241609 01/27/15 y yr_G�q�
CITY OF CARMEL, INDIANA VENDOR: 318000
13 ONE CIVIC SQUARE VAN'S ELECTRICAL SYSTEMS INC CHECK AMOUNT: $********53.64*
CARMEL, INDIANA 46032 PO BOX 51797 CHECK NUMBER: 241609
INDIANAPOLIS IN 46251 CHECK DATE: 01/27/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 484368 53.64 REPAIR PARTS
* I N V O I C E * Page 1 REMIT •
RO.Box 51797# 4843681 Ord# 51824Indianapolis,IN 46251
'• • STOCK
MRMM- ION
ELECTRICAL SYSTEMS VANS DELIVERY ®#.00 10171 CARMEL FIRE DEPT
vAris
* * C H A R G E * * 2% 15 DAYS NET 30 SEE BELOW . . . . •
BC - 90 484368
S CARMEL FIRE DEPT S CARMEL FIRE DEPT •'
L 2 CIVIC SQ H 2 CIVIC SQ 1 21 2015 1 21 2015
D CARMEL IN 46032 P CARMEL IN 46032 • •''
T r 1 2 :33.08 0 101 71
0 0
Please Return
Part Number Order Ship B/O Description Unit Net TE Value This Stub
CH 9211-BX 6 6 2 CIRCUT MOM.SW 16.25 8.9400 53.64 With Your
Part Ordered: ## 9 211BX Remittance
TAX RATE ** NO DISC ON CORES/TAX/FREIGHT ** SEE EARLY PAYMENT DISCOUNT-->>>>> 1.07
TOTAL U ITS PAR TOTAL CORETOTAL FREIGHT HANDLING OTHER TAX 1' 2/05/2015
ALL PAST CUEACCOUNTS I'LLBE CHARGED I''Al INTERESTPER MONTH(,18}L PER ANNUM)ALL RETURNED RCVDGOODS , •
T BE NY CREDIT IED BY TTHIS
I INVOICE HAS BEEN INSTALLED,DDS SUBJECT TO RESTOCKING CHARGE BY:X • I■ 53.64 53.64
NO REFUND
1
r
VOUCHER NO. WARRANT NO.
ALLOWED 20
Van's Electrical Systems
IN SUM OF $
- - I
P.O. Box 51797
Indianapolis, IN 46251
$53.64
r
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1120 484368 42-370.00 $53.64 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
I
SAN
i Fire Chief
Title
Cost distribution ledger classification if
fl,
claim paid motor vehicle highway fund
ti
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))
484368 $53.64
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