161399 07/11/2008 CITY OF CARMEL, INDIANA VENDOR: 134000 Page 1 of 1
0 ONE CIVIC SQUARE HORNER ELECTRIC INC CHECK AMOUNT: $5,920.00
CARMEL, INDIANA 46032 PO Box 660292
INDIANAPOLIS IN 46266 -0292 CHECK NUMBER: 161399
CHECK DATE: 7111/2008
DEPARTMENT ACC OUNT PO NUMBER INVOICE NUM AMOUNT DESCRIPTION
601 5023990 W08275 59014 5,920.00 WELL MOTOR
NR
Invoice: 59014
H Date: 06 -26 -2008
INDUSTRIAL SERVICES, INC.
Serving the Electrical /Electronic Industry Since 1949 Sold To: Shipped To:
1521 East Washington Street *Indianapolis, Indiana 46201 -3899 City of Carmel Utilities City of Carmel Utilities
Phone (317) 639 -4261 Fax (317) 639 -4342 Attn: Accounts Payable Water Wastewater Utilities
3460 W 131st Street 5484 E. 126th St.
Westfield, IN 46074 Carmel, Indiana 46033
Bill To: USA USA
City of Carmel Utilities
Attn: Accounts Payable NEW REMIT TO ADDRESS
3450 W 131st Street �Gj Horner Industrial Services, Inc.
Westfield, IN 46074 P. 0. Box 660292
USA Indianapolis, IN 46266 -0292
W
PLEASE PAY BY INVOICE NO STATEMENT WILL FOLLOW
169 Rob Lovell WO# S77714 Ship Point 06 -03 -2008 CUSTOMER PIC U0.00 /0 130
tzuntily r.
Part fN f3�scnptzon f Cus omen# rt AIL riF ee Unit PrECe. ;T/fi
rt Shlppef Rrltounf
75HP, 178ORPM, 365TP US Mtr
MAKE.....: US
MODEL....: 5334A
HP.......: 75
VOLTS....: 460
FRAME....: 365TP
RPM....... 1780
ENCLOSURE: OPEN
1 Billed Per Quote 5,920.00
2 Quoted Labor 4,370.00
3 Quoted Material 1,550.00
A Detailed Work Scope is available upon request
Invoice Instructions and Notes; Sub Total �a,920 4f
Credit Terms: A service charge of 2% per month, (24% per Annum) will be added to all
past due invoices.
Tax
Return Goods: A 20% restocking fee applies to all normal stock items. Goods may not
be returned without prior authorization. Freight ,(}:OJT;
Warranty: Please track all serial numbers for warranty purposes.
Deposits
e. Notes
VENDEE agrees to pay all applicable sales and use tax to proper authorities. Invoice Total
Customer -has FIVE,(5)_working. days.to notify Horner Electric of all shipping discrepancies. Please pay this amount 5920 .00
*The invoice total is reduced by any Deposits to date.
1 Customer Copy (fn: issinv)
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 of service rendered, by whom, rates per day, number of units, k o
price per unit, etc.
Payee
134000
HORNER INDUSTRIAL SERVICES Purchase Order No.
PO BOX 660292 Terms
INDIANAPOLIS, IN 46266 -0292 Due Date 7/1/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/1/2008 59014 $5,920.00
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
Date Officer
VOUCHER 082231 WARRANT ALLOWED
13400fl IN SUM OF
�`HORNER INDUSTRIAL SERVICES
PO BOX 660292
''INDIANAPOLIS, IN 46266 -0292 Ih O�
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
59014 01- 6200 -02 $1,550.00
59014 01- 6360 -03 $4,370.00
p a
S
r
Voucher Total $5,920.00
Cost distribution ledger classification if
claim paid under vehicle highway fund