187480 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 362635 Page 1 of 1
ONE CIVIC SQUARE W S I LIGHTING CHECK AMOUNT: $133.96
CARMEL, INDIANA 46032 4850 NOME STREET
6H o DENVER CO 80239 CHECK NUMBER: 187480
CHECK DATE: 7/7/2010
DEPARTMENT ACCOUNT PO NUM BER INVOICE NUMBER AMOUNT DESCRIPTI
1115 4237000 150684 133.96 REPAIR PARTS
WSI LIGHTING if boX memo g
O
4850 Nome St. •Denver, CO. 80239 is checked No,
1(800)783 -1450 (303)375 -1600 FAX (303)375 -9348 CUSTOMER P.O.# I DATE OF
1,6 z. �V/�
SALESMAN Sli NO. I DIV. OLD [:]NEW WHEN SHIP SHIP VIA
(SAME AS BILL TO UNLESS OTHERWISE STATED.)
'I 'c "or Ill- 771 0 +9/
NAME
'B S
I H
L ADDRESS
L P
To CITY, STATE TT 'CITY, STATE
ZIP CODE ZIP CODE
PHONE PHONE
DO NOT WATT OR UNIT DO NOT
QUANTITY WRITE CODE NUMBER AMPERE VOLTS DESCRIPTION PRICE AMOUNT WRITE
BANKING NAME ADDRESS CITY /STATE
CHECKING ACCT.#
PREPAID Sub Total
Tax
BUSINESS OWNER NAME HOME ADDRESS VISA/MC
PRINT NAME Freight
OPEN
SIGNATURE OF AUTHORIZED BUYER El ACCT Total
X
PURCHASE NOTE: This order constitutes a bona fide purchase subject to acceptance by the seller at the home office in TERMS: 2% discount CASH /net 30, with a service charge of up to 2% (24% per
Denver, Colorado. Such acceptance and shipment is also subject to any limitations that may be imposed by the government annum) to be added at the end of each month on any unpaid account balance. I /we
or any other cause beyond our control. Kindly ascertain that prices, amounts and terms are correct. AN prices subject to our further understand and agree that all accounts or monies due to WSI LIGHTING shall
prevailing prices at the time of the shipment. Shipping charges subject to our prevailing shipping specifications of product be paid In accordance with the Credit Terms Stated and agree to pay all reasonable
Your signature permits seller to obtain credit information from listed reference for purposes of this order. costs of collection, in addition to any court costs and /or attorney fees incurred. I /we
SPECIAL INSTRUC LENS authorize investigation of all credit references listed.
SALESMAN'S. COPY
VOU NO' WARRANT NO.
ALLOWED 20
WSI Lighting
IN SUM OF
4850 Nome Street
Denver, CO 80239
$133.96
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1115 150684 42- 370.00 $133.96 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
Friday, June 25, 2010
Dir
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))
06/21/10 I 150684 I I $133.96
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