211042 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 365663 Page 1 of 1
ONE CIVIC SQUARE SERVICE CONCEPTS CHECK AMOUNT: $1,054.52
` CARMEL, INDIANA 46032 PO BOX 24517
94(iori�p INDIANAPOLIS IN 46224 CHECK NUMBER: 211042
CHECK DATE: 7/1712012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350100 8242 1, 054 . 52 BUILDING REPAIRS & MA
Invoice
Service Concepts
PO Box 24517
oncepts Date Invoice#
Indianapolis IN 46224
6/29/2012 8242
Bill To Ship To
City of Carmel City of Carmel
Dave Huffman Dave Huffman
3400 West Main Street 3400 West Main Street
Carmel, IN 46074 Carmel, IN 46074
317-733-2001
P.O. No. Due Date Ship Date Ship Via FOB
7/23/2012 6/29/2012 Best Warehouse
Item Description Qty Rate Amount
CR24-40L-40K-10V Cree 2x4 LED Troffer 4000L 40K Dimming 4 249.00 996.00
S&H Shipping and Handling 1 58.52 58.52
� C
Subtotal $1,054.52
Sales Tax (7.0%) $0.00
Total $1,054.52
Phone# Fax# E-mail Web Site
317.522.4990 317.487.2271 admin @serviceconcepts.coop www.serviceconcepts.coop
i
VOUCHER NO. WARRANT NO.
ALLOWED 20
Service Concepts
IN SUM OF $
P. O. Box 24517
Indianapolis, IN 46224
$1,054.52
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 8242 I 43-501.001 $1,054.52 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
i
>; Wednesday,,"/July 11, 2012
r:
�4 f
P
Street Commissioner
C�rno� (�nPYliTIiCCi:'1 r?P;
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))
06/29/12 8242 $1,054.52
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