HomeMy WebLinkAbout259486 06/14/16 rF� CITY OF CARMEL, INDIANA VENDOR: 366994
d ONE CIVIC SQUARE BRIG HTHEADLIGHTS-HID.COM CHECK AMOUNT: $*******179.95*
x a,; CARMEL, INDIANA 46032 4035 SOUTH BOULEVARD CHECK NUMBER: 259486
9 �ruN ` CHARLOTTE NC 28209 CHECK DATE: 06/14/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 157946 179.95 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
BRIGHTHEADLIGHTS-HID.COM ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
4035 SOUTH BOULEVARD IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
CHARLOTTE, NC 28209 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$179.95 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
157946 42-370.00 $179.95 1 hereby certify that the attached invoice(s),or 6/1/16 157946 $179.95
1120 101 1120 101
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
Wednesday,June 01,2016
David Haboush
Fire Chief
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-
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
BroghtHeadlights-HID.c®m INVOICE: 157946
A Division Of Dat-A-Syst,Inc. No ReturnsW i t h o tv?Z ai t Am
No Returns after 7 days of Shipment.
377 RUBIN CENTER DR, SUITE 115 All returns have a 20% restocking fee.
FORT MILL, SC 29708
Phone (704) 523-3548 Fax (704) 525-0221
Email:service@brightheadlights-hid.com
Website:http://www.brightheadlights-hid.com
DATE:
Bill To: CARMEL FIRE DEPT Ship To: CARMEL, FIRE DEF
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL, IN 46032 CARMEL, IN 46032
317-664-0958 317-664-0958
JASON FORCE
Comments or Special Instructions: DAT-A-SYST
157946 PO# E341
SILESfpERShcI�
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SI�1P i]A7E SHIN VFA P OB POINT 'TERMS:...
BRUCE 157946 5/31/2016 UPS GROUND COD
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iTfr11A #A 1�►DESCR PTI(yN UN:Ifi.PRICE A110'lJN7
1 EIKO HID BALLAST $ 150.00 . :. 150.00
SUBTOTAL $ 1.50.00.
NOTE:All Charge Card Purchases will show TAX RATE 0.00%
up as a purchase from Dat-A-Syst, Inc. SALES TAX
REMITTANCE SHIPPING & HANDLING 29.95
Customer ID: TOTAL .; 179;95
Date:
Amount Due: AL
Payment Received:
Amount Enclosed: BrightHeadlights-HID.com
A division of Dat-A-Syst, Inc.
All statements and referrals to street legal on our website refer to ACA and Sylvania's Xenarc or Silverstar products. Setting New High
Performance Standards. Meeting AfR L.P}1al Standards Headlight Upgrade Systems comply with Federal Motor Vehicle Safety Standard
(FMVSS) 108 and Society of Automotive Engineers (SAE)Specification J2009 for Discharge Forward Lighting Systems. Auxiliary Low Beam Kits
comply with SAE J582 for Auxiliary Low Beam Lights. Many states regulate the use of auxiliary vehicle lighting. Proper headlamp and auxiliary light