182491 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: 00350736 Page I of 1
ONE CIVIC SQUARE OVERNITE ELECTRIC SUPPLY
CARMEL, INDIANA 46032 17005 WESTFIELD PARK ROAD CHECK AMOUNT: $90.00
WESTFIELDIN 46074
CHECK NUMBER: 182491
CHECK DATE: 211712010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 1074306 -0001 90.00 REPAIR PARTS
Overnite Ectric Supply
17005 Westfield Park Road Wesffield, IN 46074
3.17- 867 -4404 FAX 317 -867 -4094 888 =295 -6700 FAX 888 716 -4310
w.
wwovemiteelectricsupply.com sales @ovemifeelectricsupply.com
SHIP 1 TRANSFER NUMBER SHIP 1 TR 1 INVOICE NUMBER
CAR230 1074306- 0001 —`01
317-- 571 -2600
BILL SHIP
TO FIRE DEPARTMENT TO:CARMEL FIRE DEPARTMENT
2-CIVIC SQUARE 2 CIVIC SQUARE
CARMEL IN 4603E CARMEL IN 4603'
CUSTOMER P.O. NO. CUSTOMER P.O. NO.
AMBULANCE
SHIP I TR I INVOICE NUMBER.: r ig w SLSMN u ORDER DATE. K� TAKER CUSTOMER P O'NUMBER I� DATE
1074306'0001 !lei.., 100 01�/�� "f1�` 19 AMPULANCE 02/01/1
I
INSTRUCTIONS PAGE.NO L.
CALL JASON 690:4LFl�, QUARTERMASTER GARY CARTER
r- ITEM CODE AND DESCRIPTION U/M UNIT PRICE AMOUNT
ORDERED a O.lRET. SHIPPEDi`
S
10 10 `�FT36/DL835+ EA 9.00
OSRAM ;36 PL-�L 3500K,
p
1
li I
Ej
f
-CODE EXPLANATION TH I S YOUR INVOICE
SUB TOTAL
STATE TAX APPLICABLE C CONSIDER COMPLETE
FED (OTHER TAX APPLICABLE D DIRECT S HIPMENT MISC CHAR
FREIGHT IN FR E UT'
STATE FEDERAL TAX APPL. F FACTORY M fGFiT O
INIMUM T ELE CHAR
8 BALANCE SACK ORDERED A RETURNED CYL. FR_EIGHT
FED.IOT.HER TAX
NET TERMS: I NV 30 DUE: 03/03/10 STATE TAX
ORDER COMPLETED PAYMENT RECD. 0.00
TOTAL AMOUNT DUE
TOTAL AMT DUE
VOUCHER NO. WARRANT NO.
ALLOWED 20
Overnite Electric
IN SUM OF
17005 Westfield Park Drive
Westfield, -IN 46074
$90.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# 1 Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 1074306 0001 -01 42- 370.00 $90.00 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
FEB 15 20tH
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by Stale Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1074306- 0001 -01 $90.00
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
Clerk- Treasurer