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206383 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 00350736 Page 1 of 1 ONE CIVIC SQUARE OVERNITE ELECTRIC SUPPLY CARMEL, INDIANA 46032 17005 WESTFIELD PARK ROAD CHECK AMOUNT: $219.00 WESTFIELD IN 46074 CHECK NUMBER: 206383 CHECK DATE: 2/14/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4237000 1084660 54.00 REPAIR PARTS 1120 4237000 1084793 165.00 REPAIR PARTS 17005 WESTFIELD PARK ROAD WESTFIELD, IN 46074 WWW.OVERNITE.BZ .p p L v (317) 867 -4404 FAX: (317) 867 -4094 SHIP TRANSFER NUMBER SHIP TR INVOICE NUMBER CAR230 1 Q1846 6 0-0001 -V_� 1 317 571 -2600 BTo CARMEL FIRE DEPAR'TMEN' DEPAR'TMEN' C ARMEL FIRE DEP'ARTMEN 2 CIVIC SQUARE CIVIC SQUARE CARMEL IN 46032 CARMEL IN 46032 CUSTOMER P.O. NO. CUSTOMER P.O. NO. 1 I N"(' CHIEF AI' SHIP TR INVOICE NUMBER SLSMN. ORDER DATE TAKER CUSTOMER P.O. NUMBER DATE 1084660 0001 -01 100 01/26/12 195 mAIIVT CH'1"EF /AI 02/07/ 1E INSTRUCTIONS -FRT.- -PAGE NO. CALL BOB WHEN IN QUARTERMASTER GARY CARTER B 1 QUANTITY DISP. ITEM CODE AND DESCRIPTION U/M UNIT PRICE AMOUNT ORDERED B.O. /RET. SHIPPED 6 6 #F x,3 /UL835 EA 9.00 54. OSRAM 36W P L -L 3500K 20562 CODE EXPLANATION SUB TOTAL STATE TAX APPLICABLE C CONSIDERCOMPLETE THI 5 1 S YOUR INVO I CE 54.00 FEDJOTHERTAXAPPLICABLED DIRECTSHIPMENT FREIGHT IN FREIGHT OUT MISC.CHARGE STATE& FEDERAL TAX APPL. F FACTORYMINIMUM TELE. CHARGE BALANCE BACK ORDERED rt RErURNEDCYL FREIGHT TOTAL FED. /OTHER TAX NET TERMS: INV 30 DUE-., 0 3/08/12 STATE TAX ORDER COMPLETED PAYMENTREC'D. 0.00 TOTAL AMOUNT DUE TOTAL AIYI'I` llUE 54. 00 t� Q� Ku'CT 17005 WESTFIELD PARK ROAD WESTFIELD, IN 46074 WWW.OVERNITE.BZ (317) 867 -4404 FAX: (317) 867 -4094 SHIP TRANSFER NUMBER SHIP TR INVOICE NUMBER CAR230 1 084'793-00 1 -01 1084793--0001-01 317-571- BILL SHIP TO: C.t -iRMEL FIRE DEPARTMEN TO: Ci }ZM FIRE. DEPARTMENT 2 CIVIC SQUARE: 2 Civic SQUARE CARME.L IN 46032 L. A RMEL l N 46032 CUSTOMER P.O. NO. STAT ION 46 CUSTOMER P.O. NO. 'STATION 4 SHIP I TR I INVOICE NUMBER SLSMN. ORDER DATE TAKER, CUSTOMER P.O. NUMBER DATE 1+i�8479 �1+►ttkll- y1 100 02/07/12 R 195 STATION 46 INSTRUCTIONS FRT. PAGE NO. W/C QUARTERMASTER GARY CAR 1'L ii 1 QUANTITY DISP. ITEM CODE AND DESCRIPTION U/M UNIT PRICE AMOUNT ORDERED B.O. /RET. SHIPPED 9 Ib 90 E40CWREiEW E 1. 25 112.. `s 4 4' RPD STRT T12 COOL W1-(I T'E 25 25 F 32Ts I L 741 E 2.10 52.... 0 4' RPD STRT 4A 00K 1 i rt I T CODE EXPLANATION W I P 0 RI}E R k'., H 11: ORDER**** SUB TOTAL STATE TAX APPLICABLE C CONSIDER COMPLETE EDJOTHER TAX APPLICABLE D DIRECT SHIPMENT FREIGHT IN FREIGHT OUT MISC. CHARGE TATE FEDERAL TAX APPL. F FACTORY MINIMUM TELE. CHARGE 4LANCE BACK ORDERED rt RETURNED CYL. FREIGHT TOTAL FED. /OTHER TAX 0. OIZI STATE TAX 0. 00 ORDER CIDI*11-r1._ETED i&iFr x PAYMENT RECD. 0. 0IZA `TOTAL AMOUNT DUE rt 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)) 1084660 $54.00 1084793 $165.00 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 VOUCHER NO. WARRANT N ALLOWED 20 Overnite Electric IN SUM OF 17005 Westfield Park Drive Westfield, IN 46074 $219.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members 1120 1084660 j 42- 370.00 j $54.00 1 hereby certify that the attached invoice(s), or 1120 1084793 42- 370.00 $165.00 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 FEB 13 2012 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund