220499 06/04/2013 CITY OF CARMEL INDIANA VENDOR: 254004 Page 1 of 1
ONE CIVIC SQUARE DUKE ENERGY
` CARMEL, INDIANA 46032 PO BOX 1771 CHECK AMOUNT: $520.88
CINCINNATI OH 45210-1771 CHECK NUMBER: 220499
CHECK DATE: 6/4/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4350080 P038395401 520 . 88 STREET LIGHT REPAIRS
Duke INVOICE Invoice# P0383935401
t Invoice Date 5/17/2013
Cost to Repair and Reconstruct Damaged Property
Name City of Carmel
Address 3400 W.Main St.
Carmel,IN 46074
Driver: City of Carmel
Date of Damage unknown Approx-Time unknown
Cause of Damage Snow plow hit street light
Accident Location 12451 Pebble Knoll Way Carmel,IN Hamilton Co.
Summary of Work Replaced light fixture and pole
---..--........................................................................................................................................................................................................................................................................
MATERIAL LIST
Item Quantity Material Cost
Photo Cell 1 $3.95
Lamp 1 "$7.31
Light fixture 1 $128.24
Decorative pole 1 $115.04
Misc.Equip and Hardware $45.82
MATERIALCOST Total Material Cost $300.36
Labor Detail Total Reg Hours(1.0) Total Hours(1.5) Total Hours(2.0)
0.00 0.00 0.00
COMPANY TOTAL LABOR Total Labor 0.00
CONTRACTOR TOTAL LABOR Total Labor 220.51
_EgUIPMENT_-TRANSPORTATION _ _ __ _ 0.00
Vehicle Hours 0.00
MEALS 0.00
OTHER/MISCELLANEOUS 0.00
SUBTOTAL $520.88
SALES TAX 2 3
TOTAL BEFORE-CREDITS $541.90
CREDIT $0.00
TOTAL BILLABLE AMOUNT Pay this amount jS4i:90�
Please remit payment to
Duke Energy
PO Box 1771,Cincinnati,OH 45201-1771 Invoice# P0383935401
VOUCHER NO. WARRANT NO.
ALLOWED 20
Duke Energy Ind. Power
IN SUM OF $
P. O. Box 1771
Cincinnati, OH 45201-1771
'$520=
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
2201 1 P0383935401 1 43-500.801 --$624-87— 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
ur , May 30, 2013
0
Street Commis ner
Street Cut 1111 lissif5f9ef
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))
05/17/13 P0383935401 $520.87
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