HomeMy WebLinkAbout303965 10/10/16 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.
$214.95 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
158552 42-370.00 $214.95 1 hereby certify that the attached invoice(s),or 8/19/16 158552 E341 $214.95
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
Monday,August 22,2016
David Haboush
Fire Chief
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
120-
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
BrightHeadlights.com
A Division Of Dat-A-Syst,Inc. NO Keturns WIMOUt AUtnonzation �
No Returns after 7 days of Shipment.
377 Rubin Center Drive, Suite 115 All returns have a 20% restocking fee.
Fort Mill, SC 29708 _
704-523-3548 PLEASE MAKE ALL CHECKS PAYABLE TO:
Email:service@brightheadlights-hid.com BRIGHTHEADLIGHTS.COM
Website:http://www.brightheadlights-hid.com
DATE: 7/27/2016
Bill To: CARMEL FIRE DEPARTMENT Ship To SAME
2 CIVIC SQUARE
CARMEL IN 46032
ATTN: BOB
Comments or Special Instructions:
PO#E341
SALESPERSON INVOICE# SHIP DATE SHIP VIA F.O.B. POINT TERMS
MICHAEL 158552 7/27/2016 UPS NET 30
QUANTITY ITEM#AND DESCRIPTION UNIT PRICE AMOUNT
1 EIKO BALLAST $ 150.00 $ 150.00
1 DENSO TO EIKO BALLAST ADAPTER CABLE 35.00 35.00
SUBTOTAL $ 185.00
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: 158552 TOTAL $ 214.95
Date:. 7/27/2016
Amount Due: $ 214.95
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 All Legal 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