330284 09/21/18 4�u'C�pMf
! CITY OF CARMEL, INDIANA VENDOR: 056800
.;; 3• ONE CIVIC SQUARE CHAPMAN ELEC SUPPLY INC
CHECK AMOUNT: $********66.83*
CARMEL, INDIANA 46032 1500 WESTFIELD ROAD CHECK NUMBER: 330284
NOBLESVILLE IN 46062 CHECK DATE: 09/21/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 1134072 66.83 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 056800 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
CHAPMAN ELEC SUPPLY INC IN SUM OF$ CITY OF CARMEL
1500 WESTFI ELD ROAD 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.
NOBLESVILLE, IN 46062
Payee
$66.83
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
1134072 42-370.00 $66.83 1 hereby certify that the attached invoice(s),or 9/14/18 1134072 Light Bulbs-Sta.42 $66.83
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, September 17,2018
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
INVOICE
Chapman Electric Supply, Inc. INVOICE
Branch: 01 Main Branch 1134072
1500 Westfield Rd. Invoice Date Page
Noblesville,IN 46062 9/12/2018 15:10:32 1 of 1
ORDER NUMBER
1144688
317-773-6712
Bill To: Ship To:
CARMEL FIRE DEPT.(EMAIL) CARMEL FIRE DEPT.(EMAIL)
City Of Carmel Fire Dept. CITY OF CARMEL FIRE DEPT.
2 Carmel Civic Square 2 CARMEL CIVIC SQUARE
Carmel,IN 46032-7543 CARMEL,IN 46032-7543
Customer ID: 101927
PO Number Terms Description Net Due Date Disc Due Date Discount Amount
STATION 42-9/12/2018 11:55:23 2%10TH NET 30 10/12/2018 10/10/2018 1.34
Order Date Pick Ticket No Primary Salesrep Name Taker
9/12/2018 11:46:47 1119907 HOUSE ACCOUNT ERIC
Quantities Pricing
Item ID UOM Unit Extended
Ordered Slipped Remaining UOM g Item Description Unit Size Price Price
Unit Size C
Carrier. Tracking#:
6.0000 6.0000 0.0000 EA LED-7324-40K-G2 EA 11.137500 66.83
1.0 11 W.PL-4PIN LED REPLYOR 32W. 1.0000
Shipment Accepted By:
jb—
Total Lines:I SUB-TOTAL: 66.83
TAX: 0.00
AMOUNT DUE: 66.83
U.S Dollars
ORIGINAL