205561 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 00350736 Page 1 of 1
ONE CIVIC SQUARE OVERNITE ELECTRIC SUPPLY CHECK AMOUNT: $75.00
CARMEL, INDIANA 46032 17005 WESTFIELD PARK ROAD
WESTFIELD IN 46074 CHECK NUMBER: 205561
CHECK DATE: 1/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 1084445 -0001 75.00 REPAIR PARTS
l7OO5VVESTF|ELD PARK ROAD
WESTF|ELD, IN 46074
WWVV.OVERN|TEBZ
/3171 867-4404 FAX: (317) 067'4094
SHIP /TRANSFER NUMBER SHIP /Tm/ INVOICE NUMBER
CAR230 1084445-0001-01 1084445-0001-01
317-571-2600
BILL CARMEL FIRE DEPARTMENT TO� SHIP CARMEL MEL FIHE DEPARTMENT
TO:
2 CIVIC SQUARE 2 CIVIC SQUARE
CARMEL IN 46032 CAHM�L IN 46032
CUSTOMER puNO. ST#41 HDQTRS cuunOmEnpu.wu ST#41 HDQ[RS
SHIP TR INVOICE NUMBER SLSMN. ORDER DATE TAKER CUSTOMER P.O. NUMBER DATE
1084445-0001-01 100 01/09/12 195 ST#41 HDOTRS 01/09/121
INSTRUCTIONS,, FRT. PAGE NO.
QUANTITY DISP. ITEM CODE AND DESCRIPTION U/M UNIT PRICE AMOUNT
ORDERED B.O./RET. SHIPPED
60 6 121 F4QiCWRSEW E 1. 25 75. 00
4 RPD S'TRT 1 COOL WHITE
CODE EXPLANATION **SHIP ORDER****.SHIP ORDER**** SUB TOTAL Iti. 00
STATE TAX APPLICABLE C -CONSIDER COMPLETE
FEDIOTHER TAX APPLICABLE D -DIRECTSHIPMENT MISC. CHARGE
FREIGHT IN FREIGHT OU
STATE FEDERAL TAX APPL. F FACTORY MINIMUM TELE. CHARGE
B BALANCE BACK ORDERED ri -RETURNED CYL. FREIGHT TOTAL
FEDJOTHER TAX 0.00.
STATE TAX 0 Iii ol
*.x.* ORDER COMPLETED AYMENT REC'D. Vt.
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))
1084445 0001 -01 $75.00
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 N
ALLOWED 20
Overnite Electric
IN SUM OF
17005 Westfield Park Drive
Westfield, IN 46074
$75.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE I AMOUNT Board Members
1120 1 1084445 0001 -01I 42- 370.00 I $75.00 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
J 18 2
v
d
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund