206159 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 00352481 Page 1 of 1
M f ONE CIVIC SQUARE BURTNER ELECTRIC LIGHTING CHECK AMOUNT: $2,984.50
CARMEL, INDIANA 46032 787 N. 10TH STREET
NOBLESVILLE IN 46060 CHECK NUMBER: 206159
CHECK DATE: 2114/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 R4235000 30177 41697 2,984.50 INSTALL 3 FIXTURES
INVOICE
Burtner Electric Inc. INVOICE 41697 PAGE 1
787 N. 10th Street
Noblesville IN 46060 DATE 01/17/2012
Phone: 317-773-7663 Fax: 317-776-3029 REFERENCE MIKEL
TELEPHONE 710 -5671
CUSTOMER JOB NUMBER 32650
FORMAT
ACCT 113040
CARMEL CLAY PARKS DEPARTMENT SNAME CARMEL
1411 E 116TH STREET SOLD BY
CARMEL IN 46032
AUTHORIZED BY
JOB LOCATION JOB DESCRIPTION
1195 CENTRAL PARK DRIVE WEST SUPPLY AND INSTALL 2 M 15AGNFI T70MH -277 FIXTURES
CARMEL DO AS PER QUOTE
ALL PAST DUES ARE SUBJECT TO LIEN
cost to supply and install 3 ml5a- g- nfl -t70mh -277 fixures
for sign 2,984.50
JAN 9 1011
BY........... ............o
Purchase
Description L S160 L.1 G 15 1 0 1
P.O. W i 7 P or FO 2011 9
G.L. 112 y 0 L1 CD C
Budget
Line Descr EQUIP MEf1T R�p�11 ��A�
Purchaser Date
Approval Date
TOTAL 2,984.50
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.
Terms
352481 Burtner Electric Inc.
787 N. 10th Street
Noblesville, IN 46060
Invoice Invoice Description Amount
or note attached invoice 30177 2,984.50
s) or bill(s)) PO
Date Number
1117112 41697 MCC sign li hts 111 th street
Total 2,984.50
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.
352481 Burtner Electric Inc. Allowed 20
787 N. 10th Street
Noblesville, IN 46060
In Sum of
2,984.50
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
30177 F 41697 4350000 2,984.50 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 -Feb 2012
Signature
2,984.50 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund