199138 07/06/2011 CITY OF CARMEL, INDIANA VENDOR: 00350736 Page 1 of 1
t ONE CIVIC SQUARE OVERNITE ELECTRIC SUPPLY
CARMEL, INDIANA 46032 17005 WESTFIELD PARK ROAD CHECK AMOUNT: $59.80
'c r� WESTFIELD IN 46074
CHECK NUMBER: 199138
CHECK DATE: 7/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 1081586 59.80 REPAIR PARTS
17005 WESTFIELD PARK ROAD
c7 WESTFIELD, IN 45074
WWW.OVERNITE.BZ
(317) 867 -4404 FAX: (317) 867 -4094
SHIP TRANSFER NUMBER SHIP 1 TR I INVOICE NUMBER
3 17-57 1 2 600
BILL SHIP
TO: CAR#MEL F I RE: DEPARTMENT TO: I.. ARl F I RE DEPARTMENT
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL IN 4603E CARI IN 46032
CUSTOMER P.O. NO- CUSTOMER P.O. NO. STA T I IV 4 1
SHIP 1 TR 1 INVOICE NUMBER SLSMN. ORDER DATE TAKER CUSTOMER P.O. NUMBER DATE
1081586- 0001 -01 100 06/16/11 195 S 'TATIN 41 06/16/11
-INSTRUCTIONS ERT. -PAGE-NO.
P/U BOB QUARTERMASTER GARY CARTER Et i
QUANTITY DISP. ITEM CODE AND DESCRIPTION U/M UNIT PRICE AMOUNT
ORDERED B.O.IRET. SHIPPED
4 4 SYL I /U EA 14. 95 59. 80
B'1'3'7 MOG BASE 400W I*IH
CODE EXPLANATION THIS IS YOUR I SVI3TOTAL 59.._.80
STATE TAX APPLICABLE C CONSIDERCOMPLETE
a FEDIOTHER TAX APPLICABLE D DIRECTSHIPMENT FREIGHT IN FREIGHT OUT MISC CHARGE
-r STATE& FEDERAL TAXAPPL. F FACTORYMINIMUM TELE. CHARGE
B BALANCE BACK ORDERED 0 RETURNEDCYL.
FREIGHT TOTAL
FEDJOTHER TAX
NET TERMS.- I NV 30 DUE.- 07 /16/11 STATE TAX
ORDER CCIMPLE FED PAYMENTREC'D. 0. 00
TOTAL AMOUNT DUE
rOTAL AI MT DUE
9.80
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))
1081586 $59.80
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 N
ALLOWED 20
Overnite Electric
IN SUM OF
17005 Westfield Park Drive
Westfield, IN 46074
$59.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 I 1081586 I 42- 370.00 I $59.80 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
JUL m 2011
b
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund