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Home My WebLink About198084 06/06/2011 CITY OF CARMEL, INDIANA VENDOR: 364914 Page 1 of 1 ONE CIVIC SQUARE FIREBRIGHT LLC CHECK AMOUNT: $1,179.51 CARMEL, INDIANA 46032 PO BOX 51015 INDIANAPOLIS IN 46251 -0015 CHECK NUMBER: 198084 SON CHECK DATE: 6/6/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4350100 1612 52.46 BUILDING REPAIRS MA 1110 4350100 27785 1612 1,127.05 BULBS /SOCKET EXTENSIO FireBright LLC I nvoice P.O. Box 51015 Indianapolis, Indiana 46251 -0015_ F I R E B I G H ll Date Invoice 5/31/2011 1612 Bill To Carmel Police Department Attn: Robert Robertson 3 Civic Center Carmel, Indiana 46032 P.O. No. Terms Project 27785 Due on receipt Quantity Description Rate Amount 30 30.7.0110.03 PAR30, Everlight I W, 7pcs, Warm white, 4051-M, 20 -30 8.OWf0.5W, 39.47 1,184.10 85-265V Discount 17.80% 210.77 36 2" E26 Socket Extension 4.27 153.72 1 Freight Prepay and Add 52.46 52.46 Manufacturer's Warranty: Limited 3 year Lights only 0.00 0.00 In the event that Customer has a warranty claim, FireBright will work with the 0.00 0.00 manufacturer on behalf of Customer to assist them with the warranty process. FireBright does not provide any additional warranty beyond that which is provided by the manufacturer. If you have any questions, please call Dave Baer at 317 -513 -9266. Thank you for 0.00 0.00 your business! Tota $1,179.51 C 0 INDIANA RETAIL TAX EXEMPT PAGE RY bt C CERTIFICATE NO. 003120155 002.0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 27M 35- 60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A(P CARMEL INDIANA 46032 -2564 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 1l i. FIroBr9ght LLC. C@mol Pollco Dopartment VENDOR SHIP 3 Chic Squm P.O. Son 59095 TO Came IN 4 Indlan2polls, IN 4V5143015 (317) 57942 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43-601.00 9 Each Discount ($290.77) ($29037) 30 Each 2 E26 5ocka4 Extension $4,27 $153.72 30 Each Everlight 9 Dann while bulbs 30. PAR30 $30.47 $1,984.10 Sub 7Tot2l: $1,927.05 m �a i, Send Invoice To: Camel P o lice 'Dapartmont Attn: `I°erew Anderson 3 Civic SIOumm Camel, IN PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Camel Police Dept. PAYMENT 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 SHIP REPAID, THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. C.O.C. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY J p y SHIPPING LABELS. CIE i Of Police THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE r AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER DOCUMENT CONTROL No.27785 A.P,V. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF S Co ON ACCOUNT OF APPROPRIATION FOR Board Members PO# EP or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice 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 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)) 05/31/11 1612 payment for light bulbs $1,179.51 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 VOUCHER NO. WARRANT NO. ALLOWED 20 FireBright LLC IN SUM OF P.O. Box 51015 Indianapolis, IN 46251 -0015 $1,17 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 27785 1612 43- 501.00 $1,179.51 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 Thursday, June 02, 2011 Chief o Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund