178287 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 00352503 Page 1 of 1
*f ONE CIVIC SQUARE MIDLAND ELECTRIC SUPPLY INC
CARMEL, INDIANA 46032 5818 MASSACHUSETTS AVE CHECK AMOUNT: $241.44
+'r INDIANAPOLIS IN 46218
CHECK NUMBER: 178287
CHECK DATE: 10/14/2009
DEPARTMENT. ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 38199 241.44 MATERIALS SUPPLIES
MIDLAND ELECTRIC SUPPLY, INC. INVOICE
5818 MASSACHUSETTS AVENUE
INDIANAPOLIS, IN 46218 -2567 Invoice Number: 38199
Invoice Date: Sep 28, 2009
Page: 1
Voice: (317) 542 -1096
Fax: (317) 549 -0645
fiftp://www.midiandelectricsupply.com
CARMEL W.W.T.P. CARMEL W.W.T.P.
ACCOUNTS PAYABLE 9609 HAZEL DELL PARKWAY
750 THIRD AVENUE SW INDIANAPOLIS, IN 46280
CARMEL, IN 46032 USA
CAR528 KEVIN 1% 10, Net 30 Days
x
Date���` a Due Date
CB WILL CALL 9!28109 10/28/09
'Da�' ill tlon ��:FS iltt ?�rlC a �moUnt
Ch"
12.00
12.00 75CF14 SIEMENS CONT KIT, 1P, NEMA 0 20.12 241.44
REF SO 81081
YOU MAY DEDUCT $2.41 DISCOUNT ONLY IF
PAYMENT IS RECEIVED NO LATER THAN
10/8/09.
1
Subtotal 241.44
Sales Tax
Fre ig ht
Total Invoice Amount 241.44
Check /Credit Memo No: Payment /Credit Applied
T,0 L ti X241.44
«..,.Y <�s .a�`,• ..a3�`T�,�.. "�Sc> mss... c..
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
352503
MIDLAND ELECTRIC SUPPLY INC Purchase Order No.
5818 Massachusetts Avenue Terms
Indianapolis, IN 46218 Due Date 10/5/2009
g
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/5/2009 38199 $241.44
�r
hereby certify that the attached invoice(s), or bill(s) is (are) true and
:orrect and I have audited same in accordance with IC 5-11-10-1.6
Date Officer
J
VOUCHER 096517 WARRANT ALLOWED
352503 IN SUM OF
MIDLAND ELECTRIC SUPPLY INC
5818 Massachusetts Avenue
Indianapolis, IN 46218
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
38199 01- 7202 -06 $241.44
Voucher Total $241.44
Cost distribution ledger classification if
claim paid under vehicle highway fund