HomeMy WebLinkAbout204148 12/06/2011 CITY OF CARMEL, INDIANA VENDOR: 00351914 Page 1 of 1
ONE CIVIC SQUARE BARTH ELECTRIC COMPANY
CARMEL, INDIANA 46032 1934 N ILLINOIS ST CHECK AMOUNT: $10,627.00
INDIANAPOLIS IN 46202 CHECK NUMBER: 204148
CHECK DATE: 12/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4351501 27667 125388 10,627.00 NEW BATTERIES
INVOICE 1- 125386
NO. 125388
BARTH ELECTRIC COMPANY, INC. 1934 NORTH ILLINOIS STREET INDIANAPOLIS, INDIANA 46202 (317) 924 -6226
SOLD TO: CITY OF CARMEL DATE: November 18, 2011
31 FIRST AVE.
CARMEL, IN 46032 YOUR ORDER NO: 27667
OUR JOB NO: C- 124494 -4
ALL INVOICES DUE 10 DAYS FROM
DATE OF INVOICE. NO CASH DISCOUNT
JAE DESCRIPTION P RICE
Name of Project: SAME
Location: SAME
Work Ordered by: JANET
Description of Work
FURNISH AND INSTALL NEW BATTERIES FOR 18 SIRENS
DISPOSE OF THE OLD BATTERIES
FURNISH A ROUTING MAINTENANCE CHECK ON EACH OF THE 18 SIRENS.
LUMP SUM CONTRACT AMOUNT 10,627.00
CURRENT PAYMENT DUE 10,627.00
Please remit to:
Barth Electric Co., Inc.
1934 N. Illinois St.
Indianapolis, IN 46202
INDIANA:RETAIL TAX EXEMPT PAGE
"Of C CERTIFICATE N0.,003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL ^EXCISE TAX EXEMPT 2766•P
35 60000972
a ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
RM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
CHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
912312011 _J
Earth Electric Carmel Communicati Center
VENDOR SHIP 311at Ave. NW
TO
1934 N. Illinois Street Carmel, IN 46032
Indianapolis, Indiana 46202 (317) 571 -2566
CONFfRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43 515.01
1 Each Fumish and Install new batteries $10,627.00 $10,627.0
Sub Total: $10,627.00
�Z
�b
m, y
�.t
LU
r
R
s ®ce
p gg
N- V
Send Invoice To:
Carmel Communication Center
31 1 st Ave NW
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
1
Communications PAYMENT $10,627.00
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
TLil$ APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE ®ire r 1
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL IVO. A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
WARRANT NO.
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
KEPT. I 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
20
Signature
Title
Cost; distribution fedger'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))
11/18/11 125388 $10,627.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Barth Electric
IN SUM OF
1934 N. Illinois Street
Indianapolis, Indiana 46202
$10,627.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
27667 I 125388 I 43- 515.01 I $10,627.00 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
Wednesday, November 30, 2011
Dir ector
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund