156864 02/21/2008 »ti CITY OF CARMEL, INDIANA VENDOR: 318000 Page 1 of 1
ONE CIVIC SQUARE VAN'S ELECTRICAL SYSTEMS INC
s4 CARMEL, INDIANA 46032 PO BOX 51797 CHECK AMOUNT: $146.82
INDIANAPOLIS IN 46251 CHECK NUMBER: 156864
CHECK DATE: 2/21/2008
DEPARTMENT ACCO P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 327837 126.06 REPAIR PARTS
1120 4237000 328267 20.76 REPAIR PARTS
I
*lNVOlCE* Page 1
P.O. Box 51797
Indianapolis, IN 46251 Inv #01 32�837 Ord# 54106
ELECTRICAL SYSTEMS 017-240-5900 ACCOUNT NO.
VAN'S DELIVERY oi 10171
C H A R G E 2% 15 DAYS NET 30 SEE BELOW ABOUT DISCOUNT..
FAXED
a CARMEL FIRE DEPT a CARMEL FIRE DEPT DATE
L 2 CIVIC SO 2 ClVlC SO
D `CARMEL lN 46032 p CARMEL IN 46032
TIME OF ORDER
T T
o o
Part Number Order Ship B/O Descriptiun List Net Value
CH 2484—A
CH 71092-02 1 I HEADLAMP S 43,88 20~76N
CH 9211 2 2 2 CIRCUIT
E
DI-S OW
TOTAL UNITS OART TOTAL CORE T�� FREIGHT HANDLING OTHER TAX
to 1 2'6 0 151 1
ALL PAST DUE ACCOUNTS WLL BE CHARGED 1 INTEREST PER MONTH (18% PER ANNUM) ALL RETURNED
00 UST BE ACCOMPANIED BY THIS INVOICE. RETURNED GOODS SUBJECT TO RESTOCKJNG CHARGE. BY.X
NO REFUND OR ANY CREDIT ON PART IF IT HAS BEEN INSTALLED. 1 1 1 6. cl,�
HEADQUARTERS BRANCHES
Van's Electrical Systems 1800 Lincoln Street
2541 Kentucky Avenue Anderson, IN 46016
Indianapolis, IN 46221 (765) 642 -4299
(317) 240 -5900 Fax: (765) 642 -3319
Fax: (317) 240 -5910
www.vanselec.com
PLEASE REMIT TO:
P.O. BOX 51797
INDIANAPOLIS, IN 46251
REMITTO: I N V 0 I C E p i
P.O. Box 51797 J
a Indianapolis, IN 46
Inv #0 1 32 0*:' J? Ord# 54! j2
w UHLEB 1 P.O. NO.
317- 240-5900 ACCOUNT NO.
ELECTRICAL SYSTEMS tilAl'd'P DELIVER)` 01 10171
C H A R G E 2% 15 DAYS NET 30 SEE BELO ABOUT DISCOUNT.. CUST. SVC. REP.
FAXED S\! qn
S CARM F IRE i DEPT s CARMEL FIRE DEPT DATE
0 2 C' T 1! I C C;Q H r' I l I 2:' 14 i' L r''-
D CARL IE L IN 4 032 P CFRh• EL I N ?,_,si TIME OF ORDER
T T 12:4211
O O
Part Nu Order S I p BrO Descr i Ft. i on List st. Net• Va I ue
CH 710 2 -0 1 1 HEr DLAMF 4' 20. 7
a
K
In=t. :V.AI•d'`=, DELIVER't' XX
Or g_ Order# 54106 Customer :FO# TG!�I':: Order Data... 02 -/08 20 0
Tr-X (:ATE r; NO rDISC. ON COFESi TAX, x' OR 'FRE I ,,T
SEE: ,D'.FS .OUPdT
TOTAL UNITS PART TOTAL CORE TOTAL FREIGHT HANDLING OTHER TAX
1 2 4
ALL PAST DUE ACCOUNTS WILL BE CHARGED 1'h% INTEREST PER MONTH (18% PER ANNUM) ALL RETURNED RCVD. COQ
GOODS MUST BE ACCOMPANIED BY THIS INVOICE. RETURNED GOODS SUBJECT TO RESTOCKING CHARGE.
NO REFUND OR ANY CREDIT ON PART IF IT HAS BEEN INSTALLED. BY' X -1 0 J t
HEADQUARTERS BRANCHES
Van's Electrical Systems 1800 Lincoln Street
2541 Kentucky Avenue Anderson, IN 46016
Indianapolis, IN 46221 (765) 642 -4299
(317) 240 -5900 Fax: (765) 642 -3319
Fax: (317) 240 -5910
www.vanselec.com
PLEASE REMIT TO:
P O. BOX 51797
INDIANAPOLIS, IN 46251
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))
r
o
1
Total
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
VOU HER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I 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
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund