168517 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 134000 Page 1 of 1
ONE CIVIC SQUARE HORNER ELECTRIC INC
0 CHECK AMOUNT: $1,089.00
CARMEL, INDIANA 46032 Po BOX 660292
INDIANAPOLIS IN 46266 -0292 CHECK NUMBER: 168517
CHECK DATE: 2/4/2009
DEPARTMENT ACCOUNT PO N UMBE R INV OICE NUMBER AMOUNT DESCRIPTION
601 R5023990 W08545 60803 1,089.00 MOTOR
H-ORNER Invoice: 60803
Date 12 -17 -2008
INDUSTRIAL SERVICES, INC.
Sold To: Shipped To:
Serving the Electrical /Electronic Industry Since 1949
City of Carmel Utilities City of Carmel Utilities
1521 East Washington Street Indianapolis, Indiana 46201 -3899 Attn: Accounts Payable Water- Wastewater Utilities
Phone (317) 639 -4261 Fax (317) 639 -4342
3450 W 131st Street 5484 E. 126th St.
Westfield, IN 46074 Carmel, Indiana 46033
USA USA
Bill To:
City of Carmel Utilities
Attn: Accounts Payable NEW REMIT TO ADDRESS
3450 W 131st Street Horner Industrial Services, Inc.
Westfield, IN 46074 P. 0. Box 660292
USA Indianapolis, IN 46266 -0292
PLEASE PAY BY INVOICE NO STATEMENT WILL FOLLOW
Gust_Ac..ct Nv... Cust P_(2 111p.. ;Sales Order No:;.... Freight Terms Sh�pU Ship ltta
169 08545 WO# S78804 Ship Point 12 -17 -2008 CUSTOMER PIC U0.00/0/30
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er:: Part:::l Vu�bee::>::>: c>::>::>::>::>:>::::>::>::>::>::>::»::>:
S. h! PPed::>::::>>< SLU::>::»::;:::;P.a..rt::[Ja:1:f3escn:. piton:: a::: Cus. o.. _i.;:..:rE..
50HP, 178ORPM, 326T
MAKE.....: US
MODEL....: AT42
HP.......: 50
VOLTS....: 230/460
FRAME 326T
RPM......: 1780
ENCLOSURE: TEFC
1 Billed Per Quote 1,089.00
2 Quoted Labor 894.00
3 Quoted Material 195.00.
A Detailed Work Scope is available upon request
Invoice Instructions and Notes; Sub Total 0$9;::00:;::
Credit Terms: A service charge of 2% per month, (24% per Annum) will be added to all
past due invoices. Tax 4x0:(3!
Return Goods: A 20% restocking fee applies to all normal stock items. Goods may not
Fre ;0':00`:::
be returned without prior authorization. g
Warranty: Please track all serial numbers for warranty purposes.
Deposits S:ee >N'ofies
VENDEE agrees to pay all applicable sales and use tax to proper authorities. Invoice Total
Customer has FIVE_(5) working days._to- notify Horner.Electric of_all shipping discrepancies. Please -pay this amount $1089.00
*The invoice total is reduced by any Deposits to date.
1 Customer Copy (fn: issinv)
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
e
Payee
134000
HORNER INDUSTRIAL SERVICES Purchase Order No.
PO BOX 660292 Terms
INDIANAPOLIS, IN 46266 -0292 Due Date 12/31/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/31/2001 60803 $1,089.00
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
Date AjnUr
VGUCHER 084259 WARRANT ALLOWED
13)4000 IN SUM OF
HORNER INDUSTRIAL SERVICES V5
PO BOX 660292
INDIANAPOLIS, IN 46266 -0292 O�(�I
I ZR
Carmel Water Utility
ON ACCOU OF APPR IATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
C j 60803 01- 6200 -04 $195.00
60803 01- 6360 -04 $894.00
Voucher Total $1,089.00
Cost distribution ledger classification if
claim paid under vehicle highway fund