246026 06/03/15 y CITY OF CARMEL, INDIANA VENDOR: 318000
�/ , ONE CIVIC SQUARE VAN'S ELECTRICAL SYSTEMS INC CHECK AMOUNT: $********33.84*
9y ��; CARMEL, INDIANA 46032 ND OX 51797
17 S71N 46251 CHECK NUMBER: 246026
,Toa CHECK DATE: 06/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 491053 33.84 REPAIR PARTS
REMI,T'TO: - ----- - - �` I N V O I C E Pg
P:O: Boxy 51797'
VlAris Indianapolis, IN146251
317-240-5900 ACCOUNT NO.
ELECTRICAL SYSTEMS vanselec.com
1850 Oliver Avenue VANS DELIVERY 01 1-0,171
Indianapolis, IN 46221 k '* C H A R G E k * COST.SVC. REP.
2% 15 DAYS NET 30 SEE BELOW. . . . —
DATE
S CARMEL FIRE DEPT S CARMEL FIRE DEPT
L 2 CIVIC SQ H 2 CIVIC SQ TIME OF ORDER
D CARMEL IN 46032 P CARMEL IN 46032
T T DEV 5�
0 0x FAXED *x
Part Number Order Ship B/O Description List Net Value
GY 4080495 1 1 AUTO POLY— 83 .65 33 .84 N 33 .84
I
TAX RATE NO DISCOUNT ON CORES — TAX — FREIGHT »»
TOTAL UNITS PART TOTAL CORE TOTAL FREIGHT HANDLING OTHER TAX
1 33 .84
PAST DUE ACCOUNTS WILL BE CHARGED 1''/z% INTEREST PER MONTH • •
(18%PER ANNUM) RETURNED GOODS MUST BE ACCOMPANIED BY INVOICE. RE- RCVD. lg 33.84
TURNED GOODS SUBJECT TO RESTOCKING CHARGE. NO CREDIT ON PART BY:X •
IF IT HAS BEEN INSTALLED. DISCREPANCIES TO BE REPORTED WITHIN 7 DAYS.
* I N V O I C E * Page 1REMIT •
P.O.
Inv # 491053 Ord# 60656 Indianapolis,IN 46251
'• • E44
vAns
ELECTRICAL SYSTEMS VANS DELIVERY ® •
# 00 10171 CARMEL FIRE DEPT
* * C H A R G E * 2% 15 DAYS NET 30 SEE BELOW . . . . •
BC — 90 491053
S CARMEL FIRE DEPT S CARMEL FIRE DEPT ■,
L 2 CIVIC SQ H 2 CIVIC SQ 5/26 2015 5 26Q015
CARMEL IN 46032 P CARMEL IN 46032 • '"'
T T 13:30.54 0 10
O O
Please Return
Part Number Order Ship B/O Description Unit Net TE Value This Stub
GY 4080495 1 1 AUTO POLY—V BEL 83.65 33 .8400 33.84 With Your
Remittance
TAX RATE ** NO DISC ON CORES/TAX/FREIGHT ** SEE EARLY PAYMENT DISCOUNT--»»> .68
TOTALUNITS PAR TOTAL CORE TOTAL FREIGHT HANDLING OTHER TAX If Paid
Before
` 6/10/2015
ALL PAST DUE ACCOUNTS WILL BE CHARGED 1!9%INTEREST PER MONTH(18%PER ANNUM)ALL RETURNEDRCVO. • pInvoice
NO REFUND SUR ANY CRED TNUN PMiHF li HAS BEENNSTAEDOODS SUBJECT TO RESTOCKING CHARGE. BYE x ` 3 3.8 4 33.84
VOUCHER NO. WARRANT NO.
ALLOWED 20
Van's Electrical Systems
IN SUM OF $
P.O. Box 51797
Indianapolis, IN 46251
$33.84
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 491053 42-370.00 $33.84 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
I
which charge is made were ordered and
received except
JUN 2015
n A
k balr) -��A
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I
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))
491053 BC $33.84
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
, 20
Clerk-Treasurer