173335 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 361395 Page 1 of 1
ONE CIVIC SQUARE GOLDMAN ELECTRICAL CONTRACTING NE CK AMOUNT: $3,384.27
CARMEL, INDIANA 46032 4015 BLACKWOOD CT
CHE
INDPLS IN 46237 CHECK NUMBER: 173335
CHECK DATE: 6/10/2009
DEPART ACCO PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTION
1120 4350100 1656 3,384.27 BUILDING REPAIRS MA
�I,
Invoice 1^'
t o
Date Invoice
5/22/2009 1656 4015 BLACKWOOD COURT
INDIANAPOLIS, IN 46237
1 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
3 M175 BALLAST 66.45 199.35
3 M 175 LAMP 19.75 59.25
700 FOOT THHN #110 0.21 147.00
7 70w MH BALLAST 81.67 571.69
6 70w MH LAMP 28.40 170.40
5 18w BALLAST 23.84 119.20
5 18Nv LAMP 6.18 30.90
8 TAN WIRE NUTS 0.14 1.12
18 RED WIRE NUTS 0.17278 3.11
10 BLUE WIRE NUT 1.725 17.25
28 LABOR HOURS 05/13/09, 05/14/09, 05/15/09 72.50 2,030.00
TRUCK CHARGE 35.00 35.00
REPAIR OUTSIDE LIGHTS AT STATION 42
WE APPRECIATE YOUR BUSINESS!
Total $3
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.
WARRANT NO. Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
ical Contracting, Inc.
IN SUM OF CITY OF CARMEL
d Court An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
46237 whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
$3,384.27 Payee
Purchase Order No.
NT OF APPROPRIATION FOR
�5
Terms
el Fire Department
Date Due
i
Invoice Invoice Description Amount
VOICE NO. ACCT #/TITLE AMOUNT Board Members Date Number
(or note attached invoice(s) or bill(s))
1656 43 501.00 $3,384.27 1 hereby certify that the attached invoice(s), or 1656 Sta. 42 Outside Lights $3,384.27
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
JUH 8 2009
A
Fire Chief
Title
t 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
m paid motor vehicle highway fund with IC 5- 11- 10 -1.6
20
Clerk- Treasurer