216370 01/15/2013 CITY OF CARMEL, INDIANA VENDOR: 056800 Page 1 of 1
ONE CIVIC SQUARE CHAPMAN ELEC SUPPLY INC CHECK AMOUNT: $76.32
CARMEL, INDIANA 46032 1500 WESTFIELD ROAD
NOBLESVILLE IN 46060 CHECK NUMBER: 216370
CHECK DATE: 1/15/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350080 1071922 76 . 32 STREET LIGHT REPAIRS
INVOICE
Chapman Electric Supply, Inc.
INVOICE
Branch: 01 Main Branch 1071922
1500 Westfield Rd. Invoice Date Page
Noblesville, IN 46062 1/2/2013 16:15:50 1 of 1
ORDER NUMBER
1074815
317-773-6712
Bill To: Ship To:
CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT
3400 W.131ST. STREET 3400 W.131ST. STREET
CARMEL, IN 46074 CARMEL, IN 46074
Customer ID:-101780
PO Number Terms Description Net Due Date Disc Due Date Discount Amount
TRUCK 57-1/2/2013 10:18:40 2% 10TH NET 30 02/01/13 02/10/13 1.53
Order Date Pick Ticket No Primary Salesrep Nante Taker
1/2/2013 10:14:47 1063430 HOUSE ACCOUNT CRAIG
Quantities Pricing
Item ID UOM Unit Extended
Ordered Shipped Remaining UOM 4 Item Description Unit Size Price Price
Unit Size D
Carrier: Tracking#:
6.0000 6.0000 0.0000 EA KEYCAP-250MHQ EA 12.720000 76.32
1.0 250W.MH CAPACITOR 1
Shipment Accepted By: BRAD
Total Lines:1 SUB-TOTAL: 76.32
TAX: 0.00
AMOUNT DUE: 76.32
ORIGINAL
Prescribed by State Board of Accounts
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.
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Terms
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Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
01/02/13 1071922
I $76.32
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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
vv ,,,,, _WARRANT NO.
ALLOWED 20
a pnnan Electric Supply
IN SUM OF $
�QO Westfield Road
Qbjesville, IN 46062 j
$76.32
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ON ,o,CCoUNT OF APPROPRIATION FOR i
Carmel Street Department �
Pp#J Deft. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
2201 1071922 43-500.$0 $76.32 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the j
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materials or services itemized thereon for
which charge is made were ordered and
received except
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JFriday�January, 11, 2013
a �
Street Commissioner
STI EM vvi 1 n f 110-
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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