249456 09/09/15 CITY OF CARMEL, INDIANA VENDOR: 318000
® i ONE CIVIC SQUARE VAN'S ELECTRICAL SYSTEMS INC CHECK AMOUNT: $**.....271.10"
CARMEL, INDIANA 46032 PO BOX 51797 CHECK NUMBER: 249456
INDIANAPOLIS IN 46251 CHECK DATE: 09/09/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 495835 21.10 REPAIR PARTS
1120 4237000 495934 250.00 REPAIR PARTS
REMIT TO: I ISI V O I C E PC> 1
P.O. Box 51797
Indianapolis, IN 46251 [-49 -
-•vJvv- P.O:
317-240-5900 - - ACCOUNT NO.
ELECTRICAL SYSTEMS vanselec.com
(11
1850 Oliver Avenue V to N:—: OE L I V R CUST.SVC.REP.
Indianapolis, IN 46221 t .k 13 H U ,t
/: 1 _> i-�'A Y S N=-T 3 is --=1= E_ ..t_C)G••!s . e .
DATE
CALF-it-11E_ F (i'-.E f.A'"I s •int.�'Ih L f" f REL)GP I
LL =.' t_;1 V i C' '�_! H 2 C.I V I C `��f:i TIME OF ORDER
r'P:f_'J i•: f k. 4 1 2 P 'ti 'I 1 4, 4 i
T T `_: iEFI
Part Number Order Ship B/O Description List Net Value
3
I'AX T:ATC. CIO DISCOUNT ON CORES — TAX — FREIGHT
TOTAL UNITS PART TOTAL CORE TOTAL FREIGHT HANDLING OTHER TAX
PAST DUE ACCOUNTS WILL BE CHARGED I'A% INTEREST PER MONTH
(18%PER ANNUM)RETURNED GOODS MUST BE ACCOMPANIED BY INVOICE. RE- RCVD.
IF
IT HAS BEEN INSTALLED. DISCREPANCIES TO BERREPORTED WIITIHIN 7 DAYS. BY:X I1v11 21 • 1 U
f * I N V O I C E * Page 1
Inv # 495934 Ord# 67109
01 vAna • • BUB
mo��
ELECTRICAL SYSTEMS VANS DELIVERY # .00 10171
* * C H A R G E * * 2% 15 DAYS NET 30 SEE BELOW . . . .
SC - 90
S CARMEL FIRE DEPT S CARMEL FIRE DEPT "
L 2 CIVIC SQ 11 2 CIVIC SQ 8/2 1
21 2015
CARMEL IN 46032 P CARMEL IN 46032
T T 12 .24 . 03
0 0
Part Number Order Ship B/O Description Unit Net TE Value
VR SIREN 1 1 Q2B 250.00 250 .0000 250.00
r
TAX RATE ** NO DISC ON CORES/TAX/FREIGHT ** SEE EARLY PAYMENT DISCOUNT--»»>
TOTAL UNITS PART TOTAL CORE TOTAL FREIGHT HANDLING OTHER TAX
ALL PAST GUE ACCOUNTS WILL BE CHARGED i='.6 INTEREST PER MONTH(1933.PER ANNUIII ALL RETURNED
GOODS MUST BE ACCOMPANIED BY THIS INVOICE RETURNED GOODS SUBJECT TO RESTOCKING CHARGE BY x mim
250.00
NO REFUND UR ANY CREDIT ON PART IF IT HAS BEEN INSTALLED.
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))
495835 E340 $21.10
495934 E340 $250.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Van's Electrical Systems
IN SUM OF $
P.O. Box 51797
Indianapolis, IN 46251
$271.10
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 495835 42-370.00 $21.10 1 hereby certify that the attached invoice(s), or
1120 495934 42-370.00 $250.00 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
SEP - 4 2095
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund