169509 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 00350662 Page 1 of 1
d ONE CIVIC SQUARE LAFEVER ELECTRIC, INC.
if CARMEL, INDIANA 46032 131 N. RANGELINE ROAD CHECK AMOUNT: $553.00
CARMEL IN 46032 CHECK NUMBER: 169509
CHECK DATE: 314/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE N AMOUNT DESCRIPTION
1110 4350100 20032 157305 553.00 ELECTRICAL INSTALLATI
t
IINVOI CE
LAFEVER ELECTRIC, Inc.
131 NORTH RANGELINE ROAD CARMEL, IN 46032 9 (317) 846 -4687 FAX (317) 844 -7943
Con nnercial and Industrial Contractors
SOLD Carmel Police
TO INVOICE DATE 2/16/2009
3 Civic Square
Carmel, Indiana 46032 REF. OUR ORDER 157305
Attention: Asst. Police Chief Tim Green
DELIVER same
TO REF. YOUR ORDER
TERMS NET 30 DAYS
QUANTITY DESCRIPTION UNIT PRICE AMOUNT
Installed a dedicated double duplex receptacle, repaired and changed
existing receptacle to double duplex. $553.00
PAST DUE INVOICES ARE SUBJECT TO A FINANCE
CHARGE OF 112% PER MONTH.
INDIANA RETAIL TAX EXEMPT PAGE Of 1
City 11 o II IRJS anal CERTIFICATE NO. 003120155 002 0 1 PURCHASE ORDER NUMBER
r FEDERAL EXCISE TAX EXEMPT
35- 60000972 20032
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
l,aFever T ltectrict.Inc. SHIP City ax Carmel Police
VENDOR 1 N. Rang &line Rd„ TO 3 Civic ;Square
Carmel., IN 46032 Carmel f TA 46032
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Electricil installation. oa 553.00
Install M caaable to few outlet
Tnsta.11 1 P 20 -asap breaker
Chase wall
Install du
Assist 1►". n
Cp
1
ell
"Pt 0 p I�
Pt A:
Send invoice To: C PoTice O ff} 1W
ATTN a Te resa Ander c
3 Civic Square
Carmel, IN 46032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT ,PROJECT ACCOUNT AMOUNT
1110 501 Building repairs PAYMENT 553,00
Mai Cite na nc le A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY iNV010E AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
q 4. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY f l.'t' /!1 r�?f �1`
PURCHASE ORDER NUMBER MUST APPEAR ON ALL I
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
Zu CLERK TREASURER
DOCUMENT CONTROL NO A.P. COPY SIGN AND RETURN TO CLERK'S OFFICE
VQUCHER NO. WARRANT NO.—.--
ALLOWED 20___
|N THE SUM OF$
C)N ACCOUNT OF APPROPRIATION FOR
Board Members
P-' or hereby certify that the attached invooe(s), or
biUkdka(ore) true and correct and that the
materials or services itemized thereon for
which charge ie made were ordered and
received except
20
Signature
Title
Cost distribution ledger classification it
claim paid motor vehicle highway fund
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
LaFever Electric, Inc. Purchase Order No. 20032F
131 N. Rangeline Road Terms
Carmel, IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
2.116,109 157305 for electrical work 553.00
Total
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
L aFever Electric, Inc. IN SUM OF
131 N. Rangeline Road
Carmel, IN 46032
i 553.00
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
Po# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
20032F 157305 501 553.00 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
February 25 20 09
Signature
Chief of Police
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund