179679 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 114000 Page 1 of 1
ONE CIVIC SQUARE GRAYBAR ELECTRIC CO, INC
CARMEL, INDIANA 46032 12431 COLLECTIONS CENTER DRIVE CHECK AMOUNT: $2,085.97
CHICAGO IL 60693
CHECK NUMBER: 179679
CHECK DATE: 11/2412009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4238900 944417018 /285.60 OTHER MAINT SUPPLIES
1047 4350000 944464732 /416.34 EQUIPMENT REPAIRS M
1110 4350100 21265 944517291 485.08 PATCH PANEL
1115 4350000 944517292 1� 100.35 EQUIPMENT REPAIRS M
1047 4238900 944541909 ,,285.60 OTHER MAINT SUPPLIES
1115 4238000 944569804 29.68 SMALL TOOLS MINOR E
1115 4237000 944597504 X210.74 REPAIR PARTS
1115 4237000 944597505 /187.83 REPAIR PARTS
1115 4237000 944647398 84.75 REPAIR PARTS
Remit To: Gr%?ba,, invoice Questions ease Cal!
INVOICE
PlW
12431 COLLECTIONS CENTER DRIVE 317 821 -5700
CHICAGO IL 60693 -2431
Invoice No: 944569804
Invoice Date: 11/09/2009
Account Number: 0000154108
Account Name: CARMEL CLAY COMM
CENTER
772.001.002.01543
-CARMEL CLAY COMM CENTER
JANET ARNONE
31 FIRST AVE N.W.
CARMEL IN 46032
Ship to: CARMEL CLAY COMM CENTER
CARMEL CLAY COMMUNICATION
31 FIRST AVE N.W.
CARMEL IN 46032
Page 1 of 1
Order Number: TODD
Del. Doc. PRO Routing Date Shipped Shipped From F.O.B. Rt. To
0837257688 1ZE9w0210315564395 UPS GROUND 11/09/2009 1 ZONE- JOLIET, IL I PPD B,11
Quantity Catalog Description Unit Price Unit Amount
20 ECAT5- 4PR- 03 -BLB LYNN ELECTRONICS CORP 1.09 1 21.80
CAT 5E 3FT BLUE
Terms of Payment Sub Total 21.80
Freight 4.88
1% 15 Days, net 30 Days Handling 3.00
As a condition of the sales agreement, a monthly service charge of the lesser of Tax 0.00
1 -1/2% or the maximum permitted by law may be added to all accounts not paid Total Due 29.68
by net due date. Visa, MasterCard, American Express, and Discover credit cards Cash Discount (if paid within terms) 0.22-
are accepted at point of purchase only.
Subject to standard terms and conditions on the reverse side.
r
GRAYBAR ELECTRIC COMPANY, INC.
TERMS AND CONDITIONS OF SALE
1. ACCEPTANCE OF ORDER; TERMINATION Acceptance of any order is subject to credit approval
and acceptance of order by Seller and, when applicable, Seller's suppliers. If Buyer's credit becomes
unsatisfactory to Seller, Seller reserves the right to terminate upon notice to Buyer and without liability to
Seller.
2, PRICES AND SHIPMENTS Unless otherwise quoted, prices shall be those in effect at time of
shipment which shall be made F.O.B. shipping point prepaid and bill.
3. RETURN OF GOODS Credit will be allowed for goods returned with prior approval. A deduction will
be made from credits issued to cover cost of handling.
4. TAXES Prices shown do not include sales or other taxes imposed on the sale of goods. Taxes now
or hereafter imposed upon sales or shipments will be added to the purchase price. Buyer agrees to
reimburse Seller for any such tax or provide Seller with acceptable tax exemption certificate.
5. DELAY IN DELIVERY Seller is not to be accountable for delays in delivery occasioned by acts of
God, failure of its suppliers to ship or deliver on time, or other circumstances beyond Seller's reasonable
control. Factory shipment or delivery dates are the best estimates of our suppliers, and in no case shall
Seller be liable for any consequential or special damages arising from any delay in shipment or delivery.
6. WARRANTIES Seller warrants that all goods sold are free of any security interest and will make
available to Buyer all transferable warranties made to Seiler by the manufacturer of the goods. SELLER
MAKES NO OTHER EXPRESS OR IMPLIED WARRANTIES, AND SPECIFICALLY MAKES NO
IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR PURPOSE. UNLESS
OTHERWISE AGREED IN WRITING BY AN AUTHORIZED REPRESENTATIVE OF SELLER,
PRODUCTS SOLD HEREUNDER ARE NOT INTENDED FOR USE IN OR IN CONNECTION WITH A
NUCLEAR FACILITY.
7. LIMITATION OF LIABILITY Buyer's remedies under this contract are subject to any limitations
contained in manufacturers terms and conditions to Seller, a copy of which will be furnished upon written
request. Furthermore, Seller's liability shall be limited to either repair or replacement of the goods or
refund of the purchase price, all at Seller's option, and in no case shall Seller be liable for special or
consequential damages. In addition, claims for shortages, other than loss in transit, must be made in
writing not more than five (5) days after receipt of shipment.
8. WAIVER The failure of Seller to insist upon the performance of any of the terms or conditions of this
contract or to exercise any right hereunder shall not be deemed to be a waiver of such terms, conditions
or rights in the future, nor shall it be deemed to be a waiver of any other term, condition, or right under
this contract.
9. MODIFICATION OF TERMS AND CONDITIONS No terms and conditions other than those stated
herein, and no agreement or understanding, in any way purporting to modify these terms or conditions,
shall be binding on Seller without the Seller's written consent. Any additional or different terms in the
Buyer's form are hereby deemed to be material alterations and notice of objection to them and rejection
of them is hereby given.
10. REELS When the Seller ships returnable reels, a reel deposit will be included in the invoice. The
Buyer should contact the nearest Graybar service location to return reels.
11. CERTIFICATION We hereby certify that these goods were produced in compliance with all
applicable requirements of sections 6, 7, and 12 of the Fair Labor Standards Act, as amended, and of
regulations and orders of the United States Department of Labor issued under section 14 thereof.
h
Remit To: GYcl", w UO I Invoice Questions Please Call
IV F
12431 COLLECTIONS CENTER DRIVE 317-821-5700
CHICAGO IL 60693 -2431
Invoice No: 944517292
Invoice Date: 11/05/2009
Account Number: 0000154108
ME
fir P Account Name: CARMEL CLAY COMM
w kc R ���3 �f aE� CENTER
287 003'004 0
CARMEL CLRY�CONiM CENTER y
AJANETARNdNE A
�31 FIRST�AVE N 4
CARfVIEL INn °46032 m.�_
Ship to: CARMEL CLAY COMM CENTER
CARMEL CLAY COMMUNICATION
31 FIRST AVE N.W.
CARMEL IN 46032
Page 1 of 1
Order Number: TODD
Del. Doc. PRO Routing Date Shipped Shipped From F.O.B. Rt. To
0837208312 iZAT58680304072370 UPS GROUND 11/05/2009 ZONE SPRINGFIELDWO PPD Bill
Quantity Catalog Description Unit Price Unit Amount
1 5G596 -U12 LEVITON MANUFACTURING. COMPANY, INC 91.75 1 91.75
CAT 5E PATCH PANEL 12 PRT
Terms of Payment Sub Total 91.75
Freight 5.60
1% 15 Days, net 30 Days Handling 3.00
As a condition of the sales agreement, a monthly service charge of the lesser of Tax 0.00
1 -1/2% or the maximum permitted by law may be added to all accounts not paid Total Due 100.35
by net due date. Visa, MasterCard, American Express, and Discover credit cards Cash Discount (if paid within terms) 0.92
are accepted at point of purchase only
Subject to standard terms and conditions on the reverse side.
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))
11/05/09 944517292 $100.35
11/09/09 944569804 $29.68
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
Oraybar Electric
IN SUM OF
12431 Collections Center Drive
Chicago, IL 60693
$130.03
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1115 944517292 43- 500.00 $100.35 1 hereby certify that the attached invoice(s), or
1115 944569804 42- 380.00 $29.68 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
Tuesday, November 17, 2009
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
L9
Remit To: Gr InVolce Questions Please Call
INVOICE jF.
12431 COLLECTIONS CENTER DRIVE 317-821-5700
CHICAGO IL 60693 -2431
Invoice No: 944597505
Invoice Date: 11/10/2009
Account Number: 0000154108
Account Name: CARMEL CLAY COMM
3 .TY E Y .E h 1 F
s P a CENTER
O s e,
270 003 004 01 079
CARMEL CL' COMY CENTER t� �a
Ship to: CARMEL CLAY COMM CENTER
CARMEL CLAY COMMUNICATION
31 FIRST AVE N.W.
CARMEL IN 46032
Page 1 of 1
Order Number: VERBAL TODD
Del. Doc. PRO Routing Date Shipped Shipped From F.O.B. Rt. To
0837279859 1Z4410680370706394 UPS- GROUND 11/10/2009 INDIANAPOLIS, IN PPD Bill
Quantity Catalog Description Unit Price Unit Amount
20 AT1525EV -6U ALLEN TEL PRODUCTS INCORPORATED 8.88 1 177.60
CAT 5E VIP 25FT BLU
Terms of Payment Sub Total 177.60
Freight 7.23
1% 15 Days, net 30 Days Handling 3.00
As a condition of the sales agreement, a monthly service charge of the lesser of Tax 0.00
1 -1/2% or the maximum permitted by law may be added to all accounts not paid Total Due 187.83
by net due date. Visa, MasterCard, American Express, and Discover credit cards Cash Discount (if paid within terms) 1.78
are accepted at point of purchase only.
Subject to standard terms and conditions on the reverse side.
Remit To. GraybaR.. l lnvolce (luestions Please Call
INVOICE N
12431 COLLECTIONS CENTER DRIVE 317 821 -5700
CHICAGO IL 60693 -2431
Invoice No: 944597504
Invoice Date: 11/10/2009
Account Number: 0000154108
Account Name: CARMEL CLAY COMM
CENTER
270.001.004.01077
CARMEL CLAY COMM CENTER
JANET ARNONE
31 FIRST AVE N.W.
CARMEL IN 46032
Ship to: CARMEL CLAY COMM CENTER
CARMEL CLAY COMMUNICATION
31 FIRST AVE N.W.
CARMEL IN 46032
Page 1 of 1
Order Number: TODD
Del. Doc. PRO Routing Date Shipped Shipped From F.O.B. Rt. To
0329127451 11/09/2009 IFACTORY
Quantity Catalog Description Unit Price Unit Amount
10 81020 BRADY WORLDWIDE INCORPORATED 20.40 1 204.00
INBOUND FREIGHT 0.00 6.74
F Terms of Payment Sub Total 210.74
Freight 0.00
1%15 Days, net 30 Days Handling 0.00
As a,condition of_the, sales agreement, a monthly service charge of the lesser of Tax 0.00
1 -112% or the maximum permitted by law may be added to all accounts not paid Total Due 210.74
by net due date. Visa, MasterCard, American Express, and Discover credit cards Cash Discount (if paid within terms) 2.04
are accepted at point of purchase only.
{f
Subject to standard terms and conditions on the reverse side.
i RemitTo: Gr%rbaR- Invoice`Questions Please'Call
12431 COLLECTIONS CENTER DRIVE I V O I 317 821 -5700
CHICAGO IL 60693 -2431
}j Invoice No: 944647398
Invoice Date: 11/1212009
Account Number: 0000154108
Account Name: CARMEL CLAY COMM
•-CENTER
866.001.002.01731
CARMEL CLAY COMM CENTER
JANET ARNONE
3
31 FIRST AVE N.W-
CARMEL IN 46032
Ship to: CARMEL CLAY COMM CENTER
CARMEL CLAY COMMUNICATION
31 FIRST AVE N.W.
CARMEL IN 46032
Page 1 of 1
Order Number: TODD
Del. Doc. PRO Routing Date Shipped Shipped From F.O.B. Rt. To
0329088788 11/06/2009 FACTORY
Quantity Catalog Description Unit Price Unit Amount
1 FBS02ASC -50F MAJOR CUSTOM CABLE INC 76.09 1 76.09
INBOUND FREIGHT 0.00 8.66
.Terms of Payment Sub Total 84.75
Freight 0:00
1 15,Days, net 30, Days Handling 0.00 y
As a condition of the sales agreem Tax 0.00
ent, a.monthly service charge of the lesser of Total Due
1. 1 /2 %or:the, maximum permitted,by law. may added to all accounts 84.75
not paid
t5ynet:due date. Visa; .MasterCard,`Americari,Express, and Discover credit cards Cash Discount (if paid within terms) 0.76-
are accepted at pointof purchase only.
Subject to standard terms and conditions on the reverse side.
Prescribed by State Board of Accounts City Form No. 201 (Rev. 199,)
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))
11/10/09 944597505 $187.83
11/10/09 944597504 $210.74
11/12109 944647398 $84.75
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 N WARRANT N
ALLOWED 20
Graybar Electric
IN SUM OF
12431 Collections Center Drive
Chicago, IL 60693
$483.32
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1115 944597505 42- 370.00 $187.83 1 hereby certify that the attached invoice(s), or
1115 944597504 42- 370.00 $210.74 bill(s) is (are) true and correct and that the
1115 944647398 1 42- 370.00 $84.75
materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday, November 18, 2009
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
L9
Remit To: [r G ftiR. s
Invoice questions Ptease Call
12431 COLLECTIONS CENTER DRIVE INVOICE 317 821 5700
CHICAGO IL 60693 -2431
Invoice No: `944417018
Invoice Date: X1.0/30/2009
Account Number: 0000414887
Account Name: CARMEL CLAY PARKS
RECREATION
3689.001.002.07377 NOV 0 5 2009
CARMEL CLAY PARKS RECREATION i
1411 E. 116TH ST
CARMEL IN 46032
Ship to: CARMEL CLAY PARKS REC /MAIN
MONON CENTER
ATTN: FRED HAGEMIER
1235 CENTRAL PARK DRIVE E
CARMEL IN 46032
Page 1 of 1
Order Number-:_22783
Del. Doc. JPRO# Routing Date Shipped Shipped From F.O.B. Rt. To
0837106757 GB TRUCK 10/30/2009 1 INDIANAPOLIS, IN
Quantity Catalog Description Unit Price Unit Amount
40 F24W/T5 /841/ECO GENERAL ELECTRIC LIGHTING 7 -14 1 285.60
LAMP FLUOR T5 HO ECO 4100K 24W
Terms of Payment Sub Total 285.60
Freight 0.00
Net 30 Days Handling 0.00
As a condition of the sales agreement, a monthly service charge of the lesser of Tax 0.00
1 -1/2% or the maximum permitted by law may be added to all accounts not paid Total Due
by net due date. Visa, MasterCard, American Express, and Discover credit cards
are accepted at point of purchase only.
Purchase 1
Descriptlon b I
P.O. p F 7�
G.L.# N7-00--5/0— q 89Dc�
Bud
Descr
Line escr
Purchaser pate
Approval pate._
.�`Y .ice•
'T
Subject to standard terms and conditions on the reverse side.
L9
Remit To: G o Invoice Questions Please
12431 COLLECTIONS CENTER DRIVE INVOICE ��317-821-570
0
CHICAGO IL 60693 -2431
Invoice No: 944464732
Invoice Date: 11/03/2009
Account Number: 0000414887
Account Name: CARMEL CLAY PARKS
RECREATION
3855.001.002.07709
CARMEL CLAY PARKS RECREATION
1411 E. 116TH ST NOV Q p 2009 J
CARMEL IN 46032
Ship to: CARMEL CLAY PARKS REC /MAIN
MONON CENTER
ATTN: MICHELLE COMPTON
1235 CENTRAL PARK DRIVE E
CARMEL IN 46032
Pagelofl�
Order Number: 22827
Del. Doc. PRO Rout ing Date Shipped I Shipped From F.O.B. Rt. To
0328985389 10/28/2009 IFACTORY
Quantity Catalog Description Unit Price Unit Amount
1 PROJECTOR BULB 5001641 USHIO AMERICA, INCORPORATED 395.00 1 395.00
ITEM P /N: SANYO 6103149127
INBOUND FREIGHT 0.00 21.34
Terms of Payment Sub Total 416.34
Freight 0.00
Net 30 Days Handling 0.00
As a condition of the sales agreement, a monthly service charge of the lesser of Tax 0.00
1 -1/2% or the maximum permitted by law may be added to all accounts not paid Total Due 416.34
by net due date. Visa, MasterCard, American Express, and Discover credit cards
are accepted at point of purchase only.
Description Pro eC�L
P .O. P no
Budget
Line Descx rc�
Purchww Date
prov Date_
'5
Subject to standard terms and conditions on the reverse side.
19
Remit To: G1 aybaR. s Invoice Questions Plea C
INVO all' g E g
12431 COLLECTIONS CENTER DRIVE 317- 821 -5700
CHICAGO IL 60693 -2431
Invoice No: c9445419U9
Invoice Date: 1110612_ 009
Account Number: 0000414887
Account Name: CARMEL CLAY PARKS
RECREATION
3731.001.002.07461 2009
CARMEL CLAY PARKS RECREATION
1411 E. 116TH ST
CARMEL IN 46032
Ship to: CARMEL CLAY PARKS REC /MAIN
MONON CENTER
ATTN: FRED HAGEMIER
1235 CENTRAL PARK DRIVE E
CARMEL IN 46032
Page 1 of 1
Order Number: 22783`"
Del. Doc. PRO Routing Date Shipped Shipped From F.0, B. Rt. To
0837224405 IGBTRUCK 11/06/2009 1 INDIANAPOLIS, IN S/P F/A
Quantity Catalog Description Unit Price Unit Amount
40 F24W/T5 /841 /ECO GENERAL ELECTRIC LIGHTING 7.14 1 285.60
LAMP FLUOR T5 HO ECO 4100K 24W
Terms of Payment Sub Total 285.60
Freight 0.00
Net 30 Days Handling 0.00
As a condition of the sales agreement, a monthly service charge of the lesser of Tax 0.00
1 -112% or the maximum permitted by law may be added to all accounts not paid Total Due 285:60^
by net due date. Visa, MasterCard, American Express, and Discover credit cards
are accepted at point of purchase only.
Pu rchm
DescriPt W
P.O.0 a a J 00) tic)
O.L.t y 100- 31 a 'I 3`�9Q�_
Budget
Line Desw
Purchaw bate
Approval Date
Subject to standard terms and conditions on the reverse side.
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
114000 Graybar Terms
12431 Collections Center Drive
Chicago, IL 60693 -2431
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
10/30/09 944417018 Lighting 22783 p 285.60
1113109 944464732 Projector bulb 22827 F 416.34
11/6/09 944541909 Lighting 22783 F 285.60
Total 987.54
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.
114000 Graybar Allowed 20
12431 Collections Center Drive
Chicago, IL 60693 -2431
In Sum of
987.54
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 944417018 4238900 285.60 1 hereby certify that the attached invoice(s), or
1047 944464732 4350000 416.34 bill(s) is (are) true and correct and that the
1047 944541909 4238900 285.60 materials or services itemized thereon for
which charge is made were ordered and
received except
19 -Nov 2009
9
Signature
987.54 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
1 Gr%rbaR. Invalc Quest ions Please Call
Remit To: I p� V O I C E e
12431 COLLECTIONS CENTER DRIVE 317 -821 -5700
CHICAGO IL 60693 -2431
Invoice No: 944517291
Invoice Date: 11/05/2009
Account Number: 0000154108
Account Name: CARMEL CLAY COMM
CENTER
287.001.004.01145
CARMEL CLAY COMM CENTER
JANET ARNONE
31 FIRST AVE N.W.
CARMEL IN 46032
Ship to: CARMEL CLAY COMM CENTER
CARMEL CLAY COMMUNICATION
31 FIRST AVE N.W.
CARMEL IN 46032
Page 1 of 1
Order Number: CITYHALL
Del. Doc. PRO Routing Date.Shipped Shipped From F.O.B. Rt. To
0328979425 11/04!2009 FACTORY
Quantity Catalog Description Unit Price Unit Amount
1 JP36- 845C5E PASS SEYMOUR INC 479.27 1 479.27
INBOUND FREIGHT 0.00 5.81
Terms of Payment Sub Total 485.08
Freight 0.00
1% 15 Days, net 30 Days Handling 0.00
As a condition of the sales agreement, a monthly service charge of the lesser of Tax 0.00
1 -1 /2% or the maximum permitted by law may be added to all accounts not paid Total Due 485.08
by net due date. Visa, MasterCard, American Express, and Discover credit cards Cash Discount (if paid within terms) 4.79
are accepted at point of purchase only
Subject to standard terms and conditions on the reverse side.
INDIANA RETAIL TAX EXEMPT PAGE of C anal CERTIFICATE NO. 003120155 002 0 I
City �1 CAL 1i PURCHASE ORDER NUMBER
Police Department k FEDERAL''EXCISE TAX EXEMPT 21265
35- 60000972
39 WKCIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
November 17 2C athh R anel
VENDOR Graybar SHIP City of Carmel, Police Department
12431 Collections Center Drive To 3 Civic Square
Chicago, IL 60693 -2431 Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
OUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
1 computer network patch panel 485.08
-4
At
t
n_
«.•Mn. 41
Send Invoice To:
s
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
1110 501 building repairs and ainte PA ENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
/11 VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPR PRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. 11
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY f' f+f' w t` f �f�1,d l
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Ch of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
r "7
CLERK TREASURER
DOCUMENT CONTROL NO. m •5' Copy SIGN AND RETURN TO CLERK OFFICE
VOUCHIER NO. WARRANT NO.
ALLOWED 20
4
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. 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 except
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Presd, *ed 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
Graybar Purchase Order No. 21265F
12431 Collections Center Drivel Terms
Chicago, It 60693 -2431 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/5/09 944517291 payment for patch panel 485.08
Total
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
VOUCHER NO._ WARRANT NO.
ALLOWED 20
1
Graybar IN SUM OF
12431 Collections Center Drive
Chicago, IL 60693 =2431
485.08
ON ACCOUNT OF APPROPRIATION FOR
police genera lfund
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
21265F 944517291 501 485.08 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
November 18 20 09
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund