207563 03/26/2012 \,f 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: $37.50
WESTFIELD IN 46074
CHECK NUMBER: 207563
CHECK DATE: 3126/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 1085071 37.50 REPAIR PARTS
b Q m CT WESTFIELD, IN 46074
17005 WESTFIELD PARK ROAD
r(l
WWW.OVERNITE.BZ
��0 (317) 867 -4404 FAX: (317) 867 -4094
SHIP I TRANSFER NUMBER SHIP TR INVOICE NUMBER
CAR230 1065071 0001 -01
317 571-26QIO
BILLL. CARL +1EL FIRE DEPARTME1\1 SHIP CARIYIE:L FIRE. DEPARTMENT
CIVIC SIDUARE L CIVIC SQUARE
CARMEL_ IN 46032 CARMEL IN 46QI32
CUSTOMER P.O. NO. CUSTOMER P.O. NO. STAT 1 OIV4 1
SHIP TR INVOICE NUMBER SLSMN. ORDER DATE TAKER CUSTOMER P.O. NUMBER DATE
1065071 0001 -01 100 03/05/12 195 S fA 1 101\141 03/05/12
INSTRUCTIONS FRT. PAGE NO.
W/C QUAR'TERIYIASTER GARY CARTER D 1
QUANTITY DISP. ITEM CODE AND DESCRIPTION U/M UNIT PRICE AMOUNT
ORDERED B.O. /RET. SHIPPED
30 30 F'40CWRSEW E 1.25 37. 50
4 RPD S °I' RT 1 COOL WHITE
-STATE TAXAPPLC OD B EEXPLANATION NSIDERCOMPLETE THIS I' S YOUR I MVO I CE SUB TOTAL 37a Jkl
A FEDJOTHERTAXAPPLICABLE D DIRECT SHIPMENT FREIGHT IN FREIGHT OUT MISC. CHARGE
STATE FEDERAL TAX APPL. F FACTORY MINIMUM TELE. CHARGE
B BALANCE BACK ORDERED h RETURNED CYL
FREIGHT TOTAL
FED. /OTHER TAX
NET PERMS- INV 30 DUE: 0 4/04 12 STATE TAX
ORDER COM'L.EI'ED PAYMENTREC'D. Oa 00
TOTAL AMOUNT DUE
TOTAL A►YlI IDUE
37. 50
VOUCHER NO. WARRANT NO.
ALLOWED 20
Overnite Electric
IN SUM OF
17005 Westfield Park Drive
Westfield, IN 46074
$37.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 I 1085071 I 42- 370.00 I $37.50 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
aenD cD 2n19
MAR 2 8
1'
Fire Chief
Title
Cost distribution ledger classification if
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1085071 $37.50
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