i
Shipped from: FSG MDC Midwest
t_N PRODUCT AND QUANTITY QUANTITY 'Q UNIT PRICE AMOUNT
DESCRIPTION ORDERED 8.0. SHIPPED U/M PRICE UM
1 LED17P38D41KNFL 6 0 6 EA 23.67 EA 142.02
LED17P38D41KNFL Dim 17W Smooth PAR38 41K 25
1 Lines Total Qty Shipped Total 6 Total 142.02
Shp/Hand-Out 10.95
Invoice Total 152.97
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 ******
• 'i
FAau a\Cgap
9715 Kincaid Drive Ste 2000 Fishers, IN 46037 - 214-217-0190/
Customer No: 747431-0002 Invoice# 923820
Salesrep# 830 Bill Gustin
Work Address: Invoice Date i Due Date Terms Page#
Monon Community Center 12/01/15 1 12/31/15 INET 30 1 1
1195 Central Park Drive West Called In By Customer P.O.# Call Date
Carmel, IN 46032 Mike Kilpatrick 39058 11/05/15
Work Order# Signed By Com leted
Bill Address: gt..jH;CE'iV L. I 1784078 11/24/15
Carmel Clay Parks & Recreation I Quote Nte Job#
1411 East 116th Street DEC - 1 2015
Attn: Accounts Payable
Carmel, IN 46032 BY:
Service Requested
POOL RELAMP APPROVED- FIRM DATES: 11/23 & 11/24
1. Relamp (32) 1000W fixtures in pool area.
2. Relamp (11) 40OW wall fixtures in pool area.
3. Relamp (10) single 40OW ET18 fixtures in pool area.
4. Relamp (2) double 40OW ET18 fixtures in pool area.
5. Provide all lamps.
6. Includes floor protection (8'x4' 3/4" plywood) .
7) Includes necessary equipment.
Description of Work Performed
Completed install per quote.
These services were quoted at a fixed price of: 6,415.00
Sub Total 6,415.00
Sales Tax 0.00
Invoice Total 6,415.00
Balance Due 6,415.00
Remit to: Facility Solutions Group P.O. Box 952143 - Dallas, TX 75395-2143
Please note Invoice# 923820 on return payment to insure accurate application of remittance.
FOn all sums due, which have not been paid,Customer agrees to pay a calculated service charge of 1.5%per month(not exceeding the highest amount lawfully allowed by
contract in this state). If litigation commences to collect payment of amounts due,Customer agrees to pay reasonable attorneys'sums which may be due.
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
11/30/15 388964900 Light bulbs for flashing lights on Monon Greenway xx3041 $ 152.97
12/1/15 923820 Indoor Aquatics re-lamp 39058 $ 6,415.00
i
Total $ 6,567.97
1 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$
$ 6,567.97
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund / 109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 388964900 4238900 $ 152.97 1 hereby certify that the attached invoice(s), or
1093 923820 4350100 $ 6,415.00 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
December 3, 2015
1P
Signature
$ 6,567.97 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund