177345 09/15/2009 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: $109.38
WESTFIELD IN 46074
CHECK NUMBER: 177345
CHECK DATE: 9115/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120' 4237000 1071791 257.10 REPAIR PARTS
1120 4237000 1504779 147.72 REPAIR PARTS
o
®vernate Electric Supply
17005 Westfield Park Road Westfield, IN 46074
317- 867 -4404 FAX 317 867 -4094 888 295 -6700 FAX 888 716 -4310
www.ovemiteelectricsupply.com sales @ovemiteelectricsupply.com
SHIP TRANSFER NUMBER SHIP I TR INVOICE NUMBER
CAR230 1504779 0001 -01
17- 571 -2600
BILL CARMEL FIRE DEPARTMENT SHIP CARMEL FIRE DEPARTMENT
CIVIC SQUARE E CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
CUSTOMER P.O. NO. CUSTOMER P.O. NO. WRONG ITEM
M_,
SHIP I TR I INVOICE NUMBER rI �'SLSMN��� ORDER DATETQKER CUSTOMER P.O. NUMBER It. "'DATE
k, a -J -1 —.Ei-
1504779 0001 -=01 iV 100 081.u1/I;r 195'. 1WRONG. ITEM 8/311 9
r�
INSTRUCTIONS- ji FRT t:'PAGE NO:
Ot
RETIJRNED ELY GARY QUARTERMASTER GARY CARTER'
n_
1 rT7_ 7DISP ITEM CODE U/M UNIT PRICE AMOUNT,
AND DESCRIPTION
/RET.
ORDERED it B O. I SHIPPED_ 11
I �:z_
HIDLU400
—1 —i'' MOG E 12. 31 147`72_
E18 MOG BASE 40OW HPS
r
fl
S`
A_ �I
6
f g i
y
Ap,
r- r
�I v
4
1
fi
CODE EXPLANATION THIS IS YOUR -CREDIT SUB TOTi4l 14_7 '_'7±
STATE TAX APPLICABLE C CONSIDER COMPLETE MI, ARG
M FEDJOTHER TAX APPLICABLE D DIRECT SHIPMENT FREIGH IN FREIGHT OUT -MI SC CH E
-STATE &FEDERAL TAX APPL F FACTORY MINIMUM F TELE CHARGE
B -BALANCE BACK ORDERED rt RETURNED CYL.��
FREIGHTjTOTAL
FED /OTHER TAX r,
NET TERMS: INV 30 DUE: 09/30/09 STATE TAX
ORDER COMPLETED PAYMENT REC D 000
TOTAL AMOUNT DUE
TOTAL .?AMT DUE
vernite Electric Supply
17005 Westfield Park Road Westfield, IN 46074
317- 867 -4404 FAX 317 867 -4094 888 295 -6700 FAX 888 716 -4310
www.ovemiteelectricsupply.com sales @ovemiteelectricsupply.com
SHIP TRANSFER NUMBER SHIP TR INVOICE NUMBER
CARi�30 1 071791 0001 -01
317 571 -2600
BILL
TO: CARMEL FIRE DEPARTMENT S TO: CARMEL FIRE DEPARTMENT
CIVIC SQUARE 2 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
CUSTOMER P.O. NO. CUSTOMER P.O. NO. STAT 41
SHIP 1 TR /INVOICE NUMBER SLSMN �,8i. ORDER DATE TAKER 'L CUSTOMER P.O. NUMBER
1Q21717910+Zt;1 =1 "1�G$t�/31/", 195STifLC]N 08131/4?+'
Y -r INSTRUCTIONS j FRT PAGE''NO.
P/ GAR QL1AftTERMASTER GARY CARTER I' Ei 1
QUANTITY l
r 'DISP,� ITEM CODE AND DESCRIPTION U/M I UNIT PRICE 1 AMOUNT
DERED IF7E
F
6 6 SYL M175 /U EA.� 14.95
ED26 MOG BASE. 175W =MH
12 12 HID LU25'0MOG. E 13.95 167 40
E18 -MOG RASE 250W HPS
Al
I
I ey e S h
J
4 J s i
B
o
1 Le
fi -i!
F Y
C
r
Y#
CODE EXPLANATION THIS IS YOUR INVOICE SUB TOTAL
STATE TAX APPLICABLE C CONSIDER COMPLETE
'MISC. C y
N -FED. /OTHER TAX APPLICABLE D DIRECT SHIPMENT FREIGHT IN 1, FREIGHT OUT
-STATE FEDERAL TAX APPL F FACTORY MINIMUM a TELE CHAR
B -BALANCE BACK ORDERED A RETURNED CYL .F T OTAL
e` FED /OTHER TAX
NET TERMS: INV 30 DUE: 09/30/09 STATE TAX
ORDER COMPLETED PAYMENT RECD .:w 0.00
TOTAL AMOUNT DUE
TOTAL fi :AMT DUE
`57 r;
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))
1504779 ($147.72)
1071791 $257.10
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.
O.vernite Electric ALLOWED 20
IN SUM OF
17005 Westfield Park Drive
Westfield, IN 46074
$109.38
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 1504779 42- 370.00 ($147.72) I hereby certify that the attached invoice(s), or
1120 1071791 42- 370.00 $257.10 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
SEP 14 7009
r fi
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund