165447 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: 00351711 Page 1 of 1
ONE CIVIC SQUARE SUPERIOR LAMP AND SUPPLY
CARMEL, INDIANA 46032 CHECK AMOUNT: $480.13
PO BOX 566
MOORHEAD MN 56561 -0566 CHECK NUMBER: 165447
CHECK DATE: 10129/2008
DEPARTMENT ACCOUNT PO NUM BER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4350100 S2476333 -01 .480.13 BUILDING REPAIRS MA
i Time, Money, &Energy with
SUPERIOR SAVE HEAVY DUTY Lighting Products Mt. Laurel, NJ
LAMP FED ID #91- 2094903 Homewood, IL
INC DATE 10 -20 -2008 Moorhead, MN
PO BOX 566 MOORHEAD MN 55561 -0566 1 -800- 437 -4772 INVOICE NO. S2476333 -01
DATE SHIPPED MAKE CHECK PAYABLE ONLY TO SUPERIOR LAMP INC SHIPPED FROM I CUSTOMER NO. ORDER NO. YOUR P-0. NO.
10-17 1 PO BOX 566 MOORHEAD MN 56561 -0566 5 -1 N 715040 S2476333
QTY ORDERED QTY BIORDER QTY SHIPPED DESCRIPTION PRICE AMOUNT
4 4 250W HPS /MH LU /BU /35M ENCL R 116 467.20
SALES TAX: AS A CORPORATE ENTITY DOING BUSINESS IN ALL STATES WE ARE REQUIRED BY LAW TO COLLECT THE APPROPRIATE SALES TAX FOR EACH JURISDICTION.
YOUR ORGANIZATI ONHASPROVIDED US`MTH AN EXEMPTION CERTIFICATE NO SALES TAX HAS BEEN CHARGEDON THIS INVOICE
IMPORTANT: ALL CLAIMS FOR MERCHANDISE DAMAGED IN TRANSIT MUST BE FILED WITH CARRIER '/WITHIN T'll0 'WEEKS OF RECEIPT OF SHIPMENT. PLEASE `/ERIE! IF THERE HAS SEEN ANY FRTIHNDLINGIINS 12.93
DAMAGE TO THE MERCHANDISE COVERED BY THIS IM/OICE, IF SO, IMMEDIATELY SECURE AN INSPECTION REPORT FROM THE CARRIER COVERING THE DAMAGE, SO THAT OUR CLAIM MAY
BE HONORED.
CITY TAX
CONDITIONS: ALL AGREEMENTS CONTINGENT UPON STRIKES, ACCIDENTS, OR OTHER CAUSES BEYOND OUR CONTROL, NO RETJRNS SHALL BE MADE 'WITHOUT PRIOR APPRO'JAL AND
RECEIPT OF AUTHORIZED RETURN PERMIT LABELS FROM SELLER. CREDIT FOR RETURNS WILL NOT BE ISSUED 'WITHOUT PRIOR WRITTEN APPROVAL. ALL A:.'THORIZED RMRNS S:JBJECT COUNTY TAX
TO A15- L RESTOCKING CHARGE. ALL UNAUTHORIZED RETURNS SHALL BECOME THE PROPERTY OF SELLER.
SALES PROMOTION POLICY: ORDERS FOR THE SELLER'S PRODUCTS ARE SOLICITED BY SALES REPRESENTATIVES ACTING AS INDEPENDENT CONTRACTORS WHO MAY, FROM TIMETOTIME, STATE TAX
OFFER TO THE PURCHASER OR ITS REPRESENTATIVES OR DESIGNEES, RECYCLING OR OTHER REBATES, CREDITS, SALES PROMOTION ITEMS AND OTHERTYPES OF SALES PROMOTIONS IN
CONNECTION WITH MEIR MARKETING EFFORTS. THE SELLER'S POLICY RELATING TO THE USE OF SALES PROMOTIONAL ITEMS IS AS FOLLOWS: SALES PROMOTIONAL ITEMS (Fp, example, IIRUSng rt-
p'dU U PI ANALU CUCIm" end pertpnel IH, iT RECYCLING OR OTHER REBATES OR CREDITS, MAY BE GIVEN TOME PURCHASER OR ITS REPRESENTATIVES OR DESIGNEES AUTHORIZED TO
RECEIVE SUCH ITEMS. 480.13
FREIGHT NOT DEDUCTIBLE
*`CASH TERMS PAY BEFORE 10 -30 -2008 AND SAVE 4.67 480.13
Prescribed b -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
Superior Lamp, Inc Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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
VOUCHER N WARRANT NO.
0/2
Superior Lamp, Inc ALLOWED 20
IN SUM OF
P-0. Box 566
6
$480.13
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1205 Administration
Board Members
PO# or
DEPT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1205 S2476333 -01 501 13 materials or services itemized thereon for
which charge is made were ordered and
received except
20
Signatq�
Titlle
Cost distribution ledger classification if
claim paid motor vehicle highway fund