186901 06/23/2010 CITY OF CARMEL, INDIANA VENDOR. 364291 Page 1 of 1
j 0 ONE CIVIC SQUARE JONESY'S ELECTRIC CO CHECK AMOUNT: $565.00
'a CARMEL, INDIANA 46032 14276 E 104TH STREET
FORTVILLE IN 46040 CHECK NUMBER: 186901
CHECK DATE: 6/2312010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350100 565.00 BUILDING REPAIRS MA
QUAN�w, PART' NUMBER/DESCRIPTION i PRICE AMOUNT
o. J®nesy s Electric Co.
03 14776 E. 104th Street
Fortville, Indiana 46040
317 485 -6146
\O NAMC DATE
ADDRESS .,,..1 TAKEN BY
SERVICE ADDRESS PROMISED FOR
CITY PHgE CUSTOMER ORDER N0,
SERVICE WANTED:
Install Repair Deliver Pickup
Contract Complaint Warranty Estimate
TOTAL MATERIALS
v
QUAN. MISCELLANEOUS CHARGES PRICE AMOUNT: DETAILS:, Loy
Product Make.
Model Serial Rio.
Route Serviceman
Completion Date Completion Time
TOTAL MISCELLANEOUS BILLING SUMMARY t
LABOR CHARGES TIME PRICE AMOUNT;. TOTAL LABOR
TOTAL MATERIALS
TOTAL MISCELLANEOUS
El C.Q.D. Charge SUB TOTAL
TAXES
Repeat Guarantee
TOTAL LABOR *T TOTAL
OFFICECOPY PY Yellow
CUSTOMER CO SERVICE ORDER INVOICE
CO
SHOP COPY Tag
VOUCHER NO. WARRANT NO.
ALLOWED 20
Jone`'sy's Electric Co.
IN SUM OF
14276 East 104th Street
Fortville, IN 46040
$565.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 43- 501.00 $565.00 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
-11. N 2 12910
1 -3 4 7-
Fire Chief
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Sta. 43 $565.00
1 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