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IPL/Engr
INDIANAPOLIS POWER & LIGHT COMPANY SERV # REQUEST FOR STREET LIGHTING (MU -1 ) CUSTOMER NAME CITY OF CARMEL CUSTOMER ACCOUNT # 6144 STREET ADDRESS 116TH & HOOVER RD CUSTOMER PHONE /FAX 571 -2678 CITY, STATE, & ZIP CODE CARMEL, IN PERSON TO CONTACT LIBBY PICKETT MAILING A_DDRE88 DATE OF REQUEST t - 20 --I () STREET ADDRESS IPL LIGHTING REP. NAME DENNIS FOX CITY, STATE, & ZIP CODE App m0v D AS TO FORM BY T INSTALLED ON WOOD POLES Light Annual Coat Coda Total Cost -r-7 • r 100 watt HP8 150 watt HPS 250 wall HPS $181.16 6231.98 $440,52 $183.98 6199.20 e6 - 4 40 - - - 1100.08 $127.20 $199.96 21 18 15 - NE • - 400 wall HPS `. 6 • 5184.76 12 • _ 250 wail HPS metal column 175 wall MV $229,69 - - 6 - - 1118.28 7 ME 400 wait HPS male! column - - - 400 wall MV MV 14 6 rig • • • 5102.66 5284.38 41 1 _ 400 wall MH metal column © 6340.92 101 - 400waLt MR 175 watt MV fiberglass column ola - - 5194,76 100 IN 1111111111•1110 - -�� INSTALLED ON FIBERGLASS OR METAL COLUMNS a Total Cost INSTALLED ON DECORATIVE POSTS a Total Cost - - _ 75 wall MV m al column - - at • • • 400 well MV metal column al 1000 watt MV meta! column - - * - - • 100wall HPS metal column al 7SOwaU HPS metal column - • at • • . $181.16 6231.98 $440,52 $183.98 6199.20 9 6 3 23 20 24 25 10 11 26 27 • - - • - - $ • • _ 250 wail HPS metal column $229,69 17 - 400 wait HPS male! column - - el - - • 3340,92 14 . _ 400 wall MH metal column © 6340.92 101 • 175 watt MV fiberglass column ola - - 61 81.92 37 - -�� 100 wall HPS fibergtaea column ® $174,80 38 6 - I__ 160 waft HPS fberolae6 corumn © • • • 6188.84 39 $ _ 250 watt HPS fiberglass column ® 6220.44 40 t - 400 weal HPS fiberaless column tali • 6319.08 41 _ 400 well MH fiberglass column a, 6318.09 102 • 1 - 250 wall HP3 shoebox - - el, - $251.24 46 2 - 250 watt )PS shoebox CO 5307.68 48 - - _ 1 - 400 wall HPS shoebox • • ai • • . 6281.88 05 _ 2 - 400 watt HPS shoebox tit 1378.24 66 1 •400 wall MH ehoebox - - 011 - - 5286.72 42 - 2 - 400 wall MH shoebox 0 3391.80 _ 43 6 INSTALLED ON DECORATIVE POSTS a Total Cost - 100 wall HPS TRADITIONAL 100 watt HPS WASHINGTON 175 watt MV TRADITIONAL 175 wall MV WASHINGTON 150 wall HPS 18" BALL - - • 150 wall HPS WASHINGTON © - - 4� (� - - t� ® • - 6 _ 1183.12 1288.09 1189.12 1291.84 1220.44 33327.72 24 25 10 11 26 27 $ - • - $ _ $ - # - 1 TOTAL OF ALL LIGHTS ORDERED & ANNUAL COST ▪ NONSTANDARD CONSTRUCTION CHARGE ( PAYMENT DUE PRIOR TO CONSTRUCTtON) • INSTALLATION CHARGE (PAYMENT DUE PRIOR TO CONSTRUCTION) $ 169.88 $ Monthly cost 13.33 5 3 836.81 I authorize the Installation of the above IPL owned facilltles, and agree to pay the monthly charge plus applicable tax. I understand that (A) this Installation must remain In service for a mrnlmum of five (5) years, (B) this lnetallati0n is subject to rate "MU-1" as Hied with the IURC, and (C) the rates are subject to change. X AUTHORIZED PERSON NAME (PRINTED) X AUTHORIZED PERSON S)GNATURE X PHONE AUTHORIZATIOr PER IPL REP, DATE 4 r Jan. 11. 2011 7:38AM No. 1269 P. 3 IN WITgSS WHEREOF, the partieS.hereto have.made and executed this Agreement as follows: CITY OF CARMEL, INDIANA by and through its Board Of PubIlt .WorkSand•Safety By: James Bral rd, Presiding Offk.er Date: M ry Date: Burke Member , An-EST:. Jana Cordray,..IAMC, -Treasurer . • Date: bth.0,PrApii. bis.wet Geo&Abinsa Fa......0..014-tevisrplle.4-04f1721ecIA MOIL 41,21,0.0 1 INDIANAPOLIS POWER & LIGHT COMPANY By: Authorized Signature Printed Name 1eL Title :SSN if Sole Ptoprietor; :Date: •1 — kk--■I