211278 07/31/2012 CITY OF CARMEL, INDIANA VENDOR: 364914 Page 1 of 1
ONE CIVIC SQUARE FIREBRIGHT LLC CHECK AMOUNT: $147.70
CARMEL, INDIANA 46032 PO BOX 51015
INDIANAPOLIS IN 46251-0015 CHECK NUMBER: 211278
CHECK DATE: 7/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4350100 12072401 147 . 70 BUILDING REPAIRS & MA
� 2,
FireBright LLC =_ Invoice
P.O. Box 51015 '
Indianapolis, Indiana 46251-0015 R ,` i Date Invoice#
7/24/2012 12072401
Bill To
City of Carmel
Attn: Jeff Barnes
One Civic Square
Carmel,Indiana 46032
P.O. No. Terms Project
Due on receipt
Quantity Description Rate Amount
2 DNC2C168 T9-I0W,TRANSPARENT, 168 LED,2', 100-277VAC,CW 51.00 102.00
6000-6500K, 1100LM
Discount -5.00% -5.10
International Freight 50.80 50.80
D Q a
JUL 3 0 2012
By
Total $147.70
VOUCHER NO. WARRANT NO.
ALLOWED 20
FireBright LLC
IN SUM OF $
PO Box 51015
Indianapolis, IN 46251-0015
$147.70
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1205 12072401 43-501.00 $147.70 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
nday, July 30, 2012
Director, Administration
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))
07/24/12 12072401 $147.70
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