HomeMy WebLinkAbout217973 03/13/2013 CITY OF CARMEL, INDIANA VENDOR: 366994 Page 1 of 1
} ONE CIVIC SQUARE BRIGHTHEADLIGHTS-HID.COM
CARMEL, INDIANA 46032 4035 SOUTH BOULEVARD CHECK AMOUNT: $1,224.95
CHARLOTTE NC 28209 CHECK NUMBER: 217973
CHECK DATE: 3/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 145208 1, 224 . 95 AUTO REPAIR & MAINTEN
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ADivision OfDat-A-Syst,Inc. No Keturns Without Authorization
No Returns after 7 days of Shipment.
4035 South Blvd. All returns have a 20% restocking fee.
Charlotte, NC 28209 USA
Phone (704) 523-3548 Fax (704) 525-0221 PLEASE MAKE ALL CHECKS PAYABLE TO:
Email:service @brightheadlights-hid.com BRIGHTHEADLIGHTS.COM
Website:http://www.brightheadlights-hid.com
DATE: 2/28/2013
Bill To: CARMEL FIRE DEPT. Ship To:
2 CIVIC SQ.
CARMEL IN 46032
317-664-0498
ATTN: BOB VANVOORST
Comments or Special Instructions:
PO# E44
SALESPERSON INVOICE# SHIP DATE SHIP VIA F.O.B. POINT TERMS
MICHAEL 145208 Due on receipt
QUANTITY ITEM #AND DESCRIPTION UNIT PRICE AMOUNT
1 XP4656C BIXENON PROJECTOR KITS $ 1,195.00 $ 1,195.00
SUBTOTAL $ 1,195.00
NOTE:All Charge Card Purchases will show TAX RATE 0.00%
up as a purchase from Dat-A-Syst, Inc. SALES TAX -
REMITTANCE SHIPPING & HANDLING - - 29:95- -
Customer ID: 145208 TOTAL 1 $ 1,224.95
Date: 2/28/2013
Amount Due: $ 1,224.95
Payment Received:
Amount Enclosed: �.'�,'av�,��.� Brig htHeadlights-HID.com
A division of Dat-A-Syst,Inc.
All statements and referrals to street legal on our website refer to ACA and Sylvania's Xenarc or Silverstar products. Setting New High
Performance Standards.Meeting All Legal Standards Headlight Upgrade Systems comply with Federal Motor Vehicle Safety Standard
(FMVSS)108 and Society of Automotive Engineers(SAE)Specification J2009 for Discharge Forward Lighting Systems. Auxiliary Low Beam Kits
comply with SAE J582 for Auxiliary Low Beam Lights.Many states regulate the use of auxiliary vehicle lighting. Proper headlamp and auxiliary light
VOUCHER NO. WARRANT NO.
ALLOWED 20
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I
IN SUM OF $
4035 South Boulevard
Charlotte, NC 28209
$1,224.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
145208 I 43-510.00 I $1,224.95 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
MAR 112013
4 --1
S V-
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))
145208 HID Lights for Engine $1,224.95
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