193329 12/29/2010 CITY OF CARMEL, INDIANA VENDOR: 362263 Page 1 of 1
ONE CIVIC SQUARE D E INDIANA POWER DELIV
CARMEL, INDIANA 46032 CHECK AMOUNT: $896.80
Po aox n71
ia. CINCINNATI OH 45201 -1771 CHECK NUMBER: 193329
CHECK DATE: 12/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4348000 P0160490701 896.80 P0160490701
Pe Energy, Invoice: P0160490701
INVOICE Invoice Date: 12117/2010
1�9 V Page: 1 ofi
Bill to: CITY OF CARMEL STREET DEPT
Customer No: 00049194
3400 131ST ST W
PO Contract No:
DAVE HUFFMAN Payment Terms: Net 30
CARMEL IN 46074 Due Date: 1116/2011
Amount Due: $896.80
Invoice for work or services performed at: GRAND BLVD GUILFORD RD
CARMEL IN
For billing questions, please call Miscellaneous Accounts Receivable at 8001952 -0417.
Line Date of Charge Description Net Amount
1 12/16/2010 Installation of Lighting $896.80
LUMP SUM PAYMENT LBO 116508
Amount Due: $896.80
y Plaase detach and return wish vour oaYmant. Please indlcalo invoice number en chock. y
Payment Coupon
Please make check payable t Invoice Number: P0160490701
DE Indiana Power Deliv Corporation Code: 75115
P.O. Box 1771 Please Pay By: 1/16/2011
Cincinnati, Ohio 45201 -1771 Customer Number: 00049194
Total Amount Due: $696.80
Fed Tax ID 35- 0594457
CITY OF CARMEL STREET DEPT Amount Enclosed
3400 131 ST ST W
P
DAVE HUFFMAN CARMEL IN 46074
m
1616303136303439303730310000900000 896802
VOUCHER NO. WARRANT NO.
ALLOWED 20
DE Indiana Power Delivery
IN SUM OF
P. O. Box 1771
Cincinnati, OH 45201 -1771
$896.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# 1 Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 P0160490701 43- 480.00 $896.80 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
r( Tuesoy, mber 28, 2010
Street Commj- ner
Street uoFhrp Uslone
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))
12/22/10 P0160490701 $896.80
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