227288 12/17/2013 CITY OF CARMEL, INDIANA VENDOR: 00351425 Page 1 of 1
ONE CIVIC SQUARE C T W ELECTRICAL CO, INC CHECK AMOUNT: $2,069.41
CARMEL, INDIANA 46032 601 SAYRE COURT
GREENWOOD IN 46143 CHECK NUMBER: 227288
CHECK DATE: 12/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 114926-00 2 , 069 .41 REPAIR PARTS
12/13/13 04: 23 PM CTW Electrical Co. , Inc via VSI-FAX Page 2 of 3 #5873
CTW Electrical Co., Inc.
601 Sayre Court I N V 0 1 C E
Greenwood, IN 46143
800/428-3004 Fax: 800/833-7134 uac v INV... . DATE IrivolcE No
http://www.ctwinc.com
cult#: 3350 000000 1124926-00
Ship To: Carmel Street Dept. P.O NO PAGE fi
3400 West 131st St. JEFF/ED 1
Carmel, IN 46074 Remit To: CTW Electrical Co., Inc.
601 Sayre Court
Greenwood, IN 46143
Bill To: Carmel Street Dept.
3400 West 131st St. INSTRUCTIONS
Carmel, IN 46074
SHIP POINT VIA SHIPPED: .TERMS
CTW Electrical Co., Inc. Delivered Net.30 Days
SALESREP :SALESREP NAME
028 Brian Windisch
LN ITEMANDDESCRIPTION: :>UPC ORDERED B.O. :SNIPPED UM -PRICE AMOUNT`<
1 9436-}:434 00000 100 0 100 each 0.07440 7.44:::
Screw
2 94361'4'114 00000 50 0 50 each:: 0.11160 5.58
Screw
3 9.43612114 00000 50 0 50 each 0.09 4.50
Screw
4 6.436-1011. 00000 100 0' 100 each 0.04200 4.20
Screw
5 9.436-1234 00000 100 0: 100 each 0.05940 5.94
Screw
6 808-13K 00000: 100 0. 100 each 0.28920 28.92
Cable Tie
7 LB 1157: 00000. 10 0 10 each 0.40 4.00'
Light
8 BL-1011•R 00000 10 0 10 each 4.25 42.50
Light.Kit
9 4793-029 00000 100 0 100 each•• 0.06600 8.60
Nylon Insert Grade•8 Nut
10 P13 922•• 0000.0 50 0' 50 each
0.17 8.50
Seal
11 STB 30042 16 .. 00000 20 . ..0 20 each... 0.29520 5.90•
Connector Pin
12 M-4146..• 0000.0 150 0 150 each 0.40620 80.93•
Connector•••
13 'T-2101: .. 00000 1 .0' 1 ..each... 35.80 35.80..
Tool
14 .BF-968-4 2 00000 5 0 5 each 3.90 19.50
Connector
15 BF-968-44 00000 5 0 5 each 4.50 22.50:
Connector :
16 .BF 968;64 00000, 5 0 5 each. 5.60 28.00
Connector.
cm
17 BF-968-66 00000 4 0 4 ...each. . 4.65 18.60
Connector
Continued ..Discrepancies m 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.quan%as shipped..Re-stocking charges may apply...Purchaser will be liable for interest,.legal
-and colection.costs if-account is placed into collections.-
12/13/13 04: 23 PM CT14 Electrical Co. , Inc via VSI—FAX Page 3 of 3 #5873
CmCTW Electrical Co., Inc.
601 Sayre Court I N V 0 1 C E
Greenwood, IN 46143
800/428-3004 Fax: 800/833-7134 % uPC v inivolcE DATE IlvvDICE No. ?.
http://www.ctwinc.com
Cust#: 3350 000000 1124926-00
Ship To: Carmel Street Dept. P.o(NO. FACE a
3400 West 131st St. JEFF/ED 2
Carmel, IN 46074 RamitTo: CTW Electrical Co., Inc.
601 Sayre Court
Greenwood, IN 46143
Bill To: Carmel Street Dept.
3400 West 131St St. INSTRUCTIONS:::
Carmel, IN 46074
SHIP P�LNT VIA SHIPPED:::
CTW Electrical Co., Inc. Delivered Net 30 Days
SALESREP :-:SALESREP-NAME
028 Brian Windisch
IN ITEM AND DESCRIPTION UPC ORDERED B.O. :< SHIPPED >: UM.:: PRICE AMOUNT...
18 BF 968=86 00000 2 0 2 each 5.25 10.50::
Connector
19 BF 968 88 00000 2 0 2 each 8.10 16.20
Connector
20..BF-969=66 00000 4 -0 4 each 7.40 29.60
Elbow
21 BF-969=44 00000: 5 0. 5 each 6.80 34.00
Elbow
22 BF-468-86 00000, 0 2 each• 3.25 6.50
Connector
23 BF-468-106 00000 2 0 2 each 5.05 10.10 1.Connector
24 B.F-980 71 744 00000 2 0 2 each 8.10 16.20
Elbow
25 BF-968-46 00000 5 0. 5 each 8.05 40.25.
Connector
26 -NAS MMBSLEDFLM-C/A. 00000 5 0. 5 each 215.50 1.077.50
Strobe
27 TL 80.888 ob000 5 0 5 each 99.95 499.76
Light Kit
28 •BF-980-1-88 00000 1 0.
1 each 19.40 19.40
Elbow
28 Lines Total Qty'Shipped Total 895 Total 2069,41
Invoice Total 2069,41
LaSt.Page Discrepancies in shipments must be made within 15 days of invoice Returns will not be accepted without R64 number. No returns allowed on.sped al order
.-.items.Items must be received in same packaging and quantity as shipped..Restocking charges may apply. Purchaser will be liable for intere.st,'legal
--and collection costs if account is placed into collections.
VOUCHER NO. WARRANT NO.
ALLOWED 20
CTW Electrical
IN SUM OF $
601 Sayre Ct.
Greenwood, IN 46143
$2,069.41
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 114926-00 I 42-370.001 $2,069.41 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
Sat urd y.} a q412013
Issloner
Stree ommissioner
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))
12/13/13 114926-00 $2,069.41
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