174981 07/22/2009 CITY OF CARMEL., INDIANA VENDOR: 00350662 Page 4 of 'I
ONE CIVIC SQUARE LAFEVER ELECTRIC, INC. CHECK AMOUNT: $1,418.08
f CARMEL, INDIANA 46032 131 N, RANGELINE ROAD
CARMEL IN 46032
CHECK NUMBER: 174981
CHECK DATE: 7122/2009
DEPAR ACCOUNT PO NUMBER INVOIC NUMBER AMOUNT DESCRIPTION
1207 4350100 164303 1,418.08 BUILDING REPAIRS MA
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INVOICE
LAFEVER ELECTRIC, inc.
131 NORTH RANGELINE ROAD CARMEL, IN 46032 (317) 846 -4687 FAX (317) 844 -7943
Commercial and Industrial Contractors
SOLD Brookshire Golf Club
TO INVOICE DATE 7/13/2009
12120 Brookville Parkway
Carmel, Indiana 46033 REF. OUR ORDER 164303
Attention: Accounts Payable
DELIVER same
TO REF. YOUR ORDER
TERMS NET 30 DAYS
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
FWO 11718 Brookshire Golf Club
Investigated power outage at pool house and refeed bad service. $1,275.08
FWO 11719 Brookshire Golf Pro Shop
Investigated power outage. $143,00
TOTAL DUE THIS INVOICE $1,418.08
PAST DUE INVOICES ARE SUBJECT TO A FINANCE
CHARGE OF 112% PER MONTH.
PROJECT FIELD ORDER
LAFEVER ELECTRIC, INC.
131 N. RANGELINE ROAD 1643
CARMEL, INDIANA 46032 m, Brookshire Golf Club
317 846 4687
CHARGETO Brookshire Golf Club Dp CD AMOLNT
xsco nre oucir
DESS 12120 Brookville Parkway o� °F
R Ir►vestigated power outage at pool house and refeed bad
crrY AND STATE: Carmel Indiana 46033 service.
AD DITIONAL WORK AUTHORIZED BY:
WNERS REPRESENTATIVE DAILSANDROURS
WORKMAN'S NAME CLASSI- 29 -Jun 30 -Jun I -Jul TOTAL R,IB AMOUNT
FICATION HOURS
Jimmy Knowles 3.5 5 2 10.50 71.50 750.75
TOTAL LABOR 3.50 5.00 2.00 750.75
QUAN DESCRIPTION UNIT PRICE AMOUNT FOR BILLING PURPOSES ONLY
LABOR
2 Wood Screws 3.30 C 0.07 INSURANCE
125 4/3 Romex 2,376.00 M 297.00
r OVERHEAD
2 1" Romex Connectors 110.88 C 122
1 12 X 1.2 X 4 Box w /Cover 14.85 E 14.85 PROFIT
3 3 Hole Splice Lugs 16.93 E 50.79 r INDIA NAGROSS TAX
I Cutler Hammer Type CH3 90A Breaker 49.50 E 49.50 TOTAL LABOR 75075
MATERIAL 41449
1 Tan Wire Nut 0.07 E 0.07 Continuation Sheet(s)
15 OVERHEAD 62 17
47666
10 PROFIT 47. 67
524 33
1 /2% IND3ANA GROSS TAX
52433
7% INDLNA SALES TAX
TOTAL MATERIAL. 52433
TAXEXEMP77ON NO.: TOTAL MATERIAL 414.49 TOTAL LABOR MATERIAL 1,275 08
FOREMAN Approved OWNER'S REPRESENTATIVE
ORDERBW
LAFEVER ELECTRIC INC. PR °X FIELD ORDER VIT
job 131 N. RANGELINE ROAD 1643 Brookshire Golf Course
CARMEL. INDIANA 46032 Pro Shop y
3171 846 4687 VAit HARGETO Brookshire Golf Club D
DRESS 12120 Brookville Parkway WORK OF Investigated power outage.
ITV AND STATE: Carmel Indiana 46033
AD DITIONAL WORK AUTHORIZED BY:
WNER'S REPRESENTATIVE IhNANUMV KS
WORKMAN'S NAME CLASSI- 25 -Jun TOTAL RATE AMOUNT
FICATION Z== HOURS
Jimmy Knowles 2 2.00 71 .50 143.00
TOTAL LABOR 2.00 143.00
QUAN DESCRIPTION UNIT PRICE C. AMOUNT FOR BILLING PURPOSES ONLY
LABOR
No material needed INSURANCE
V. OVERHEAD
PROFIT
INDIANA GROSS TAX
TOTAL, LAWR 143.00
MATERIAL
Continuation Sheet(s)
15% OVERHEAD
10% PROFIT
112% INDLANA GROSS TAX
7 INDIANA SALES TAX
TOTAL MATEWAL
TAX EXEMPTION NO.: TOTAL MATERIAL TOTAL LABOR MATERIAL 143 00
FOREMAN Approved OWNER'S REPRESENTATIVE
Prescribed by Sate 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.
/3 fy, Terms
fJl2�i Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total Q
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.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
LO 5-o% o6 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
,J .p 20 p-
Si nature OQ
Titl
Cost distribution ledger classification if
claim paid motor vehicle highway fund