219316 04/24/2013 CITY OF CARMEL, INDIANA VENDOR: 364914 Page 1 of 1
ONE CIVIC SQUARE FIREBRIGHT LLC
CARMEL, INDIANA 46032
PO BOX 51015 CHECK AMOUNT: $3,750.00
INDIANAPOLIS IN 46251-0015 CHECK NUMBER: 219316
CHECK DATE: 4/2412013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4350100 13040801 3, 750 . 00 BUILDING REPAIRS & MA
. d �ZD
FireBrlght LLC Invoice
P.O. Box 51015
Indianapolis, Indiana 46251-0015 FIREBRIGHT Date Invoice#
4/8/2013 13040801
Bill To
City of Carmel
Attn: Jeff Barnes
One Civic Square
Carmel,Indiana 46032
P.O. No. Terms Project
Due on receipt
Quantity Description Rate Amount
75 DNN4C264 UL T8, 15W,TRANSPARENT,264 LED,4', 100-277VAC,NW 59.00 4,425.00
5000-5500K, 160OLM
75 Discount -9.00 -675.00
Manufacturer's Warranty: Limited 3 Year 0.00 0.00
All ballasts must be removed from the circuit before installing LED lights. Also, 0.00 0.00
positive and neutral need to be connected at one end with unshunted tombstones for
LED tubular lighting. Speak with your Account Executive if you have any questions.
Improper wiring will void the manufacturer's warranty.
I
D Q
APR 22 2013
By
Total $3,750.00
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
04/08/13 13040801 $3,750.00
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
FireBright LLC
IN SUM OF $
PO Box 51015
Indianapolis, IN 46251-0015
$3,750.00
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#!Dept. INVOICE NO. ACCT#/TITLE . AMOUNT Board Members
1205 I 13040801 I 43-501.00 $3,750.00 I 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
Monday, April 22, 2013
Director, Administration
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund