250456 1 0/07/1 5 u,C!INb
CITY OF CARMEL, INDIANA VENDOR: 318000
® it ONE CIVIC SQUARE VAN'S ELECTRICAL SYSTEMS INC CHECK AMOUNT: $ ......41.93*
�. ,�Q CARMEL, INDIANA 46032 PO BOX 51797 CHECK NUMBER: 250456
�M1FaN.i-0, INDIANAPOLIS IN 46251 CHECK DATE: 10/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 498036 41.93 REPAIR PARTS
* I N V O I C E * Page 1 •
V4%ris NEMM if
Inv # 4980361 Ord# 69767
ECOMM CAR4505
ELECTRICAL SYSTEMS VANS DELIVERY # 00 10171 CARMEL FIRE DEPT
* * C H A R G E * * 2% 15 DAYS NET 30 SEE BELOW . . . . e
JR - 90 498036
s CARMEL FIRE DEPT s CARMEL FIRE DEPT
L 2 CIVIC SQ " 2 CIVIC SQ 9/29/2015 9 29 2015
D CARMEL IN 46032 P CARMEL IN 460327 it • • i1 j e °
T T 13 :02 . 42 00 10171
0 0
Please Return
Part Number Order Ship B/O Description Unit Net TE Value This Stub
ML M84406-B 1 1 24LED DOME LAMP 83. 86 41 .9300 41.93 With Your
Part Ordered: ## M8440613 Remittance
GgGi i �Q114
TAX RATE ** NO DISC ON CORES/TAX/FREIGHT ** SEE EARLY PAYMENT DISCOUNT--»»> a . 84
TOTAL UNITS PART TOTAL CORE TOTAL FREIGHT HANDLING OTHER TAX 10/14/2015
ALL PAST DUE ACCOUNTS WILL BE CHARGED I I r%INTEREST PER MONTH(183L PER ANNUM ALL RETURNED
NU REFUNDS
SOR ANY CREDITNON PART'IF IT HAS BEENEINSTAELLE� D ODS SUBJECT TO RESTOCKING CHARGE BY X • 41.93 41 .93
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))
498036 C4505 $41.93
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
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Van's Electrical Systems
IN SUM OF $
P.O. Box 51797
Indianapolis, IN 46251
$41.93
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
1120 498036 42-370.00 $41.93 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
OCT _ � 209f�
�,� '
9
lair ANIW4 "i
Fire Chi f
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund