177669 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 361395 Page 1 of 1
0 ONE CIVIC SQUARE GOLDMAN ELECTRICAL CONTRACTINTPECK AMOUNT: $588.71
CARMEL, INDIANA 46032 4015 BLACKWOOD CT
INDPLS IN 46237 CHECK NUMBER: 177669
CHECK DATE: 9/29/2009
DEP ARTMEN T ACC OUNT PO NUMBE INVOI NUMBE A DESCRIPTION
1120 4350100 1699 263.71 BUILDING REPAIRS MA
1120 4350100 1700 325.00 BUILDING REPAIRS MA
Invoice GOLDMAN
Date Invoice
9/4/2009 1699 4015 BLACKWOOD COURT
INDIANAPOLIS, IN 46237
PHONE 317 787 -9967
Bill To
CITY OF CARMEL FIRE DEPT
2 CIVIC SQUARE
CARMEL, INDIANA 46032
P.O. No. Terms
Net 30
Quantity Description Rate Amount
150 WATT BALLAST 84.21 84.21
150 WATT FLOOD LIGHT 35.75 35.75
1.5 LABOR HOURS 72.50 108.75
TRUCK CHARGE 35.00 35.00
REPLACE 150WATT BALLAST AND LAMP ON BACK OF
STATION 41
Sales Tax 0.00% 0.00
WE APPRECIATE YOUR BUSINESS! `l
Total $263.71
Customer agrees that Invoices and /or Statements are due upon presentment. Delinquent Invoices and/or Statements will bear interest at the rate
of 1.5% per month. In the event that suit is required to collect any /all sums due from Customer, then, in addition to such other relief as a court
may award, the Customer agrees to pay Goldman Electrical Contracting, Inc. "Goldman its reasonable attorney's fees and court costs. In the
event that suit is brought by Goldman to enforce any provision of this agreement, then the parties agree that the proper venue for such a suit shall
be any court of competent jurisdiction in Marion County, Indiana.
OIIVOiCe GOLDMAN
Date Invoice lig
9/4/2009 1700 4015 BLACKWOOD COURT
INDIANAPOLIS, IN 46237
PHONE 317 -787 -9967
Bill To
CITY OF CARMEL FIRE DEPT
2 CIVIC SQUARE
CARMEL, INDIANA 46032
P.O. No. Terms
Net 30
Quantity Description Rate Amount
4 LABOR HOURS 72.50 290.00
TRUCK CHARGE 35.00 35.00
REPAIR SHORT ON OUTSIDE LIGHTS
Sales Tax 0.00% 0.00
WE APPRECIATE YOUR BUSINESS!
Total $325.00
Customer agrees that Invoices and/or Statements are due upon presentment. Delinquent Invoices and/or Statements mill bear interest at the rate
of 1.5% per month. In the event that suit is required to collect any /all sums due from Customer, then, in addition to such other relief as a court
may award, the Customer agrees to pay Goldman Electrical Contracting, Inc. "Goldman its reasonable attorney's fees and court costs. In the
event that suit is brought by Goldman to enforce any provision of this agreement, then the parties agree that the proper venue for such a suit shall
be any court of competent jurisdiction in Marion County, Indiana.
NO. WARRANT NO. Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
Electrical Contracting, Inc. ALLOWED 20 ACCOUNTS PAYABLE VOUCHER K. IN SUM OF CITY OF CARMEL
t
kwood Court An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
!Is, IN 46237 whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
$588.71 Payee
Purchase Order No.
,OUNT OF APPROPRIATION FOR
Terms
,armel Fire Department
Date Due
Invoice Invoice Description Amount
INVOICE NO. ACCT #/TITLE AMOUNT Board Members Date Number (or note attached invoice(s) or bill(s))
1700 43- 501.00 $325.00 1 hereby certify that the attached invoice(s), or 1700 $325.00
1699 43- 501.00 $263.71 bill(s) is (are) true and correct and that the 1 1699 1 $263.71
materials or services itemized thereon for
which charge is made were ordered and
received except
SEP 2 9 2009
o
Fire Chief
Title
distribution ledger classification if I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
paid motor vehicle highway fund with IC 5 11- 10 -1.6
20
Clerk- Treasurer