214388 11/07/2012 CITY OF CARMEL, INDIANA VENDOR: 00350736 Page 1 of 1
i ONE CIVIC SQUARE OVERNITE ELECTRIC SUPPLY CHECK AMOUNT: $125.10
CARMEL, INDIANA 46032 17005 WESTFIELD PARK ROAD
WESTFIELD IN 46074 CHECK NUMBER: 214388
CHECK DATE: 11/7/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 1087908 125 . 10 REPAIR PARTS
17005 WESTFIELD PARK ROAD
WESTFIELD, IN 46074
WWW.OVERNITE.BZ
(317) 867-4404 FAX: (317) 867-4094
SHIP/TRANSFER NUMBER SHIP/TR/INVOICE NUMBER
CARE30 106,7908-0001-01
317--'x;71—`6l`0
BILL CARREL
[-IRE: DEPARTMENT�T SHIP
TO: E CIVIC So * TO: CARMEL F 1 RE DEPAR'7 MEu°
UARE
2 CIVIC SQUARE
CARMEL IN 460:3 : CARMEL IN 46032
CUSTOMER P.O.NO. CUSTOMER P.O.NO. S C!=1 r 1 ON 45
SHIP/TR/INVOICE NUMBER SLSMN. ORDER DATE TAKER CUSTOMER P.O.NUMBER DATE
1087908-000 1_ ki1 100 10/16/12 195 STA`I-ICIN 45 10/16/12
– --–INSTRUCTIONS —FRT.—PAGE-NO.— _
P/U SCOTT i IERNEY GtUAR I E.RPIAS`I'F R GARY CARTER B 1
QUANTITY DISK ITEM CODE AND DESCRIPTION U/M UNIT PRICE AMOUNT
ORDERED B.O./RET. SHIPPED
6 6 HID LU 700,IED E 14. 95 89. 70
E17 NED BASE .l fZ_lW HPS
6 6 F26DBX/835/t+P EA ie yt 35. 40
BE 26W PL LAPIP, 4P 3500K
CODE EXPLANATION 'k' I H I:7 1:.'? YOUR I iq V l:i I CE. SUB TOTAL 1
*
-STATE TAX APPLICABLE C -CONSIDER COMPLETE
k-FEDIOTHERTAXAPPLICABLE D -DIRECTSHIPMENT 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
NE-r TERMS: Iiv�R'L'ii=R13C Ui''ii-'LE t ED DUE.
E� 11/15/12 STATE TAX
a �I iLl
PAYMENT RECD.
..)••L.1T1 HIL.A HIUNT D1UJU�.
1E"4,a 1�l
VOUCHER NO. WARRANT NO.
ALLOWED 20
Overnite Electric
IN SUM OF $
17005 Westfield Park Drive
Westfield, IN 46074
$125.10
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#!TITLE AMOUNT Board Members
1120 I 1087908 I 42-370.00 I $125.10 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
NOV ° 5 2092
(v
9j 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)
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))
1087908 $125.10
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