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223476 08/27/2013 CITY OF CARMEL, INDIANA VENDOR: 105285 Page 1 of 1 ONE CIVIC SQUARE GAYLOR INC CARMEL, INDIANA 46032 5750 CASTLE CREEK PKWY N DR CHECK AMOUNT: $1,500.00 o� SUITE 400 CHECK NUMBER: 223476 INDIANAPOLIS IN 46250 CHECK DATE: 8/27/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 609 5023990 139240 1, 500 . 00 OTHER EXPENSES GAREMIT TO: =13A ( ..; 5750 Castle Creek Pkwy N Drive WE GLADLY ACCEPT Corporate Offices -Indianapolis, IN Suite 400 Visa-MasterCard-American Express 317.843.0577 Fax 317.848.0364 800.878.0577 Indianapolis IN 46250 http:ltwww.gaylor.com FED ID#20-3727689 Invoice 139240 Bill to: Job.- 91081805 CARMEL WATER OPERATIONS Carmel WTPlant#1 3450W. 131st. ST. 4915 E. 106th St. CARMEL, IN 46074 Carmel, IN 46032 Invoice#: 139240 Date: 05/21/13 Customer P.O.#: WO#09792 - --------------------- ------------- ---------- ---- ----- ------ ----------------------------------- ------------------- ----------------------- -------------- Payment Terms: NET 30 Salesperson: Customer Code: CARWTR Remarks: SALT BUILDING TRANSFORMER 11 �- • • - • Electrical Work Completed for CARMEL WTP#1 SALT BLDG PANEL TUB 1,500.00 Subtotal: 1,500.00 Questions regarding this invoice: Janaye @ 574.295.2112 Total: 1,500.00:' Gaylor,Inc.is an equal opportunity employer. Page: 1 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 105285 GAYLOR ELECTRIC Purchase Order No. P.O. BOX 3757 Terms CARMEL, IN 46082-3757 Due Date 8/23/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/23/2013 139240 $1,500.00 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 Date -C'2W VOUCHER # 132577 WARRANT # ALLOWED 105285 IN SUM OF $ GAYLOR ELECTRIC Y Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 139240 07-1050-06 $1,500.00 C C) N N e c ��' v Voucher Total $1,500.00 Cost distribution ledger classification if claim paid under vehicle highway fund