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HomeMy WebLinkAbout184677 04/27/2010 CITY OF CARMEL, INDIANA VENDOR: 00351914 Page 1 of 1 ONE CIVIC SQUARE BARTH ELECTRIC COMPANY CHECK AMOUNT: $897.00 CARMEL, INDIANA 46032 1934 N ILLINOIS ST INDIANAPOLIS IN 46202 CHECK NUMBER: 184677 CHECK DATE: 4127/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4350100 21869 116276 897.00 ELECTRICAL WORK f INVOICE F3 1-116276 No. 16276 BARTH ELECTRIC COMPANY, INC. 1934 NORTH ILLINOIS STREET INDIANAPOLIS, INDIANA 46202 (317) 924 -6226 SOLD TO: CITY OF CARMEL POLICE DEPARTMENT DATE: April 16, 2010 3 CIVIC SQUARE 21869 CARMEL, IN 46032 YOUR ORDER NO: OUR JOB N0: C- 120414 -8 ALL INVOICES DUE 10 DAYS FROM DATE OF INVOICE, NO CASH DISCOUNT J AE DESCRIPTIO PRICE Name of Project: 3 P FLOOR Location: SAME AS ABOVE Work Ordered by: ROBERT ROBINSON Descripbon of Work FURNISH AND INSTALL CONDUIT AND WIRE FROM EXISNTING PANEL TO THREE (3) COLUMN LOCATIONS. FURNISH AND INSTALL SURFACE MOUNTED DUPLEX RECEPTALES ON THREE (3) SEPARATE COLUMNS. FURNISH AND INSTALL J -BOX ON CEILING WHERE CONDUITS DROP TO RECEPTACLES. FURNISH AND INSTALL BREAKER IN EXISTING PANEL. LUMP SUM CONTRACT AMOUNT 897.00 CURRENT PAYMENT DUE 897.00 Please remit to: Barth Electric Co., Inc. 1934 N. Illinois St. Indianapolis, IN 46202 INDIANA RETAIL TAX EXEMPT PAGE Ci o f Clarmel CERTIFICATE NO. 003120155 002 0 1 of 1 PURCHASE ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 21869 35- 60000972 3.©.l -t civic SQUARE THIS NUMBER MUST APPEAR ON INVOICES, NP CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SUPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION Harp 31, 2010 elect{t� cal work VENDOR Barth Electric Co., Inc. SHIP City of Carmel Police Department 1934 N. Illinois Street TO 3 Civic Sggaare Indianapolis, IN 46202 Carmel, IN 46032 cONFIRMAnoN BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION' 'UNIT PRICE EXTENSION electrical work on 3rd floor 897.00 t y L m s 0 Send Invoice To:_. City of Carmel Pol e� r ATTN, 70resa °Anderso 3 Civic Square Carmel, IN 46032 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1110 501 building repairs and mainterp A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS 1 HEREBY CERTIFY THAT THERE IS AN UNOBUGATED BALANCE IN SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. pp C:O.D. SHIPMENTS CANNOT BE ACCEPTED, ORDERED BY LYa t_. .t 9 l 9/ PURCHASE ORDER NUMBER MUST APPEAR ON?ALL F SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 2 L CLERK TREASURER DOCUMENT CONTROL NO. A• COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. T ALLOWED 20 IN THE SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members DEPT INVOICE NO. ACCT #ffITLE AMOUNT I 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 20 _..____._.__....._.._._..r.__.. Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State 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 Barth Electric Company, Inc. Purchase Order No. 21869F 1934 North Illinois Street Terms Indianapolis, IN 46202 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 4/16/10 116276 payment for electrical work 897.00 Total 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 VOUCHER NO. WARRANT NO. ALLOWED 20 B arth Electric Company, Inc. IN SUM OF 1934 North Illinois Street Indianapolis, IN 46202 897.00 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members Pots or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 21869F 116276 501 897.00 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 April 22 20 10 Signature Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund