252616 12/15/15 a o�.F�gy
CITY OF CARMEL, INDIANA VENDOR: 367520
ONE CIVIC SQUARE FACILITY SOLUTIONS GROUP
CHECK AMOUNT: $*******275.03*
,>. CARMEL, INDIANA 46032 PO BOX 952143 CHECK NUMBER: 252616
9�'iGuri. ? DALLAS TX 75395-2143 CHECK DATE: 12/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4235000 389435700 275.03 BUILDING MATERIAL
R
FACILITYSOLUTIONSgrouInvoice# 3894357-00
�J 1- 512-440-7985 Inside Sales
Chicago, IL Invoice Date Due Date Terms Page
ne
3u i
Cust# 747431-0002
Ship to: Monon Community Center Placed By Customer P.O.# PO Date
106125 39299 12/04/15
1195 Central Park Drive West 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
VIA SHIPPED SHIP#
Attn: Accounts Payable
1411 East 116th Street rnd-Commerc 12/04/15
Carmel, IN046032
Shipped from: FSG MDC Midwest
LN PRODUCTAND QUANTITY QUANTITY QUANTITY QTY UNIT PRICE AMOUNT
DESCRIPTION ORDERED B.O. SHIPPED U/M PRICE U/M
1 18902 6 0 6 EA 10.63 EA 63.78
MVR175/U/MED 175W Medium MH Clear
2 72882 4 4 0 EA 31.05 EA 0.00
MVR250/HOR/PA M138/153 C L 44K ED28 E39 25OW
Non-stock item. 5-7 business day lead time.
3 22158 12 0 12 EA 16.78 EA 201.36
MXR70/U/MED 70W Medium MH Clear
3 Lines Total Qty Shipped Total 18 Total 265.14
Shp/Hand-Out 9.89
Invoice Total 275.03
EDEC
T V
7 2015
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 ******
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
12/4/15 389435700 Replacement bulbs 39299 $ 275.03
Total $ 275.03
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$
I
$ 275.03
s
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1093 389435700 4235000 $ 275.03 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
I
December 8, 2015
s
Signature
$ 275.03 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund