206773 02/28/2012 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: $165.00
WESTFIELD IN 46074
roio CHECK NUMBER: 206773
CHECK DATE: 2/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 1084793 -0001 165.00 REPAIR PARTS
17005 WESTFIELD PARK ROAD
WESTFIELD, IN 46074
WWW.OVERNITE.BZ
p. (317} 867 -4404 FAX: (317) 867 -4094
SHIP TRANSFER NUMBER SHIP TR INVOICE NUMBER
CAR230 1084793-0001-01
317-- 571 -2600
BTo CARMEL FIRE DEPARTMENT S Tp CART +fEL FIRE DEPARTMENf
2 CIVIC SQUARE c CIVIC SQUARE
CARE +1EL IN 46032 CARMEL IN 46032
CUSTOMER P.O. NO. CUSTOMER P.O. NO.
STATION 46
SHIP TR INVOICE NUMBER SLSMN. ORDER DATE TAKER CUSTOMER P.O. NUMBER DATE
1OS4793- V'_001 -0 1 100 02/07/12 195 STATION 46 02/06/12
12
INSTRUC.T.IONS_,__ FRT._ -.-PAGE-NO.-
PU BY JIM DAVIS QUARTERMASTER GARY CARTER D 1
QUANTITY DISP. ITEM CODE AND DESCRIPTION U/M UNIT PRICE AMOUNT
ORDERED B.O./RET. SHIPPED
90. 90 F40CWRSEW E 1.25 112.50
4" RPD STRT T12 COOL WHITE
25 25 F32 T BTL741 E 2.10 52.
4 RPD STRT 4100K T6
CODE EXPLANATION -Ik- TH I S IS Y OUR I NVOICE SUBTOTAL
-STATE TAX APPLICABLE C CONSIDERCOMPLETE 1 6 5. 0 0
FEDJOTHERTAXAPPLICABLE D DIRECT SHIPMENT FREIGHT IN FREIGHT OUT MISC. CHARGE
STATE& FEDERAL TAX APPL. F FACTORY MINIMUM TELE. CHARGE
B -BALANCE BACK ORDERED rt RETURNED CYL.
FREIGHT TOTAL
FEDJOTHER TAX
NET TERMS: INV 30 DUE: 03/09/ 1;Z:' STATE TAX
1; ORDER COMPLETED PAYMENTREC'D. 0. OI[I
TOTAL AMOUNT DUE
TOTAL AiYI'1 T7 IE
165. ICI ICI
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))
1084793 -0001 46 $165.00
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
Overnite Electric
IN SUM OF
17005 Westfield Park Drive
Westfield, IN 46074
$165.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE I AMOUNT Board Members
1120 I 1084793 -0001 I 42- 370.00 I $165.00 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
FEB 2 4 2012
y
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund