202645 10/11/2011 CITY OF CARMEL, INDIANA VENDOR: 00350662 Page 1 of 1
ONE CIVIC SQUARE LAFEVER ELECTRIC, INC. CHECK AMOUNT: $1,913.33
CARMEL, INDIANA 46032 131 N. RANGELINE ROAD
CARMEL IN 46032 CHECK NUMBER: 202645
CHECK DATE: 10/11/2011
DEPARTMENT ACCOUNT PO NUM BER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350100 174418 1,913.33 BUILDING REPAIRS a MA
INVOICE
k; LAFEVER ELECTRIC, inc.
131 NORTH RANGELINE ROAD CARMEL IN 46032 4687 FAX (317) 844-7943
(317 846
Commercial and Industrial Contractors
fi x?_ ti:
SOLD Carmel Clay Communications
TO 31 1st Avenue NW INVOICE DATE 9/23/2011
Carmel, Indiana 46032
Attention: Accounts Payable REF- OUR ORDER 174418
DELIVER Village on the Green Parcel 713
TO Center Green REF. YOUR ORDER P.O. 27627
Carmel, Indiana 46032
TERMS NET 30 DAYS
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
Village on the Green Additional City Comm Receptacle $5,740.00
PAST DUE INVOICES ARE SUBJECT TO A FINANCE
CHARGE OF 1 -1 /2% PER MONTH.
oJL U armel I IrvulHrvr�►rltlwlL. IAXEXEMPT
J�`1 CERTIFICATE NO. 00312.0155 002 0 V`
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 2 7627
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, E
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO. PACKING SLIF
ARM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENC
DHASE ORDER DATE DATE REQUIRED I REQUISITEON NO. VENDOR NO- DESCRIPTION
3/10/11
LaFever Electric Carmel Clay Comm Center
ENDOR 131 N. Rangel i ne Rd SHIP
To 31 1st Avenue NW
Carmel, Indiana 46032 Carmel, Indiana 36032
PRVA7101\1 BLANKET CONTRACT PAYMENTTERMS FREIGHT i
QUANTITY UNIT OF MEASURE DESCHIPTION UNITPRICE EXTENSION
Village on the Green Addl City Comm Receptacle 5,740.00
3
4 "Y 6
F_e?h r
9
rope q
A
4
o eP
E
Communictions Dept Acct
P #,501 00 $1913 34
Carmel Fire Dept Acc,t W50 0:0 1' 11 3 33
Carmel Police Dept Acc�t� #��41 9 '9:9 $1��91 -3� 3g3
4 q
end Invoice To:
.armel Clay Communications
1st Avenue NW
.rmel, Indiana 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $5740.00
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 S HE PROPER SWORN AFFIDAVIT ATTACHED,
SHIPPING INSTRUCTIONS I HEREBY (e IF H ERE IS AN UNOB ]GATED BALANCE IN
SHIP REPAID. THIS APP T FFICIENT TO PAY OAP THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT B£ ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 5945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO-
CLERK-TREASURER
OCUMENT CONTROL NO. R f E' VENDOR COPY
VOUCHER NO. WARRANT NO.
ALLOWED 20
LaFever Electric
IN SUM OF
131 N. Rangeline Road
Carmel, IN 46032
$1,913.33
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #ITITLE AMOUNT Board Members
1120 I 174418 I 43- 501.00 I $1,913.33 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
OCT 10 2
Fire Chief
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))
174418 $1,913.33
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