HomeMy WebLinkAbout208279 04/25/2012 *f CITY OF CARMEL, INDIANA VENDOR: 364914 Page 1 of 1
ONE CIVIC SQUARE FIREBRIGHT LLC
CARMEL, INDIANA 46032 PO BOX 51015 CHECK AMOUNT: $1,648.00
INDIANAPOLIS IN 46251 -0015
gib' CHECK NUMBER: 208279
CHECK DATE: 4/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4350100 12032301 1,648.00 BUILDING REPAIRS MA
t,
FireBright LLC Invoice
P.O. Box 51015
Indianapolis, Indiana 46251 -0015 FIREBRIGHT Date Invoice
3/23/2012 12032301
Bill To
Carmel Police Department
Attn: Robert Robertson
3 Civic Center
Carmel, Indiana 46032
P.O. No. Terms Project
Due on receipt
Quantity Description Rate Amount
32 DNN4C264 UL T8, 15W, TRANSPARENT, 264 LED, 4', 100- 277VAC, NW 59.00 1,888.00
5000- 5500K, 160OLM
Discounts 288.00 288.00
1 Freight 48.00 48.00
Manufacturer's Warranty: Limited 3 Year 0.00 0.00
If you have any questions, please call Dave Baer at 317- 513 -9266. Thank you for 0.00 0.00
your business!
Total $1,648.00
c i� f C INDIANA RETAIL TAX EXEMPT PAGE
CERTIFICATE NO. 003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
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.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
41112
l°ImBrlgft LLC Cannel Police Depattmont
VENDOR SHIPS Civic Squara
TO
P.O. Box 61015 Carmel, IN
Indianapolis, IN 625115 (317) 5t1 255g
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
32 Each DNN4C264 UL T8, 1 SW transparent $59.00 $1,888.00
bulbs
1 Each Discount ($288.00) ($288.00)
1 Each shipping charges $48.00 $48.00
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Send Invoice To:
71
Carmel Police Department
Attn: Teresa Anderson
3 Civic squatm
Cwnel IN 4M- PLEASE INVOICE IN DUPLICATE j 4 b� n
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
�a I�
�a� �q ,00 PAYMENT
Carmel Police Dept. 43- 601.00 A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SU ICI T TO PAY FOIE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Ckai e f wRw��
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. v.
CLERK TREASURER
DOCUMENT CONTROL NO-26127 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER WARRANTNO�____
ALLOWED 20
|N THE SUM OF$
DN ACCOUNT OFAPPROPRIATION FOR
Board Members
PO# or INVOICE NO ACCT#/TITLE AMOUNT
DEPT hereby certify that the attached invoice(s), or
bill(s) is (un) true and correct and that the
mat rialaorservices itemized thereon for
which charge is made were ordered and
received except
20
Signature
Title;
Cost Uistribuoon ledger classification
uaonpe�mu�,�ve�6�o�nwaymnu
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))
03/23/12 12032301 light bulbs $1,648.00
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 N WARRANT NO.
ALLOWED 20
FireBright LLC
IN SUM OF
P.O. Box 51015
Indianapolis, IN 46251 -0015
$1,648.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1110 I 12032301 I 43- 501.00 I $1,648.00 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
Thursday, April 19, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund