224775 10/08/2013 CITY OF CARMEL, INDIANA VENDOR: 367637 Page 1 of 1
ONE CIVIC SQUARE ALPINE POWER SYSTEMS
CARMEL, INDIANA 46032 24355 CAPITOL AVENUE CHECK AMOUNT: $575.00
REDFORD MI 48239
CHECK NUMBER: 224775
CHECK DATE: 10/8/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 0643841-IN 575 . 00 CONT SVS-OTHER-S PLAN
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City of Carmel Utilities City of Carmel Utilities
9609 Hazel Dell Parkway 9609 Hazel Dell Parkway
Accounts Payable Department Accounts Payable Department
Indianapolis,IN 46280 Indianapolis,IN 46280
Customer Order No. Release No. Date Shipped Terms
S13710 S13710 9/18/2013 Net 30
Quantity Balance
Ordered Shipped on Order Description Unit Price Amount
1.00 1.00 0.00 Refurbished Charger 900.00 900.00
Serial Number: 301CS88316
1.00 1.00 0.00 Recycled Spent Batteries 400.00- 400.00-
1.00 1.00 0.00 Labor to test battery and install other battery 75.00 75.00
*Please Remit to: Alpine Power Systems*
Dept. 77783
Net Invoice: 575.00
P.O. BOX 77000
Detroit MI 48277-0783 Less Discount: 0.00
PLEASE NOTE: �
This is an attempt to collect a debt.Ime—twill be charged on all accounts sissy(64)days past due at the prevailing interest ate not eacecding 1 12% Sales Tax: 0.00
per month or an annum percentage ate of 18%.Title to all goods covered by this invoice to remain in the name of Alpine Power Systems.Inc.until
full,paid.Delinquent accounts may be sent to collection agency at your expense.We hereby certify that dose goods were produced in compliance with
all applicable requirements of Sections 6.7,and 12 of the Fair Labor Standards Act as amended and of regulations and orders of the United States Invoice Total: 575.00
Departmenl of Labor issued under Section 14 thereof.No c6 ims for shortage or otherwise will he allowed after Ill days from the date of invoice.AA
- No credit allowed for merclaMise returned withom our written permission.Rents not shipped arc not included or charged and will be forwarded as possible.All materials subject to manufacturers warranties only.
VOUCHER # 136508 WARRANT # ALLOWED
367637 IN SUM OF $
ALPINE POWER SYSTEMS
DEPT 77783
PO BOX 77000 1
DETROIT, MI 48277-0783
a
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
I
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
0643841-IN 01-7202-06 $500.00
0643841-IN 01-7362-06 $75.00
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Voucher Total $575.00 t
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
367637
ALPINE POWER SYSTEMS Purchase Order No.
DEPT 77783 Terms
PO BOX 77000 Due Date 10/3/2013
DETROIT, MI 48277-0783
Invoice Invoice Description
Date Number (or note attached,invoice(s) or bill(s)) Amount
10/3/2013 0643841-IN $575.00
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 Officer