164594 10/16/2008 CITY OF CARMEL, INDIANA VENDOR: 00351914 Page 1 of 1
ONE CIVIC SQUARE BARTH ELECTRIC COMPANY
CARMEL, INDIANA 46032 1934 N ILLINOIS ST CHECK AMOUNT: $2,499.00
INDIANAPOLIS IN 46202
CHECK NUMBER: 164594
CHECK DATE: 10/16/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMO DESC RIPTION
1115 4350000 18404 I- 107546 2,499.00 SIREN SURGE SUPPORT
INVOICE;
1- 107546
BARTH ELECTRIC COMPANY, INC. 1934 NORTH ILLINOIS STREET INDIANAPOLIS, INDIANA 46202 (317) 924 -6226
SO['D TO: CARMEL CLAY COMMUNICATIONS DATE: October 3, 2008
31 FIRST AVENUE NW
CARMEL, IN 46032 YOUR ORDER NO: 8404
OUR JOB NO: 0- 107653-4
ALL INVOICES DUE 10 DAYS FROM
DATE OF INVOICE. NO CASH DISCOUNT
LMP DESCRIPTION PRICE
Name of Project: SAME AS ABOVE
Location: SAME AS ABOVE
Work Ordered by: MARVIN STEWART
Description of Work
FURNISHED AND INSTALLED SURGER SUPRESSOR
FURNISHED AND INSTALLED GROUND WIRE FROM MAIN GROUND TO
GROUND ROD AT POLE TO SIREN
LUMP SUM CONTRACT AMOUNT 2,499.00
CURRENT PAYMENT DUE 2,499.00
Please remit to:
Barth Electric Co., Inc.
1934 N. Illinois St.
Indianapolis, IN 46202
A PAGE
41 INDIANA RETAIL TAX EXEMPT
ity CE RTIFICATE NO 003120155 002 0
Carmel PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35- 60000972
ONE`CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE OR D ER DATE DATE REQUIRED I REQUISITIO"O VENDOR NO. DESCRIPTION
9f J2008 r
tw E lectr ic C lay 6p
®aqh Electr Carmel Clay Commu ni cations
VENDOR SHIP 31 F irst Av enue NW
TO
1934 N. Illinois Street Carmel, IN 46032
Indianapolis, In diana 46202 (317) 571 2516
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43- 500.00
1 Each Siren Surge Supprlwater dept $2,499.00 $2,499.00
Stab "dotal: $2,499,00
4
Send Invoice To:
Carmel Clad! Communications
31 First Avenue. NW
Carmel, ON 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Communications PAYMENT $2,499.00
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS
I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D
REPAID. 4/
C. SHIPMENTS'CANNOT BE ACCEPTED.
ORDERED BY r
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. I
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE ltl lid _C
1 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
1 8` 4 0 4 CLERK TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #(TITLE' AMOUNT
DEPT. I 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,_,_
20
Signature--
Title
Cost distribution ledger classification if
claim }paid motor vehicle highway fund
VO UCHER NO. If •WPPRANT NO.
ALLOWED 20
Barth Electric
IN SUM OF
1934 N. Illinois Street
Indianapolis, Indiana 46202
$2,499.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
18404 1- 107546 43- 500.00 $2,499.00 1 hereby certify that the attached invoice(s), or
bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, October 09, 2008
Director
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))
10/03/08 1- 107546 j $2,499.00
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