191568 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 00352481 Page 1 of 1
ONE CIVIC SQUARE BURTNER ELECTRIC LIGHTING CHECK AMOUNT: $288.24
i iiY!l� CARMEL, INDIANA 46032 787 N. 10TH STREET
NOBLESVILLE IN 46060 CHECK NUMBER: 191568
CHECK DATE: 11/10/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350100 39673 288.24 BUILDING REPAIRS MA
N VOICE
Burtner Electric &Lighting
787 N. 1 Oth Street
Noblesville IN 46060 39673
Phone:' 317-773-7663 Fax: 317 -776 -3029 INVOICE NUMBER
DATE 1, 10/28/2010
jATTN ARMEL FIRE DEPARTMENT
CIVIC SQUARE REFERENCE' z MIKEL
DENISE SNYDER
ARMEL IN 46032 TELEPHONE" 590 -3426 CELL
ORDER NUMBER:: OUST. NO.
30952. UA 114349 CARMEL Soldby: MIKEL
.JOB- I_QCATION:_-' �s �4
;DETAILS
540 W.136TH STREET ADD GFI IN LAUNDRY ROOM
CARMEL,IN ADD OUTLET FOR OXYGEN GENERATOR (BRICK WALL)
ALL PAST DUES ARE SUBJECT TO LIEN
Material 1 Work Description Charge
Material Used 12.36
Material Sub Total 12.36
Material Tax .88
Material Total 13.24
Labor Work Description Charge
ADDED OUTLET IN BAY
INSTALLED GFI ON WASHER (PER OSHA)
Labor Provided 275.00
Labor Total 275.00
Page 1 PAY THIS D 6 288.24
AMOUNT
VOUCHER NO. WARRANT NO.
Burt6er Electric ALLOWED 20
IN SUM OF
787 North 10th Street
Noblesville, IN 46060
$288.24
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO, ACCT# /TITLE AMOUNT Board Members
1120 39673 43- 501.00 $288.24 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
NOV 0 2010
L9 r1-1 1/
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
I
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))
39673 Osha Repairs Sta. 41 $288.24
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