193395 01/05/2011 CITY OF CARMEL, INDIANA VENDOR: 056800 Page 1 of 1
ONE CIVIC SQUARE CHAPMAN ELEC SUPPLY INC
CARMEL, INDIANA 46032 1500 WESTFIELD ROAD CHECK AMOUNT: $1,826.27
NOBLESVILLE IN 46060 CHECK NUMBER: 193395
CHECK DATE: 1/5/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350080 1049263 1,826.27 STREET LIGHT REPAIRS
INVOICE
Chapman Electric Supply, Inc.
INVOICE
Branch: 01 Main Branch 1049263
1500 Westfield Rd. Invoice Date I Page
Noblesville, IN 46062 12/21/2010 15:04:451 1 of 1
ORDER NUMBER
1050061
317- 773 -6712
Bill To: Ship To:
CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT
3400 W.131 ST. STREET 3400 W.131 ST. STREET
CARMEL, IN 46074 CARMEL, IN 46074
Customer ID: 101780
PO Number Terms Description Net Due Date Disc Due Date Discount Amount
BENTLEY 12/2/2010 15:40:32 2% 10TH NET 30 01/20/11 01/10/11 34,49
Order Date Pick Ticket No Primary Salesrep Name Taker
12/2/2010 14:58:34 1043444 HOUSE ACCOUNT DEE
Quantities Pricing
Item ID UOM Unit Extended
Ordered Shipped Remaining UOM 4 Item Description Unit Size Price Price
Unit Size G
Carrier: Tracking
8.0000 8.0000 0.0000 EA GLLX425AC EA 122.500000 980.00
1.0 GLOBE STREETLIGHT LEXALITE BOTTOM REFRACI
8.0000 8.0000 0.0000 EA GL88230 EA 48.087500 384.70
1.0 GLOBE STREET LIGHT TOP ONLY ACRYLIC 1
8.0000 8.0000 0.0000 EA GLXX -FIN EA 7.500000 60.00
1.0 GLOBE ACCESSORY FINIAL PLASTIC BLACK. I
8.0000 8.0000 0.0000 EA GLXX -LL EA 37.500000 300.00
1.0 GLOBE ACCESSORY LITE LID 1
Total Lines: 4 SUB- TOTAL: 1,724.70
TAX: 0.00
SHIPMENT: 101.57
AMOUNT DUE: 1,826.27
REPRINT
VOUCHER NO. WARRANT NO.
ALLOWED 20
Chapman Efectric Supply
IN SUM OF
1500 Westfield Road
Noblesville, IN 46062
$1,826.27
ON ACCOUNT OF APPROPRIA ION FOR
Carmel Street Department
PO# 1 Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
2201 1049263 43- 500.80 $1,826.27 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
n Mon ay, j rar�oary 03, 2011
(�cl�
Street Commis i er
ree orrfQssioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by Slate 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))
12/21/10 1049263 $1,826.27
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