207745 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 00351914 Page 1 of 1
ONE CIVIC SQUARE BARTH ELECTRIC COMPANY
CARMEL, INDIANA 46032 1934 N ILLINOIS ST CHECK AMOUNT: $8,620.80
INDIANAPOLIS IN 46202 CHECK NUMBER: 207745
CHECK DATE: 4110/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 R4350000 27690 127519 8,620.80 BATTERY CABINEY /LABOR
INVOICE I- 127519
El
No. 127519
BARTH ELECTRIC COMPANY, INC. 1934 NORTH ILLINOIS STREET INDIANAPOLIS, INDIANA 46202 (317) 924 -6226
SOLD TO: CARMEL COMMUNICATION CENTER DATE: March 28, 2012
31 1 ST AVE. N.W.
CARMEL, IN 46032 YOUR ORDER NO: 27690
OUR JOB NO: C- 125001 -4
ALL INVOICES DUE 10 DAYS FROM
DATE OF INVOICE. NO CASH DISCOUNT
JAE DESCRIPTION PRICE
Name of Project: VARIOUS SIRENS
Location: VARIOUS LOCATIONS
Work Ordered by: TODD LUCKOSKI
Description of Work
PARTICULARS
BARTHE ELECTRIC IS PLEASED TO PROPOSE THE FOLLOWING:
BATTERY CHARGERS FEDERAL SIGNAL BRAND 275.00 EACH
X 4 1,100.00, PLUS 4 HOURS 88.90 PER HOUR 355.60
PLUS TRIP CHARGE OF 30.00 PER SITE TOTAL PER SITE 1,485.60
SITES LISTED BELOW:
403 1,485.60
408- 1,485.60
412- 1,485.60
416 1,485.60 1,192.80 2,678.40
418- 1,485.60
SITE 416 ALSO NEEDS A NEW BATTERY CABINET ALL THEY CARRY NOW ARE
ALUMINUM ONES.
BATTERY CABINET- $1,015.00
LABOR 2 HOURS 177.80
$1,192.80 NO TRIP CHARGE BECAUSE WE WILL HAVE TO REPLACE THE
CHARGERS ANYWAY.
LUMP SUM CONTRACT AMOUNT 8,620.80
CURRENT PAYMENT DUE 8,620.80
Please remit to.
Barth Electric Co., Inc.
1934 N. Illinois St.
Indianapolis, IN 46202
INDIANA TAX EXEMPT PAGE
C i of:. rme� CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
1i
FEDERAL EXCISE TAX EXEMPT 27690
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
DURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
91/2212091
Barth Electric Carmel Communication Center
VENDOR SHIP 31 1 st Ave NW
TO
1934 N. Illi Street Carmel, IN 46032
Indianapolis, Indiana 46202 (397) 579 -2586
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
'QUANTITY UNIT-OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43- 500.00
1 Each Battery cabinet $1,015.00 $1,015.00
1 Each Labor $177.80 $177.80
5 Each Battery Chargers $1,485.60 $7,428.00
7 1 7 Z
—7- Sub Total: $8,620.80
y l
a IV, J
Send Invoice To:
Carmel Communication Center
31 9 st Ave NW
Carmel, IN 98032
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Communications PAYMENT $8,620.80
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY�GERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPR RIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Director
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT T HERETO.
CLERK- TREASURER
DOCUMENT CONTROL NO. 2 7 le z
A.P.V. COPY -SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO._--
ALLOWED 20
IN THE 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
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Barth Electric
IN SUM OF
1934 N. Illinois Street
Indianapolis, Indiana 46202
$8,620.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO, I ACCT #/TITLE AMOUNT Board Members
Encumbered I hereby certify that the attached invoice(s), or
27690 127519 43- 509.00 $8,620.80
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
Monday, April 02, 2012
Director
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))
03/28/12 127519 $8,620.80
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