251767 11/18/15 CITY OF CARMEL, INDIANA VENDOR: 318000
® i ONE CIVIC SQUARE VAN'S ELECTRICAL SYSTEMS INC CHECK AMOUNT: $********96.94*
CARMEL, INDIANA 46032 PO BOX 51797 CHECK NUMBER: 251767
INDIANAPOLIS IN 46251 CHECK DATE: 11/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 500509 96.94 REPAIR PARTS
REMI.'T TO: * I N V O I C E"S
P10. Bbk59 797 : {
findtanapolis,ilN/146251 Inv # 50050' Ox73030
VA&A f N—bjj 3ASO1.1
317-240-5900 ACCOUNT NO.
ELECTRICAL SYSTEMS vanselec.com VANS DELIVERY 01. 10171
1850 Oliver Avenue .A t1 I� A R t E ,k COST.SVC.REP.
Indianapolis, IN 46221
15 DAYS NET 30 SEE BELOW e 4 e e SC — 90
DATE
S CAR.t1EL FIRE DEPT S CARMEL FIRE DEPT 11/13/2015
0 CIVIC SQ) H 2CIVIC SQ TIME OF ORDER
D t.,ARTIF:LJ IN 4G.0 3.2" P CARPIF:I.o I IN 4G03-.--' 1'3 4 OG a 42
T T D Pit.
O O ** FAXED as
Part Number Order Ship B/O Description List Net Value
CH ._•f1.05'9--BX ._ 2 12V SOLENO J 1--i'1. . 10 1.1 42-'.a 20
.T M__
CH 91801—BX 2 a_ a _.i'%O N. '=WITC 1.; n 97 9.49 :l 1.C-::a 1_,:=:
T .X RATE ** NO DISCOUNT ON CORES — TAX — FREIGHT ** >>>>
TOTAL UNITS PART TOTAL CORE TOTAL FREIGHT HANDLING OTHER TAX
PAST DUE ACCOUNTS WILL BE CHARGED 1Y% INTEREST PER MONTH
(18%PER ANNUM) RETURNED GOODS MUST BE ACCOMPANIED BY INVOICE.RE- RCVD C��-
TURNED GOODS SUBJECT TO RESTOCKING CHARGE. NO CREDIT ON PART BY: i{/1/CT ' 96.94
IF IT HAS BEEN INSTALLED. DISCREPANCIES TO BE REPORTED WITHIN 7 DAYS.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Van's Electrical Systems
IN SUM OF$
P.O. Box 51797
Indianapolis, IN 46251
$96.94
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 500509 42-370.00 $96.94 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
NUV 1 6 C
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))
500509 $96.94
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