221912 07/17/2013 CITY OF CARMEL, INDIANA VENDOR: 00351425 Page 1 of 1
ONE CIVIC SQUARE C T W ELECTRICAL CO, INC
CARMEL, INDIANA 46032 601 SAYRE COURT CHECK AMOUNT: $229.26
a�co GREENWOOD IN 46143 CHECK NUMBER: 221912
CHECK DATE: 7/1712013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 281934-00 229 . 26 REPAIR PARTS
CTW Electrical Co., Inc.
CM 601 Sayre Court I N V 0 1 C E
Greenwood, IN 46143
800/428-3004 Fax: 800/833-7134 UPC v INVOICE DATE INVOICE NO.
hftp://www.ctwinc.com oust#: 3350 000000 06/28/13 281934-00
snip To: Carmel Street Dept. P.O.NO. PAGE#
3400 West 131st St. STOCK 1
Carmel, IN 46074 Remit To: CTW Electrical Co., Inc.
601 Sayre Court
Greenwood, IN 46143
Biil To: Carmel Street Dept.
3400 West 131 st St. INSTRUCTIONS
Carmel, IN 46074 14166
SHIP POINT VIA SHIPPED TERMS
Brian Windisch Delivered 06/27/13 Net 30 Days
SALESREP SALESREP NAME
028 Brian Windisch
LN ITEM AND DESCRIPTION _ -F-UPC ORDERED . B.O. SHIPPED UM PRICE AMOUNT
1 P13-884 00000 5 0 5 each 4.74 23.70
Connector 120-84-891
2 P13-886 00000 5 0 5 each 3.60 18.00
Connector 120-85-036
3 P13-498 00000 50 0 50 each 0.51200 25.60
Terminal 120-48-159
4 P13-497 00000 50 0 50 each 0.57600 28.80
Terminal 120-77-411
5 CM-PB 00000 12 0 12 each 4.29 51.48
PB Blaster
Requires ORM-D label.
6 CM-05089 00000 24 0 24 each 3.09 74.16
Chemical
Requires ORM-D label.
7 4793-030 00000 100 0 100 each 0.07520 7.52
Nylon Insert Grade 8 Nut
7 Lines Total Qty Shipped Total 246 Total 229.26
Invoice Total 229.26
Last Page Discrepancies in shipments must be made within 15 days of invoice. Returns will not be accepted without RGA number. No returns allowed on special order
items. Items must be received in same packaging and quantity as shipped. Re-stocking charges may apply. Purchaser will be liable for interest,legal
and collection costs if account is placed into collections.
VOUCHER NO. WARRANT NO.
CTW Electrical ALLOWED 20
IN SUM OF $
601 Sayre Ct.
Greenwood, IN 46143
$229.26
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members
2201 I 281934-00 I 42-370.001 $229.26 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
edn y, July 10, 2013
uav&
Street Com i ioner
Street Comrin it Pier
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))
06/28/13 281934-00 $229.26
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