219368 04/24/2013 CITY OF CARMEL, INDIANA VENDOR 154450 Page 1 of 1
ONE CIVIC SQUARE INDIANA POWER SVC&SUPPLY INC
CARMEL, INDIANA 46032 1415 COUNTRY CLUB ROAD CHECK AMOUNT: $1,'129.40
iNDPLS IN 46234 CHECK NUMBER: 219368
CHECK DATE: 4/2412013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350100 S14519 1, 129 .40 BUILDING REPAIRS & MA
INVOICE
Indiana Power Service & Supply, Inc.
1415 Country Club Road
Indianapolis, IN 46234 _ Invoice Number S14519
USA tv�/� r f Z C Invoice Date Mar 7, 2013
Page 1
Voice. 317/271-1672
Fax: 317/271-1673 Work Order: WO 021213-1
Bill To: Service Location:
Carmel Clay Communications Carmel Clay Communications
31 First Avenue N. W 31 First Avenue N W.
Carmel, IN 46032 Carmel, IN 46032
Customer ID Customer PO Payment Terms
_ CARM_ � Net 30 Days
Service Technician Work Requested By: Date of Service Due Date
JTG BOB 2/14/13 4/6/13
Quantity Item Description Unit Price Amount
1 00 0642380269 PumpAssy., Fuel Feed 437.55 437 55
1.00 0642380352 GASKET;THERMOSTAT 4.50 4.50
1.00 0856770200 THERMOSTAT 76 5C 52.85 52.85
3.00 LB TOTAL HOURS LABOR 10500 31500
57.00 ML TOTAL MILEAGE 2.00 114.00
1 50 TT TOTAL TRAVEL TIME 10500 157.50
4.00 0033 GALLONS OF COOLANT 12.00 48.00
1.00 0033 GALLONS OF COOLANT
GENERAC MODEL 97A-05733-S
GENERAC SERIAL 2037761
HOURS 496.2
BOB IS THE CONTACT 317.644.0958
REPLACED FUEL PRIMING HAND PUMP AND
THERMOSTAT AS PER REQUESTED AND
QUOTED. TOPPED OFF WITH COOLANT, TESTED
UNIT FOR PROPER OPERATION.
Please pay from this invoice. Past due accounts are subject to 1 1/2%late charge.
Subtotal 1,129.40
Sales Tax
Shipping & Handling
Total Invoice Amount 1,129.40
Check/Credit Memo No. Payment/Credit Applied
TOTAL 1,129.40
'rescnbed by State Board of Accounts City Form No 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
4n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
✓✓hom, 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))
S14519 Repair Sta 44 Generator $1,129.40
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
VOUCHER NO. WARRANT NO. _
ALLOWED 20
Indiana Power Service & Supply Inc.
IN SUM OF $
1415 Country Club Road
Indianapolis, IN 46234
$1,129.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#I Dept INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I S14519 I 43-501 00 I $1,129.40 1 hereby certify that the attached involce(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
Ttle,/
Cost distribution ledger classification if
claim paid motor vehicle highway fund