224864 10/08/2013 �.qMf CITY OF CARMEL, INDIANA VENDOR: 367520 Page 1 of 1
ONE CIVIC SQUARE FACILITY SOLUTIONS GROUP CHECK AMOUNT: $875.00
CARMEL, INDIANA 46032 PO BOX 952143
DALLAS TX 75395-2143 CHECK NUMBER: 224864
CHECK DATE: 1018/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350100 293355 875 . 00 BUILDING REPAIRS & MA
1
FAQ'U 0
9900 Westpoint Drive Indianapolis, IN 46256 - 214-217-0190
Invoice# 293355
Customer No: 747431-0002
Salesrep# 804 FSGE Service House
Work Address: Invoice Date Due Date I Terms Page#
Monon Community Center 09/20/13 10/20/13 INET 30 1
1195 Central Park Drive West Called In B Customer P.O.# Call Date
Carmel, IN 46032 Dawn Koepper 36171 08/27/13
Work Order# Signed By Completed
Bill Address: 1440389 Jim Ransfo 09/17/13
Carmel Clay Parks & Recreation Quote Nte Job#
1411 East 116th Street
Attn: Accounts Payable 875
Carmel, IN 46032
Service Requested R-F�`F;E (J�^.
8am - 08/29/13
SEP 2 4 2013
Check in with Jim upon arrival. Need to look at generator &
provide estimate.
BY:
F
Description of Work Performed
Requisition #: MC004589
Technician completed work per quote.
All requested work is 100% complete. DM
Signed off by: Michael Kilpatrick on 9/17/13
These services were quoted at a fixed price of: 875.00
Sub Total 875.00
�`��p Sales Tax 0.00
l l�� v CIVGuS �}� r/►1 �4rV�w� Invoice Total 875 00
FIB �J Balance Due 875. 00
Remit to: Facility Solutions Group P.O. Box 952143 - Dallas, TX 75395-2143
Please note Invoice# 293355 on return payment to insure accurate application of remittance.
On all sums due, which have not been paid,Customer agrees to pay a calculated service charge of 1.5%per month(not exceeding the highest amount lawfully allowed by
contract in this state). If litigation commences to collect payment of amounts due,Customer agrees to pay reasonable attorneys'sums which may be due.
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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
367520 Facility Solutions Group
P.O. Box 952143
Dallas, TX 75395-2143
Invoice Invoice Description Amount
or note attached invoice(s)or bill(s)) PO#
Date Number ( 36171 $ 875.00
9120113 293355 Relocate circuits for generator
Total $ 875.00
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
120—
Clerk-Treasurer
Voucher No. Warrant No.
367520 Facility Solutions Group Allowed 20
P.O. Box 952143
Dallas, TX 75395-2143
In Sum of$
$ 875.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or Board Members
Dept#
INVOICE NO. CCT#/TITL AMOUNT
1093 293355 4350100 $ 875.00 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
3-Oct 2013
Signature
$ 875.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund