170403 04/01/2009 CITY OF CARMEL, INDIANA VENDOR: 361395 Page 1 of 1
ONE CIVIC SQUARE GOLDMAN ELECTRICAL CONTRACTINCRIECK AMOUNT: $325.00
fa CARMEL, INDIANA 46032 4015 BLACKWOOD CT
INDPLS IN 46237 CHECK NUMBER: 170403
CHECK DATE: 4/1/2009
LIEPARTMENT AC PO N UMBER INVOICE NUM BER AMOUNT DESCRIPTION
1120 4350100 1628 325.00 BUILDING REPAIRS MA
Invoice
GOLDMAN
Date Invoice
2/25/2009 1628 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- 2 PEOPLE 02/23/09 72.50 290.00
TRUCK CHARGE 35.00 35.00
TROUBLESHOOT OUTSIDE LIGHTS NOT WORKING. FOUND
BAD WIRE IN GROUND NEEDING REPLACEMENT
Sales Tax 0.00% 0.00
Total $325.00
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 attorneys 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.
VOUCHER NQ. W NO.
ALLOWED 20
Goldman Electrical Contracting, Inc.
IN SUM OF
4015 Blackwood Court
Indianapolis, IN 46237
$325.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO.. ACCT #/TITLE AMOUNT
Board Members
1120 1628 43- 501.00 $325.00 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
9
d D
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))
1628 Electrical Work $325.00
I 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