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243835 3 /31/2015 (9, CITY OF CARMEL, INDIANA VENDOR: 318000 ONE CIVIC SQUARE VAN'S ELECTRICAL SYSTEMS INC CHECKAMOUNT: $*******386.99* CARMEL, INDIANA 46032 PO BOX 51797 CHECK NUMBER: 243835 INDIANAPOLIS IN 46251 CHECK DATE: 03/31/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4237000 487799 386.99 REPAIR PARTS REMIT TO: I �'J �� Ct I s� Ery y 1 i - P.O. Box 51797 I Indianapolis, IN 46251 i — 9 r' — — —_— — —— — — P.O.NO. a 4 ti-ww- 317-240-5900 ACCOUNT NO. ELECTRICAL SYSTEMS vanselec.com :F..: _I �.'; + 1850 Oliver Avenue j "a )'-`1 [ `- r'i U 1 10 1 7 1 Indianapolis, IN 46221 4, ., ' H Ft F; E:. * * COST.SVC.REP. fpr` i :} C_}!z i'`:7 L I 11(t "�.F. _ �`•I. . o ���: .... ;) I`'a�._ 1_._ .Jt '7_ DATE L:S '.j- t ('i_i_, (::^•.e. r.i ..l — '` '. =t) } `:r O _ i H i �? i: TIME OF ORDER D +._!�i' !'i _�. :I"'� ::Z,::'(1 i Pi' i-.'.. .I`.f 4,`103" 1,_ 14 n _'.1 T T J(C.FF i Part Number Order Ship B/O Description List Net Value 7 _ +'.�'3 N .- ---?---J _Y— -ii- DISC," —'I�--�" a —�,.,•[� F-ri — f — r-r--,r- (" ifd4•— — -------- .._. !t: I•IILL3 'OU 11 ...N R.' I H::. r R 1 7F'I i TOTALUNITS PART TOTAL CORE TOTAL FREIGHT HANDLING OTHER TAX PAST DUE ACCOUNTS WILL BE CHARGED 1'/z% INTEREST PER MONTH (18%PER ANNUM) RETURNED GOODS MUST BE ACCOMPANIED BY INVOICE.RE- RCVD. /•� • 386.99 TURNED GOODS SUBJECT TO RESTOCKING CHARGE. NO CREDIT ON PART BY:�( (/ • � IF IT HAS BEEN INSTALLED.DISCREPANCIES TO BE REPORTED WITHIN 7 DAYS. VOUCHER NO. WARRANT NO. ALLOWED 20 Van's Electrical Systems IN SUM OF $ P.O. Box 51797 Indianapolis, IN 46251 $386.99 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members 1120 487799 42-370.00 $386.99 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 G AR 3 ,0 2om NOV )8- Fire Chief 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)) 487799 E345 $386.99 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 5-11-10-1.6 120 Clerk-Treasurer