213126 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 00350736 Page 1 of 1
gJ�' ONE CIVIC SQUARE OVERNITE ELECTRIC SUPPLY CHECK AMOUNT: $253.59
CARMEL, INDIANA 46032 17005 WESTFIELD PARK ROAD
WESTFIELD IN 46074 CHECK NUMBER: 213126
CHECK DATE: 9125/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 1087005-0002 128 . 64 REPAIR PARTS
1120 4237000 1087472 124 . 95 REPAIR PARTS
17005 WESTFIELD PARK ROAD
rya Q � � WESTFIELD, IN 46074
a • WWW.OVERNITE.BZ
{317) 867-4404 FAX: (317) 867-4094
SHIP/TRANSFER NUMBER SHIP/TR/INVOICE NUMBER
CARc.:0 108747'.R000 1-•-01
317-571-2600
BILL CARMEL FIRE DEPAR"llvIEN'T SHIP CARMEL FIRE DEPAR i MEN"I'
TO: E CIVIC:: SQUARE TO: 2 CIVIC SQUARE
CARMEL IN 46032 CARMEL 11*I 4t+�132
CUSTOMER P.O.NO. CUSTOMER P.O.NO. STATION #412'
SHIP/TR/INVOICE NUMBER SLSMN. ORDER DATE TAKER CUSTOMER P.O.NUMBER DATE
1007472-0001-01 100 09/14/l iR 192 STATION #42 09/14/12
INSTRUCTIONS FRT. PAGE NO.
PU BY SCOTT LSBORNE QUARTERMASTER GARY CARTER B 1
QUANTITY DISP. ITEM CODE AND DESCRIPTION U/M UNIT PRICE AMOUNT
ORDERED B.O./RET. SHIPPED
3 3 SYL MI 75/CJ EA 16. "'17 55. 71
EUE8 lYIO G BASE 175W IYIH
2 E HID IYIHI751JI`r1 E 34. 62 69. 24
ED 17 MED BASE 175W MH
CODE EXPLANATION
* ## H 1 J I S YOUR INVOICE SUB TOTAL
124. y J
-STATE TAX APPLICABLE C -CONSIDER COMPLETE
N-FEDJOTHERTAXAPPLICABLE D -DIRECTSHIPMENT FREIGHT IN FREIGHT OUT MISC.CHARGE
+-STATE&FEDERAL TAX APPL. F -FACTORY MINIMUM TELE.CHARGE
8-BALANCE BACK ORDERED rt -RETURNED CYL.
FREIGHT TOTAL
FED./OTHER TAX
NET TERPIS d INV 30 DUE: 10/14/12 STATE TAX
###
ORDER (_.011PLE TED AYMENT RECD. 1(1, ICTitI
TOTAL AMOUNT DUE
•f�u,fHL AM F DUI_
VOUCHER NO. WARRANT NO.
ALLOWED 20
Overnite Electric
IN SUM OF $
17005 Westficld Park Drive --_-_--�-�--
Westfield, IN 46074 -- —
$124.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 1087472 I 42-370.00 I $124.95 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
r
which charge is made were ordered and
received except
i t e L s
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No.201 (Rev. 1995)
1='AYABL.1_ VOUCHER
CITY OF CARMEL
At) iilvoicc' Ur NH io 1)c I.)MI)eiiy Iteil-k-ed fllusi S"10"""l i:ind ;)f service, ` hetC perfOrnied, dates set-vice rendered, by
wh.o ll, per cia;�, nuln[�'or of hc,_irs, I—j" I- t h^.ur, numher 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))
1087472 I I $124.95
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
� p FE
t 17005 WESTFIELD WESTFIELD, IN 46074
WWW.OVERNITE.BZ
fl � y4 Y
(317) 867-4404 FAX: (317) 867-4094
SHIP/TRANSFER NUMBER SHIP/TR/INVOICE NUMBER
CAF1E��il
1087,005-0002-01
31 7--5 7 1-c'�600
BILL CARMEL F='I RE T:IEPARTMEN'T SHIP CARMEL FIRE DE1='AR°I'1*1EN I'
TO: 2 CIVIC SQUARE TO:
E CIVIC SG!UAKE
CARMEL IN 46 +32 CARI*1EL 11\1 46032,
CUSTOMER P.O.NO. CUSTOMER P.O.NO. JASON S I`A"F I ON 41
SHIP/TR/INVOICE NUMBER SLSMN. ORDER DATE TAKER CUSTOMER P.O.NUMBER DATE
108-700 -0002-Ql l 100 OLA/10/12 19 2 JASON STATION 41 09/18/12
INSTRUCTIONS_ _ __ _—__^__._ERT.____.PAGE_NO._.
JASON 690-4 :63 QUARTERMASTER GiARY CAR-TER B 1
QUANTITY DISP. ITEM CODE AND DESCRIPTION U/M UNIT PRICE AMOUNT
ORDERED B.O./RET. SHIPPED
1c 1E *5VIPAR36/WI=L EA Iizi. °7`c 126. 64
1`V 50W PAR36 54804
CODE EXPLANATION ## 'THIS IS YOUR INVOICE SUB TOTAL
*-STATE TAX APPLICABLE C -CONSIDER COMPLETE 1 a" C�
MISC.CHARGE
# -FEDJOTHERTAXAPPLICABLE D -DIRECTSHIPMENT FREIGHT IN FREIGHT OUT
+-STATEBFEDERALTAXAPPL. F -FACTORY MINIMUM TELE.CHARGE
B-BALANCE BACK ORDERED rt -RETURNED CYL.
FREIGHT TOTAL
FED./OTHER TAX
DIET -TERMS- INV 30 DUE". 10/16/12 STATE TAX
## ORDER C01"IPLE TED PAYMENT REC'D. 1. 00
10 I-AL ANT DU
TOTAL AMOUNT DUE
1 E6. 64
'rescribed by State Board of Accounts City Form No.201(Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
\n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
vhom, 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))
1087005-0002 $128.64
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Overnite Electric
IN SUM OF $
17005 Westfield Park Drive
Westfield, IN 46074
$128.64
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 1087005-0002 I 42-370.00 I $128.64 1 hereby certify that the attached invoice(s), or
f 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
SEP 2 4 2017
l
Fire Chief 1
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund