209502 06/05/2012 CITY OF CARMEL, INDIANA VENDOR: 00353001 Page 1 of 1
ONE CIVIC SQUARE CTW ELECTRICAL CO INC
CARMEL, INDIANA 46032 601 SAYRE COURT CHECK AMOUNT: $93.00
GREENWOOD IN 46143 CHECK NUMBER: 209502
CHECK DATE: 6/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 1105687 -00 93.00 REPAIR PARTS
CTW Electrical Co., Inc.
CM 601 Sayre Court I N V 0 1 C E
Greenwood, IN 46143
800/428 -3004 Fax: 800/833 -7134 UPC V INVOICE DATE INVOICE NO.
http: /www.ctwinc.com 000000 05/30/12 1105687 -00
3350
Ship To: Carmel Street Dept. P.O. NO. PAGE
3400 West 131st St. STOCK 1
Carmel, IN 46074 Remit To: CTW Electrical Co., Inc.
601 Sayre Court
Greenwood, IN 46143
Bill To: Carmel Street Dept.
3400 West 131 st St. INSTRUCTIONS
Carmel, IN 46074
SHIP POINT VIA SHIPPED TERMS
CTW Electrical Co., Inc. UPS Comm -NFT 05/30/12 Net 30 Days
SALESREP SALESREP NAME
028 Brian Windisch
LN ITEM AND DESCRIPTION UPC ORDERED B.O. SHIPPED UM PRICE AMOUNT
1 BF -116 -8 00000 2 0 2 each 7.45 14.90
Elbow
2 DB -UB -12 00000 1 0 1 each 41.10 41.10
Unibit
3 BF -462 -6 00000 5 0 5 each 3.50 17.50
Union
4 BF -462 -8 00000 2 0 2 each 5.15 10.30
Union
5 BF- 468 -68 00000 2 2 0 each 3.55 0.00
Brass Fitting
6 BF- 468 -88 00000 2 0 2 each 4.60 9.20
Connector
7 X- SAMPLE 00000 1 0 1 each 0.00 0.00
Samples
(1) BF- 139 -88 PROMO N/C
7 Lines Total Qty Shipped Total 13 Total 93.00
Invoice Total 93.00
Last Page Discrepancies in shipments must be made within 15 days of invoice. Returns will not be accepted without RGA number. No returns allowed on special order
items. Items must be received in same packaging and quantity as shipped. Re- stocking charges may apply. Purchaser will be liable for interest, legal
and collection costs if account is placed into collections.
VOUCHER NO. WARRANT NO.
ALLOWED 20
CTW Electrical
IN SUM OF
601 Sayre Ct.
Greenwood, IN 46143
$93.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
2201 I 1105687 -00 I 42- 370.001 $93.00 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
/Friday,�JJne 01, 2012
WLW 44�A
Street Commissioner
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))
05/30/12 1105687 -00 $93.00
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