159294 05/14/2008 CITY OF CARMEL, INDIANA VENDOR: 00352950 Page 1 of 1
1 ONE CIVIC SQUARE COMMERCIAL LAMP AND BALLAST INC CHECK AMOUNT: $575.40
CARMEL, INDIANA 46032 5701 W 85TH ST
INDIANAPOLIS IN 46278 CHECK NUMBER: 159294
CHECK DATE: 5/14/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 S11145 89215 575.40 BULBX
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COMMERC-I -AL-= LAM Ps,& BALLA_ST�,, �I =NC �x:�3� a�11VO1Ce
57 01 W. 85th ST.
INDIANAPOLIS, IN 46278 Invoice Number:
USA 89215
Invoice Date:
Voice: (317) 471 -1570 Apr 28, 2008
Fax: (317) 471 -1572
Page:
1
Sold To: Ship to:
Carmel Wastewater Treatment Plant Carmel Wastewater Treatment Plant
Mr. Joe Faucett Attn: Mr. Joe Faucett
9609 Hazel Dell Parkway 9609 Hazel Dell Parkway
Indianapolis, IN 46280 Indianapolis, IN 46280
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CaWa 511145 "Net 30 Days_ i
Sales Rep ID Shipping Method Ship Date Due Date
Hand Deliver 4/28/08 5/28/08
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Quantity Item �IU/M Description BO Qty i� Unit Price Extension
t 48 OC12533EACH�F96T8 /SPX35 /HO 10.80 518.40
60.OG23010 EACH iF34CW /RS /4I /ECO 0.95 R 57.00
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Thank You For Your Order! Subtotal 575.40
Sales Tax
Freight
Check/Credit Memo No: Total Invoice Amount 575.40
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us�orner 575.40
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Copy
service charge'penmonth will be added on past due,invoices
Restocking Charge of 20%
VOUCHER 085450 WARRANT ALLOWED
OQ352950 IN SUM OF
COMMERICAL LAMP AND BALLAST
5704 W.85th St
ldianapolis, IN 46278
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
88215 01- 7202 -06 $575.40
Voucher Total $575.40
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL ti
An invoice or bill to be properly itemized must show, kind of service, where c
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc. f
Payee
00352950
COMMERICAL LAMP AND BALLAST Purchase Order No.
5704 W.85th St Terms
Indianapolis, IN 46278 Due Date 5/8/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/8/2008 89215 $575.40
hereby certify that the attached invoice(s), or bill(s) is (are) true and
;orrect and I have audited same in accordance with IC 5- 11- 10 -1.6 y
Date Officer