252825 12/15/15 CAA.
CITY OF CARMEL, INDIANA VENDOR: 318000
ONE CIVIC SQUARE VAN'S ELECTRICAL SYSTEMS INC CHECK AMOUNT: $**......56.66*
CARMEL, INDIANA 46032 PO BOX 51797 CHECK NUMBER: 252825
INDIANAPOLIS IN 46251 CHECK DATE: 12/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 501580 56.66 REPAIR PARTS
R, EW1jTj'TfC6,' I N V 0 1 C E Pg
PAO1,Ef0*5A797'
# 501580 Ord# 74475
345
317-240-5900 ACCOUNT NO.
ELECTRICAL SYSTEMS vanselec.com
1850 Oliver Avenue VANS DELIVERY 01 10171
Indianapolis, IN 46221 C H A R G E COST.SVC.REP.
2% 15 DAYS NET 30 SEE BELOW. . . . AC — 90
DATE
s CARMEL FIRE DEPT s CARMEL FIRE DEPT 12/07/201
0 2 CIVIC SQ H 2 CIVIC SQ TIME OF ORDER
L I
D CARMEL IN 46032 P CARMEL IN 46032 12: 42:57
T T ACLAI
0 0 FAXED ***
Part Number Order Ship B/O Description List Net Value
CH 24117—BX 2 2 SOLENOID 1 51 .50 28.33 N 56.66
TAX RATE NO DISCOUNT ON CORES TAX — FREIGHT >>>>
TOTAL UNITS PART TOTAL CORE TOTAL FREIGHT HANDLING OTHER TAY
2 56. 66
PAST DUE ACCOUNTS WILL BE CHARGED 1'h% INTEREST PER MONTH H
(18%PER ANNUM)RETURNED GOODS MUST BE ACCOMPANIED BY INVOICE E_ R C YXD(�)(a 44
TURNED GOODS SUBJECT TO RESTOCKING CHARGE. NO CREDIT ON PART BY
IF IT HAS BEEN INSTALLED. DISCREPANCIES TO BE REPORTED WITHIN 7 DAYS. 56.66
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))
501580 $56.66
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
$56.66
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 501580 42-370.00 $56.66 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
ULL 1 4 ZU15
a
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund