190895 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 00350736 Page 1 of 1
1 ONE CIVIC SQUARE OVERNITE ELECTRIC SUPPLY CHECK AMOUNT: $476.31
+l,a CARMEL, INDIANA 46032 17005 WESTFIELD PARK ROAD
WESTFIELDIN 46074 CHECK NUMBER: 190895
CHECK DATE: 10/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 1078078 438.81 REPAIR PARTS
1120 4237000 1078085 37.50 REPAIR PARTS
17005 WESTFIELD PARK ROAD
WESTFIELD, IN 46074
WWW.OVERNITE.BZ
�(317) 867 -4404 FAX: (317) 867 -4094
SHIP 1 TRANSFER NUMBER SHIP 1 TR 1 INVOICE NUMBER
CAR230 1 078078 0001 -01
317- 571 -2600
BILL CARMEL FIRE DEPIARTMENT SHIP CARMEL FIRE DEPARTMENT
TO: E CIVIC SQUARE TO: E CIVIC SQ UARE
CARMEL IN 460 CARMEL IN 4.6
CUSTOMER P.O. NO. CUSTOMER P.O. NO. STAT I ON 42
SHIP TR I INVOICE NUMBER SLSMN. ORDER DATE TAKER CUSTOMER P.O. NUMBER DATE
1078078 0001 -01 100 09/22/10 195, STATION 42'' 09/
INSTRUCTIONS FRT.__PAGE -NO._
P/U SCOTT QUARTERMASTER GARY CARTER L� 1
QUANTITY DISK ITEM CODE AND DESCRIPTION U1M UNIT PRICE AMOUNT
ORDERED 5.0.lRET, SHIPPED
1 i U N I V M70MLTLC3M5OOK EA 73.96 73.96
70W MET HAL BALLAST KIT
1 i U N I V M 175ML5AC3M500K EA 66.95 66.'9.5
175W MET HAL BAL KIT 5—TAP
10 to F18DBX/82'7/4P EA 5.00 50. 00
4 PIN 18W COMP' FLOUR LAMP
10 10 F 26DBX /8,3 5/4P EA 5. 50.00
CE 26W PL.. LAMP' 41D 3500K
30 30 F32TSTL741 E 1.50 45.00
4 RPD STRT 4100K T8
L 2 SYL M1 75 /U EA 14.95 29.
ED28 MOG BASE 175W MH
2 HID MH 175UM E 24.00 48. 00
ED17 MED BASE 175W MH
E 2 fit. B HID MH70UM E 24.00 IZi IzIo
ED17 MED BASE 70W MH
1 1 1 1 10— :245SC —T —CPI EA '75. 00 75.00
14!f.E:!7_V _175W_I±IET- _HAL. Ci-1N_.
CODE EXPLANATION Y H I S IS YOU I SUB TOTAL
4S8e 81
-STATE TAX APPLICABLE C CONSIDER COMPLETE- M ISC. CHARGE
q FEDJOTHER TAX APPLICABLE D DIRECTSHIPMENT FREIGHT IN FREIGHT OUT
STATE& FEDERAL TAXAPPL. F FACTORYMINIMUM TELE. CHARGE
S BALANCE BACK ORDERED rt RETURNEDCYL.
FREIGHT TOTAL
FEDJOTHER TAX
NET TERMS- INV 30 DUE: 10/22/10 STATE TAX
PAYMENT RECD. 0.
Td?TAL AMQUN1 Dg
JE
A.f
438. 81
iff
17005 WESTFIELD PARK ROAD
v WESTFIELD, IN 46074
v 48 WWW.OVERNITE.BZ
(317) 867 -4404 FAX: (317) 867 -4094
SHIP 1 TRANSFER NUMBER SHIP TR I INVOICE NUMBER
CA R 2 0 1073085 0 1-01
1 -01
317 511 -2600
BILL CARMEL FIRE DEPARTMENT SHIP CARMEL EIRE I)EPARTMENT
T E CIVIC S QUARE ro E CIVIC SQUARE
CARMEL IN 46039= CARMEL IN 46032'
CUSTOMER P.O. NO. CUSTOMER P.O. NO. ST ATION 41
SHIP I TR /INVOICE NUMBER SLSMN. ORDER DATE TAKER CUSTOMER P.O. NUMBER DATE
1078065- to o 195 STATION 41 09/23/10
_.INSTRUCTIONS_______ ____FRT.___ PAGE.NO._._
DELV E HGl QUARTERMASTER GARY CARTER D 1
QUANTITY DISR ITEM CODE AND DESCRIPTION U/M UNIT PRICE AMOUNT
ORDERED B.O.IRET. SHIPPED
30 30 F40CWRSEW E 1.25 37„ 50
4 RPD ST RT T 1 COOL. WHITE
I
CODE EXPLANATION I M 1 b 1 b Y UU I'� 1 N V U !Lt SUB TOTAL f. n>LI
-STATE TAX APPLICABLE C CONSIDFR COMPLETE,
FED.MTHERTAXAPPLICABLE D DIRECT SHIPMENT FREIGHT IN FREIGHT OUT MISC. CHARGE
STATE& FEDERAL TAX APPL F FACTORYMINIMUM TELE. CHARGE
B -BALANCE BACK ORDERED rt RETURNED CYL.
FREIGHT TOTAL
FEDJOTHER TAX
NET TERMS: INV 3V) DUE: 10/23/10 STATE TAX
GIRDER COMPLETED AYMENTREC'D. 0
TOT L AMQU DUE
TOT�L AAr1 I L)U
37.5
VOUCHER NO. WARRANT NO.
ALLOWED 20
Overnite Electric
IN SUM OF
17005 Westfield Park Drive
Westfield, IN 46074
$476.31
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE N0, ACCT #!TITLE AMOUNT
Board Members
1120 1078085 42- 370.00 $37.50 1 hereby certify that the attached invoice(s), or
1120 1078078 42- 370.00 $438.81 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
OCT I 1 7.0;11
t
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))
1078085 $37.50
1078078 $438.81
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