214029 10/23/2012 CITY OF CARMEL, INDIANA VENDOR: 00350736 Page 1 of 1
ONE CIVIC SQUARE OVERNITE ELECTRIC SUPPLY
CHECK AMOUNT: $130.00
CARMEL, INDIANA 46032 17005 WESTFIELD PARK ROAD
WESTFIELD IN 46074 CHECK NUMBER: 214029
CHECK DATE: 10/23/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 1087774 130 . 00 REPAIR PARTS
17005 WESTFIELD PARK ROAD
Q o WESTFIELD, IN 46074
WWW.OVERNITE.BZ
(317) 867-4404 FAX: (317) 867-4094
SHIP/TRANSFER NUMBER SHIP/TR/INVOICE NUMBER
CAR230 I V 07774-0001-01 1067774000101
317--571-260o
BILL CARMEL F IRE DEPARTMENT SHIP CARMEL. EIRE DEPARTMENT
O TO:L CIVIC SQUARE 2 CIVIC.; SQUARE
CARMEL IN 46032 CARMEL III 46i I32
CUSTOMER P.O.NO. STA-r I OII 46 CUSTOMER P.O.NO. STA r I ON 46
SHIP/TR/INVOICE NUMBER SLSMN. ORDER DATE TAKER CUSTOMER P.O.NUMBER DATE
1087774-0001-01 100 10/05/12 192 STATION 46 10/05/12
INSTRUCTIONS FRT. PAGE NO.
PU BY TIM DAVIS GIUAR1-ERI*IASI°ER GARY LA 1
QUANTITY DISP. ITEM CODE AND DESCRIPTION U/M UNIT PRICE AMOUNT
ORDERED B.O./RET. SHIPPED
4 4 UN1V B332I/UIIV/HP--'A EA 17. 75 71. 00
3XF32"1'8 1E:01E77V E.LEC: BALL
10 10 F26DNX/8 35/4P EA `a. X 0 59. 00
GE 26W PL LAIIP 4P 3t.500K
s
CODE EXPLANATION x JY!1 t' L11�1JL it SUB TOTAL T� �• I�II(i
*-STATE TAX APPLICABLE C -CONSIDER COMPLETE
#-FEDJOTHERTAXAPPLICABLE D -DIRECT SHIPMENT FREIGHT IN FREIGHT OUT MISC.CHARGE
+ -STATE&FEDERAL TAX APPL. F -FACTORY MINIMUM TELE.CHARGE
B-BALANCE BACK ORDERED rt -RETURNED CYL
FREIGHT TOTAL
FED./OTHER TAX 0. CIO
STATE TAX 0. 1710
ORDER COMPLETE-D PAYMENT RECD. 1%I, LAA
TOTAL AMOUNT DUE
Drescribed 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
Nhom, 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))
1087774 $130.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Overnite Electric
IN SUM OF $
17005 Westfield Park Drive
Westfield, IN 46074
$130.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members
1120 I 1087774 I 42-370.00 I $130.00 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
OCT 2 2 2012
li
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund