HomeMy WebLinkAbout200624 08/17/2011 CITY OF CARMEL, INDIANA VENDOR: 00352135 Page 1 of 1
ONE CIVIC SQUARE SIGNAL CONSTRUCTION INC CHECK AMOUNT: $7,777.02
CARMEL, INDIANA 46032 5639 WEST US 40
GREENFIELD IN 46140 CHECK NUMBER: 200624
CHECK DATE: 8/17/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 R4350060 21477 2129 7,542.02 SIGNAL MAINTENANCE
1110 4467099 25761 2130 235.00 POLICE PLUNGER /SWITCH
INVOICE
REMIT TO: ID SIGNAL CONSTRUCTION INCORPORATED
Q 7 5639 West U.S. 40
Greenfield, IN 46140
TO:'. CITY OF CARMEL
3400 W. 131 ST STREET INVOICE BATE 8/3/2011
CARMEL, IN 46074 irwoiCE 2129
TERMS Due upon Receipt
ATTN:, DAVE HUFFMAN CONTRACT Signal Lighting
Maintenance
QTY UNIT DESCRIPTION UNIT PRICE TOTAL
15 Eacn Item 4:1 Emergency Response Maint. I 11u.0 1, 50.00
3rd City Center hard -wired button in cabinet (not removable)
1 Each Repair Ser #22211012, Model VT905, RMA HG5949259- 1 1 1 27 -1 I 1,617.02 1,617.02
Unit tested repaired. Replaced VRAM on pyramid board U37, U38
U39 U41. 96th Hazelldell
41 Each Item #2 Scheduled Maint., Qtly. Inspec, Traffic Signal 100.00 4,100.00
2 Each Item #4 Scheduled Maint., Qtly. Inspec., Flasher 50.00 100.00
106th Westfield Replaced load switch for opticom
1 Each Opticom Load Switch 75.00 75.00
TOTAL $7,542.02
VOUCHER NO. WARRANT NO.
ALLOWED 20
Signal Construction
IN SUM OF
5639 W. US 40
Greenfield, IN 46140
$7,542.02
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TiTLE AMOUNT Board Members
21477 2129 43- 500.60 $7,542.02 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
Thursday/,/A ugust 11, 2011
Street Commissioner
P%srpni rnr ;c¢inna
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))
08/03/11 2129 $7,542.02
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
20
Clerk- Treasurer
INVOICE
REMIT TO: SIGNAL CONSTRUCTION INCORPORATED
5639 West U.S. 40
0 7 Greenfield, IN 46140
TO: CARMEL POLICE DEPT.
3 CIVIC SQUARE INVOICE DATE- 8/3/2011
CARMEL, IN 46032 INVOICE# 2130
TERMS Due upon Receipt
ATTN: 'TERESA ANDERSON CONTRACT PO #25761
QTY UNIT DESCRIPTION UNIT PRICE TOTAL
EacR Police Plunger 8&00 88.00'
1 Each Jack Switch 27.00 27.00
1.5 Hour Skilled Laborer 80.00 120:00
TOTAL $235.00
INDIANA RETAIL TAX EXEMPT PAGE
Ci ty of C armel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 26769
35- 60400972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, AIP
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
6n4rAI i
Signal Congflicgion I Cumol Police DopaftQnt
VENDOR SHIP 3 CIVIC squm
$t, Us 40 TO C@mol, IN
Gran Hold, IN 46940 (3117) 6790
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 44-870.9
1 Emch police plunger $88.00 $88.00
9 Each jaa and swKsh $27.00 $27.00
9.5 E ach Wbc $8 0.0 0 $1 20.0 0
Sub Tats: $236.00
l A
-'A
Send Invoice To: y"
Alan: Tf Gro8@ Anderson
3 Civic Spam
Cap mol, IN 411 `l PLEASE INVOICE IN DUPLICATE
•N
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
CRFMO POIICO k ept. um
PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THATrTHERE IS AN UNOBLIGATED BALANCE IN
THISAPPROPRI TIOIV UFFICIENTTO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS, to f of f Polle.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY SIGN AND RETURN TO CLERK OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF S
(.A
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby ce rtify that the attached Invoice(s), or
bill is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Signal Construction Inc.
IN SUM OF$
5639 West US 40
Greenfield, IN 46140
$235.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT# /TITLE AMOUNT Board Members
25761 2130 44- 670.99 $235.00
I hereby certify that the attached invoice(s), or
I I
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, August 11, 2011
'Iola
Chief of Police
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))
08/03/11 2130 payment for police push button $235.00
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