160089 05/28/2008 CITY OF CARMEL, INDIANA VENDOR: 00351711 Page 1 of 1
ONE CIVIC SQUARE SUPERIOR LAMP AND SUPPLY
CHECK AMOUNT: $243.21
CARMEL, INDIANA 46032 Po eox sss
MOORHEAD MN 56561 -0566 CHECK NUMBER: 160089
CHECK DATE: 5/28/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4238900 S2480250 -01 243.21 OTHER MAINT SUPPLIES
i IQs Time, Money, Energy with Iffialom
SAVE HEAVY DUTY Lighting Products Marlton NJ
SUPER1®R
Homewood, IL
LAMP FED ID #91- 2094903
W INC PO BOX 566 MOORHEAD MN 56561 -0566 1- 800 437 -4772 DATE 05 -05 -2008 Moorhead, MN
ATTENTION JEFF BARNES ACCT NO. 715040 INVOICE NO. S2480250 -01
CITY OF CARMEL E RiF
1 CIVIC SID
CARMEL IN 46032 -7569 1 °,610, NET 20 DAYS
FINANCE CHARGE OF 1.50 PER
MONTH ON UNPAID BALANCE. THIS 243.21
IS AN ANNUAL RATE OF 18 MAKE CHECK PAYABLE
CITY OF CARMEL NMI ONLY TO
1 CIVIC SQ SUPERIOR LAMP INC
CARMEL IN 46032 -7569 PO BOX 566
mr M
MOORHEAD MN
56561 -0566
RETURN TOP PORTION WITH PAYMENT
Time, Money, Energy with
SAVE HEAVY DUTY Lighting Products Marlton, NJ
SUPERIOR
LAMP FED ID# 91- 2094903 Homewood, IL
W INC DATE 05 -05 -2008 Moorhead, MN
PO BOX 566 MOORHEAD MN 56561 -0566 100- 437 -4772
INVOICE NO. S2480250 -01
DATE SHIPPED MAKE CHECK PAYABLE ONLY TO SUPERIOR LAMP INC SHIPPED FROM I CUSTOMER NO. ORDER NO. YOUR P.O. NO.
05 -02 -2008 PO BOX 566 MOORHEAD MN 56561 -0566 1 5 -IN 715040 1 S2480250
QTY ORDERED QTY BIORDER QTY SHIPPED DESCRIPTION PRICE AMOUNT
12 12 F40T12 /Fwx8651TC /60M R 18.87 226.44
SALES TAX: BECAUSE MARE APART OF A CORPORATE ENTITY DO ING BUSINESS IN ALL STATES, MARE REQUIRED BY LAWTO COLLECT THE APPROPRIATE SALESTAX FOR EACH INDIVIDUAL.
STATE TO WHICH THE MERCHANDISE IS BEING SENT. YOUR ORGANIZATION HAS PROVIDED US WITH AN EXEMPTION CERTIFICATE. NO SALES TAX HAS BEEN CHARGED ON THIS INVOICE.
IMPORTANT: ALL CLAIMS FOR MERCHANDISE DAMAGED IN TRANSIT MUST BE FILED WITH CARRIER WITHIN TWO WEEKS OF RECEIPT OF SHIPMENT. PLEASE VERIFY IF THERE HAS BEEN ANY FRT /HNDLINGANS 16.77
DAMAGE TO THE MERCHANDISE COVERED BY THIS INVOICE. IF SO, IMMEDIATELY SECURE AN INSPECTION REPORT FROM THE CARRIER COVERING THE DAMAGE, SO THAI OUR CLAIM MAY
BE HONORED.
CITY TAX
CONDITIONS: ALL AGREEMENTS CONTINGENT UPON STRIKES, ACCIDENTS. OR OTHER CAUSES BEYOND OUR CONTROL. NO RETURNS SHALL BE MADE WITHOUT PRIOR APPROVAL AND
RECEIPT OF AUTHORIZED RETURN PERMIT LABELS FROM SELLER. CREDIT FROM RETURNS WILL NOT BE ISSUED WITHOUT PRIOR WRITTEN APPROVAL. ALL AUTHORIZED RETURNS SUBJECT COUNTY TAX
TO 15% 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 TIME TO TIME, STATE TAX
OFFER TO THE PURCHASER OR ITS REPRESENTATIVES SALES PROMOTION ITEMS AND OTHER TYPES OF SALES PROMOTIONS IN CONNECTION WITH THEIR MARKETING EFFORTS. THE SELLER'S
POLICY RELATING TO THE USE OF SALES PROMOTIONAL ITEMS IS AS FOLLOWS SALES PROMOTIONAL ITEMS (For —pie, l,gtlt,,g products or useful business end personal Items) MAYBE
GIVEN TO THE PURCHASER OR TO REPRESENTATIVES OF THE PURCHASER AUTHORIZED TO RECEIVE SUCH ITEMS: PRODDED. HOWEVER, THAT NO SALES PROMOTIONAL ITEMS MAY BE 43.2 1
GI VEN TO REPRESENTATIVES OF ANY TAX SUP PORTED INSTITUTION OR FINANCIAL INSTITUTION. FREIGHT NOT DEDUCTIBLE ILA V C
*CASH TERMS" PAY BEFORE 05 -15 -2008 AND SAVE 2.26 o a 243.21
Pre.cribed 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
Superior Lamp, Inc. Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
D! F40T12/FWX8651TC/60M $243.21
Total
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 NO.
05/23/0s
ALLOWED 20
S_ uperior Lamp, Inc.
IN SUM OF
P.O. Box 566
Moorhead, MN 56561 -0566
$243.21
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1205 Administration
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
120 S 229 !t!2,d --A materials or services itemized thereon for
which charge is made were ordered and
received except
20
G ignatur 1
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund