155128 01/03/2008 CITY OF CARMFL, INDIANA VENDOR: 358928 Page 1 of 1
ONE CIVIC SQUARE HORNER INDUSTRIAL SERVICES, INC
CARMEL, INDIANA 46032 PO BOX 660292 CHECK AMOUNT: $7,495.00
INDIANAPOLIS IN 46266 -0292 CHECK NUMBER: 155128
CHECK DATE: 1/312008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
604 5023990 56252 1,495.00 REISSUE CK 154623
Invoice: 5252
t�t�1
Date: 10.10 -2007
WDUSTRIAL SERVICES, INC.
Serving the ElectricallElectronlc Industry Since 1949 Sold To: Shipped To:
621 East Washington Street Indianapolis, Indiana 48201 -3899 City of Carmel UtlNGS City of Carmel Utilmoa
Phone (317) 639 -4261 Fax {317) 639 -4342 Attn: Accounts Payable Water- Wastewater Utilities
3450 W 131st Street 5484 E. 126th St.
Westfield, IN 46074 Carrel, Indiana 46033
Bill To: USA USA
City of Carmel Utilities
Attn: Accounts Payable NEW REMIT TO ADDRESS
3450 W 131st Street Horner Industrial Services, Inc.
Westfield, IN 46074 P. D. Box 860292
USA Indianapolis, IN 46266 -0292
PLEASE PAY BY INVOICE NO STATEMENT WILL FOLLOW
�At3ldW "s�, x r ..'�sa s
169 140514 WO# S76149 Ship Point 10 -09 -2007 Company Truck 0.0010130
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20 HP 1770 RPM 25STPA vertical Motor
MAKE.....: US
MODEL....: F415
HP.......: 20
VOLTS....: 2301460
FRAME...,: 256TPA
RPM......: 1770
ENCLOSURE: ODP
1 Billed Per Quote 1,495,00
2 Quoted Labor 1,020.00
3 Quoted Material 475.00
A Detailed Work Scope is available upon request
Invoice Instructions and Notes: Sub Total
Credit Terms: A service charge of 2% per month, (24% per Annum) wil be added to all
past due Invoices. Tax
Return Goods: A 20% restocking fee applies to ad normal stock items. Gooch may not f
be returned without prior authorization. Freight
Warranty: Please track all serial numbers for warranty purposes.
a Deposits
VENDEE agrees to pay all applicable sales and use tax to proper authorities, Invoice Total
Customer hm FIVE (5) working days to notify Horner Electric of all shipping dlscrepmeies. please pay this amount $1495.00
"The invoice total is reduced by any Daposita to date.
1 Customer Copy
Prescribed by State Board of Accounts City Form No. 201 (Rev 199F)
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,
price per unit, etc.
Payee x
134000
HORNER INDUSTRIAL SERVICES Purchase Order No.
PO BOX 660292 Terms
INDIANAPOLIS, IN 46266 -0292 Due Date 12/5/2007
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/5/2007 56252 $1,495.00
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 Off 'c
VOUCHER 074021 WARRANT ALLOWED
""134000 IN SUM OF
HO.RNER INDUSTRIAL SERVIC
PO 660292
a
O
INQIANAPOLIS, IN 46266- 0292�
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
l3� 56252 02- 2308 -00 $1,495.00
Depreciation
Voucher Total $1,495.00
Cost distribution ledger classification if
claim paid under vehicle highway fund