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211663 08/14/2012 CITY OF CARMEL, INDIANA VENDOR: 00353001 Page 1 of 1 ONE CIVIC SQUARE CTW ELECTRICAL CO INC CHECK AMOUNT: $102.45 CARMEL, INDIANA 46032 601 SAYRE COURT GREENWOOD IN 46143 CHECK NUMBER: 211663 CHECK DATE: 8/1412012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 1107660-00 102 . 45 REPAIR PARTS M AV AW CTW Electrical Co., Inc. %W1 W 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 07/31/12 1107660-00 3350 Ship To: Carmel Street Dept. P.O.NO. PAGE# 3400 West 131st St. MIKE/ED 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 07/31/12 Net 30 Days SALESREP SALESREP NAME 028 Brian Windisch LN ITEM AND DESCRIPTION UPC ORDERED B.O. SHIPPED UM PRICE AMOUNT 1 BL-6031 00000 12 0 12 each 8.15 97.80 Light Kit 2 9353-0634 00000 100 0 100 each 0.04650 4.65 Screw 2 Lines Total Qty Shipped Total 112 Total 102.45 Invoice Total 102.45 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 $102.45 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 I 1107660-00 I 42-370.001 $102.45 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 ` Thupsday,�k^ t 09, 2012 4 tii m Street CommissiV o`ner Street Co<T;tt�sioner 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)) 07/31/12 1107660-00 $102.45 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