215319 12/11/2012 CITY OF CARMEL, INDIANA VENDOR: 105285 Page 1 of 1
ONE CIVIC SQUARE GAYLOR INC
i 5750 CASTLE CREEK PKWY N DR CHECK AMOUNT: $4,305.00
CARMEL, INDIANA 46032
s� SUITE 400 CHECK NUMBER: 215319
INDIANAPOLIS IN 46250
CHECK DATE: 12/11/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
609 5023990 131271 4, 305 . 00 1050 . 06
�.
SAYLOR 5750 Castle Creek Pkwy N Drive va°U1d- "Ce°`
v�-►�cera-, +ExpreM
Corporate offices-Indianapolis,IN Suite 400
317.843.0577 Fax 317.848.0364 Indianapolis IN 46250
600.878.0577
http:il*ww.gaylor.com
FED ID#20-3727689 Invoice 131271
Bill to Job: 91081805
CARMEL WATER OPERATIONS Carmel WTPIant#1
3450 W.131st.ST. 4915 E. 106th St.
CARMEL,IN 46074 Carmel, IN 46032
Invoice it 131271 Date: 09/28/12 Customer P.O.#. W09741
Payment Terms: NET 30 Salesperson:
Customer Code: CARWTR
Remarks: COMPLETE BILLING FOR WORK PERFORMED
Electrical Work Completed for
CARMEL WTP No. 1 4,305.00
Subtotal: 4,305.00
Total: 4,305.00
Received:
Date: �--
PO #: 0092
ACCT #: a-!�5
Use:
Page: 1
VOUCHER # 122996 WARRANT # ALLOWED
105285 IN SUM OF $
GAYLOR ELECTRIC
P.O. BOX 3757
CARMEL, IN 46082-3757
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
131271 07-1050-06 $4,305.00
C'o N N C C f; 0A'1"
Voucher Total $4,305.00
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
105285
GAYLOR ELECTRIC Purchase Order No.
P.O. BOX 3757 Terms
CARMEL, IN 46082-3757 Due Date 12/7/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/7/2012 131271 $4,305.00
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
Date ' Offi r