215060 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 154450 Page 1 of 1
ONE CIVIC SQUARE INDIANA POWER SVC&SUPPLY INC
CARMEL, INDIANA 46032 1415 COUNTRY CLUB ROAD CHECK AMOUNT: $414.20
°+ o� INDPLS IN 46234 CHECK NUMBER: 215060
CHECK DATE: 12/4/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4350900 S14286 414 . 20 OTHER CONT SERVICES
Indiana Power Service & Supply, Inc. INVOICE
1415 Country Club Road
Indianapolis, IN 46234 Invoice Number: S14286
USA Invoice Date: Nov 20, 2012
Page: 1
Voice: 317/271-1672
Fax: 317/271-1673 Work Order: WO 102612-2
Bill To: Service Location:
Carmel Clay Communications Carmel Clay Communications
31 First Avenue N.W. 31 First Avenue N. W.
Carmel, IN 46032 Carmel, IN 46032
Customer ID Customer PO Payment Terms
CARM 1______ __ Net_30_Days _
Service Technician Work Requested By: Date of Service Due Date
JTG 10/26/12 12/20/12
Quantity Item Description Unit Price Amount
57.00 ML TOTAL MILEAGE 1.25 71.25
1.00 TT TOTAL TRAVEL TIME 90.00 90.00
1.00 LB TOTAL HOURS LABOR 90.00 90.00
1.00 4DLT-VHD BATTERY 162.95 162.95
FOUND DEAD BATTERY. REMOVED AND
REPLACED BATTERY AND CHECKED FOR
PROPER OPERATION.
ONAN MODE 150DGFA
ONAN SERIAL D970636166
ONAN HOURS 442.5
Please pay from this invoice. Past due accounts are subject to 1 1/2%late charge.
Subtotal 414.20
Sales Tax
Shipping&Handling
Total Invoice Amount 414.20
Check/Credit Memo No: Payment/Credit Applied
TOTAL 414.20
VOUCHER NO. WARRANT NO.
ALLOWED 20
Indiana Power Service & Supply
IN SUM OF $
1415 Country Club Road —
Indianapolis, IN 46234 —
$414.20
ON ACCOUNT OF APPROPRIATION FOR —
Carmel Clay Communications
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1115 I S14286 I 43-509.00 I $414.20 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
Tuesday, November 27; 2012
Director
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))
11/20/12 S14286 $414.20
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