212958 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 056800 Page 1 of 1
ONE CIVIC SQUARE CHAPMAN ELEC SUPPLY INC
CARMEL, INDIANA 46032 1500 WESTFIELD ROAD CHECK AMOUNT: $2,669.05
NOBLESVILLE IN 46060
CHECK NUMBER: 212958
CHECK DATE: 9/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350900 27701 1067522 341 . 73 MISC SUPPLIES
659 5023990 1067805 1, 167 . 32 OTHER EXPENSES
1115 4350900 27701 1068221 1, 160 . 00 MISC SUPPLIES
INV®ICE
Chapman Electric Supply, Inc.
- INVOICE
Branch: 01 Main Branch 1067522
1500 Westfield Rd. Invoice Date Page
Noblesville, IN 46062 8/1/2012 15:15:59 1 oft
ORDER NUMBER
1069455
317-773-6712
Bill To: Ship To:
CARMEL COMMUNICATIONS CARMEL COMMUNICATIONS
31 1st AVENUE 31 1st AVENUE
CARMEL, IN 46033 CARMEL, IN 46033
Customer ID: 105694
PO Number Terms Description Net Due Date Disc Due Date Discount Amount
27701 2% 10th Net 30 08/31/12 09/10/12 6.83
Order Date Pick Ticket No Primary Salesrep Name Taker
7/13/2012 13:06:24 1059476 HOUSE ACCOUNT DOUG
Quantities Pricing
Item ID UOM Unit Extended
Ordered Shipped Remainin g Unit Side
UOM 4 Item Description Price Price
Unit Siye O
Carrier: Tracking#:
1.0000 1.0000 0.0000 EA KLE56014 EA 298.000000 298.00
1.0 20OFT FIBERGLASS FISH TAPE 1
4.0000 4.0000 0.0000 EA PVC3CP EA 1.133044 4.53 /
1.0 3 INCH PVC COUPLING 1
1.0000 1.0000 0.0000 EA CAN I2PINT EA 4.815078 4.82
1.0 1/2 PINT GLUE QUICKSET I
1.0000_1-0000-----0.0000-EA PVC290-- - - - - EA - -- 1-465900 - -1-47-> -
1.0 2 INCH PVC 90 DEGREE ELBOW 1
4.0000 4.0000 0.0000 EA PVC2CP EA 0.386567 1.55 .,'
1.0 2 INCH PVC COUPLING 1
2.0000 2.0000 0.0000 EA PVC390 EA 4.290566 8.58 l
1.0 3 INCH PVC 90 DEGREE ELBOW 1
-1.0000 1.0000 0.0000 EA 3MM88 EA 4.668944 4.67
1.0 5 VAW 3/4IN. X 66FT. TAPE 1
10.0000 10.0000 0.0000 EA PVC3 EA 1.216789 12.17
1.0 3 INCH PVC SCHEDULE 40 1
10.0000 10.0000 0.0000 EA PVC2 EA 0.593695 5.94 /
1.0 2 INCH PVC 1
Shipment Accepted By: TODD
ORIGINAL
INVOICE
ClIapman Electric Supply, Inc. INVOICE
Branch: 01 Main Branch 1067522
Invoice Date Page
1500 Westfield Rd. 8/1/2012 ,15:15:59 2 of 2
Noblesville, IN 46062
ORDER NUMBER
1069455
317-773-6712
Total Lines:9 SUB-TOTAL: 341.73
TAX. 0.00
AMOUNT DUE: 341.73
ORIGINAL
INVOICE
Chapman Electric Supply, Inc. INVOICE
Branch: 01 Main Branch 1068221
1500 Westfield Rd. Invoice Date Page
Noblesville, IN 46062 8/24/2012 12:04:40 1 of 1
ORDER NUMBER
317-773-6712 1069455
Bill To: Ship To:
CARMEL COMMUNICATIONS CARMEL COMMUNICATIONS
31 1st AVENUE 31 1st AVENUE
CARMEL, IN 46033 CARMEL, IN 46033
Customer ID: 105694
PO Number Tertns Description Net Due Date Disc Due Date Discount Amount
27701 2% 10th Net 30 09/23/12 09/10/12 23.20
Order Date Pick Ticket No Primary Salesrep Name Taker
7/13/2012 13:06:24 1059085 HOUSE ACCOUNT DOUG
Quantities Pricing
Item ID UOcl9 Unit Extended
UOn9 Item Description Price Price
Unit
Ordered Shipped Remaining Unit Size
Size
Carrier: Tracking#:
4.0000 4.0000 0.0000 EA COL31 104 EA 225.000000 900.00
1.0 5 CHANNEL LINEAR CABLE RAMP YELLOW JACKS
2.0000 2.0000 0.0000 EA COL31107 EA 130.000000 260.00
1.0 5 CHANNEL END CAP SET 1
Shipment Accepted By: TODD
Total Lines:2 SUB-TOTAL: 1,160.00
TAX: 0.00
AMOUNT DUE: 1,160.00
ORIGINAL
INDIANA RETAIL TAX EXEMPT PAGE
City ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 27701
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.
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
7/1212012
Chapman Electric Supply, Inc. Carmel Communication Center
VENDOR
SHIP 31 1st Ave NW
1500 Westfield Rd TO Carmel, IN 46032
Noblesville, IN 46062 (317)571-2586
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
Account /� UgN�IT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-509.00
4 Each 5 Channel linear cable ramp yellowy COL31104 $225.00 $900.00
2 Each 5 Channel end cap set COL31107 $130.00 $260.00
1 Each 200ft Fiberglass Fish tape KLE56014 $298.00 $298.00
1 Each shipping �°' �"/``° "M .. $140.00 $140.00
Sub Total: $1,598.00
spa-
to + m y1 .•.,9
�• I' .' /E Y x � 4
'le
IL
R..
Cti a":e"
Send Invoice To:
Carmel Communication Center
31 1 st Ave NW
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT T AMOUNT
Communications S e,0
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY /'I!✓'9 t?i �C�/J�� 1�"-
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. Dri;�
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE i
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
®� CLERK-TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.--__
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I 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
20
..................................................................................................._. .....
Signature
................_.............._..............._.......__._....._...,.........._.._....................................................................:..........__..........
Title
Cost distribution ledger classification if
claim paid motor vehicle,highway fund
IUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
apman Electric Supply, Inc. ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
John Stewart IN SUM OF $ CITY OF CARMEL
0 Westfield Rd An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
lesville, IN 46062 whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
)
$1,501.73 Payee
Purchase Order No.
ACCOUNT OF APPROPRIATION FOR
Terms
Carmel Clay Communications
Date Due
Invoice Invoice Description Amount
Dept. INVOICE NO. I ACCT#/TITLE AMOUNT
Board Members Date Number (or note attached invoice(s) or bill(s))
'01 1067522 43-509.00 $341.73 I hereby certify that the attached invoice(s), or 08/01/12 1067522 $341.73
-
bill(s) is (are)true and correct and that the 08/24/12 1068221 $1,160.00
1 1068221 43-509.00 $1,160.00
materials or services itemized thereon for
which charge is made were ordered and
received except
Tuesday, September 18, 2012
Director
Title
Cost distribution ledger classification if I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
laim paid motor vehicle highway fund with IC 5-11-10-1.6
20
Clerk-Treasurer
1
�e f INVOICE
Chapman Electric Supply, Inc.
INVOICE
Branch: 01 Main Branch 1067805
1500 Westfield Rd. Invoice Date Page
Noblesville, IN 46062 8/10/2012 16:43:33 1 of 1
ORDER NUMBER
1070362
317-773-6712
Bill To: Ship To:
CARMEL COMMUNICATIONS CARMEL COMMUNICATIONS
31 1st AVENUE 31 1st AVENUE
CARMEL, IN 46033 CARMEL, IN 46033
Customer Ill: 105694-- — - - -- - - - --
PO Number Ternis Description Net Due Date Disc Due Date Discount Amount
TODD 2% 10th Net 30 09/09/12 09/10/12 23.35
Order Date Pick Ticket No Primary Salesrep Nante Taker
8/10/2012 08:57:57 1059723 HOUSE ACCOUNT DOUG
Quantities Pricing
Item ID u0m Unit Extended
Ordered Shipped Remaining UOM C Iteut Description Unit Size Price Price
Unit Size D
Carrier: Tracking#:
3,000.00003,000.0000 0.0000 FT POLY 14SDRI3.5-3000-ORG-T10 FT 0.366800 1,100.40
1.0 1-1/4 SDR13.5 ORANGE W/PULLTAPE I
3000'/REEL
500.0000 500.0000 0.0000 FT WIR123OB-HS-1000 FT 0.133835 66.92
1.0 12 GA. SOLID TRACER WIRE BLUE 1
1000 FT REEL
Total Lines:2 SUB-TOT_4L: 1;167.32
TAX. 0.00
AMOUNT DUE: 1,167.32
Received: _
Date:
PO #: c�cQ
ACCT #:
Use: � 7f C '
G�Gc/f
ORIGINAL j'
VOUCHER # 125762 WARRANT # ALLOWED
56800 IN SUM OF $
CHAPMAN ELEC SUPPLY INC
1500 WESTFIELD ROAD
NOBLESVILLE, IN 4606
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
1067805 07-1050-87 $1,167.32
C NNQc��oA)
�P
Voucher Total $1,167.32
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
56800
CHAPMAN ELEC SUPPLY INC Purchase Order No.
1500 WESTFIELD ROAD Terms
NOBLESVILLE, IN 4606 Due Date 9/19/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/19/2012 1067805 $1,167.32
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.
y
Date fficer