219268 04/24/2013 CITY OF CARMEL, INDIANA VENDOR: 056800 Page 1 of 1
':. ONE CIVIC SQUARE CHAPMAN ELEC SUPPLY INC
CARMEL, INDIANA 46032 1500 WESTFIELD ROAD CHECK AMOUNT: $171.88
NOBLESVILLE IN 46060 CHECK NUMBER: 219268
CHECK DATE: 4/24/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350080 1074873 150 . 28 STREET LIGHT REPAIRS
2201 4350080 1074917 21 . 60 STREET LIGHT REPAIRS
INVOICE.
Chapman Electric Supply, Inc. INVOICE
Branch: 01 Main Branch -----;
1074873
1500 Westfield Rd. Invoice Date Page
Noblesville, IN146062 4/10/2013 12:32:25d,' 1 cif 1
ORDER NUMBER ^T,{,
N'. .1078011 --i
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 Ainount
TRUCK 57-4/10/2013 09:35:38 2% 10TH NET 30 05/10/13 05/10/13 3.01
Order Date Pick Ticket No Primaty Salesrep Name Taker .
4/10/2013 09:23:40 1066058 HOUSE ACCOUNT DEE
Quantities Pricing
Item ID UOM Unit Extended
Ordered Shipped Rentainin UOM 4 Item Description Price Price
PP g Unit Size O Unit Size
Carrier: Tracking#:
6.0000 6.0000 0.0000 EA MOR67002 EA 6.768000 40.61
1.0 8-2 DUAL RATED SPLICE KIT 1
1.0000 1.0000 0.0000 EA MOR60230 EA 10.998000 11.00
1.0 1.5 X 16.5 SELF FUSING AMALGAMATING 1
TAPE
1.0000 1.0000 0.0000 EA KLE1010 EA 19.224000 19.22
1.0 CRIMPING TOOL 1I
1.0000 1.0000 0.0000 EA KLEJ20009NETP EA 44.809875 44,,,1
1.0 JOUREYMAN SIDE CUT CRIMP DIR 1 "
1.0000 1.0000 0.0000 EA KLEJ200028 EA 34.641000 34.64
1.0 JOURNEYMAN DIAG CUT 2000 SERIF 1
s.
Shipment Accepted By: BRAD ,
Total Lines:5 SUB-TOTAL: 150:28
TAX: = 0.00
AMOUNT DUE: 150.28
ORIGINAL
INVOICE
Chapman Electric Supply, Inc. ---- -
INVOICE.
Branch: 01 Main Branch
1074917
1500 Westfield Rd. Invoice Date Page
Noblesville, IN 46062 4/11/2013 15:09:23 1' f l"
ORDER NUMBER
1077406 - -----.— _
317-773-6712
Bill To: Ship To:
CARMEL STREET DEPARTMENT CARMEL STREET DEPARTMENT
3400 W.131ST. STREET 3400 W.131 ST. STREET
CARMEL, IN 46074 CARMEL, IN 46074
Customer ID: 101780
PO Number Terms Description Net Due Date Disc Due Date Discount Atniiunt
MAINTENANCE SHOP 2% 10TH NET 30 05/11/13 05/10/13 0.4'
Date Pick Ticket No Primary Salesrep Name Taker
3/21/2013 1143:53 1066101 HOUSE ACCOUNT DEE
Quantities Pricing
Item ID UOM 'Unit " E_riei;ded ".
Ordered Shipped Remaining UOM 4 Item Description :'Price Price
PP g Unit Size D Unit Size
Carrier: Tracking#:
3.0000 1.0000 0.0000 EA KLEMM 100 EA 21.600000 : ,'21.00
1.0 MANUAL RANGONG MULTI METER 1
Shipment Accepted By:
Total Lines:I SUB-TOTAL: 21.60
TAX: u' o
AMOUNT DUE: 21.60
ORIGINAL
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))
04/10/13 1074873 $150.28
04/11/13 1074917 $21.60
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Chapman Electric Supply
IN SUM OF $
1500 Westfield Road
Noblesville, IN 46062
$171.88
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
2201 1074873 43-500.80 j $150.28 1 hereby certify that the attached invoice(s), or
2201 1074917 43-500.80 $21.60 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
F ida ril 19, 2013
Street Com4s- n
Street Cqqignissioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund