202341 09/27/2011 CITY OF CARMEL, INDIANA VENDOR: 318000 Page 1 of 1
ONE CIVIC SQUARE VAN'S ELECTRICAL SYSTEMS INC
CARMEL, INDIANA 46032 PO BOX 51797 CHECK AMOUNT: $392.00
d INDIANAPOLIS IN 46251
CHECK NUMBER: 202341
CHECK DATE: 9/27/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 411935 225.00 REPAIR PARTS
1120 4237000 416324 167.00 REPAIR PARTS
i
vAr I N V O I C E* Page 1
RtKAIT TO:
REPRINT x 517§7
Inv 411935 Ord# 59974
�t Indianspolis"IN, 4625 1,
370 -6437
ELECTRICAL SYSTEMS
CUSTOMER WILL CALL 00 34343 CARMEL FIRE BUFF
C H A R G F DUE UPON RECEIPT
SV 99 O1 411935
S CARMEL FIRE BUFFS i s CARMEL FIRE BUFFS
L JIM MARTIN i JIM MARTIN 7 14 2011 7 14 2011
CITY ST 12345 P CITY ST 12345 6
T r 15:
0 0
Please Return
Part Number- Order Ship B/O Description Unit Net TE Value This Stub
CR 1BBL 1 1 STROMBERG 225, 00 225.0000 225, 00 With Your
k Remittance
PLEASE PAY FROM INVOICE NO STATEMENT WILL BE SENT
INVOICE IS DUE UPON RECEIPT
0 7"od 4
TAX RATE 4.50
TOTAL UNITS PART TOT. L CORE TOTAL FREIGHT HANDLING OTHER T 7
ALL PAST iNE ACCOUNTSN'ILL BE CHARGED INTERESTFERPAMTH (IA PER ANHUTd7 ALL RETURNED �7 C f
GDODS WST BE .ACCOMPA CREDIT NIED BY TLII$ INVOICE. REMPNEO GOODS SUBJECT TO RESFOCJ(ING CHARGE BY 2 Z 5 O O Z 225
NU REFUND UR ANY EDIT CN PART IF IT HAS BEEN INSTALLED.
LD 6 )�2-z cr,
a 1/? �P 0
f T� I N V O I C E Page 1
Inv 416324 Ord# 65301
BOB
vAt%riws
ELECTRICAL SYSTEMS
VANS DELIVERY 10171 CARMEL FIRE DEPT
C H A R G E 2% 15 DAYS NET 30 SEE BELOW
AC 90 416324
s CARMEL FIRE DEPT s CARMEL FIRE DEPT
2 CIVIC SQ 2 CIVIC SQ 9 21 2011 9 21 2011
CARMEL IN 46032 P CARMEL IN 46032 $,1
T T 8:40.37 00 10171
0 0
Please Return
Part Number Order Ship B/O Description Unit Net TE Value rhis Stub
CH M- 754 -BP 1 1 BAT.SELECT /DISC 128.64 62.9200 62.92 W ith Your
CH M- 754 -BP 1 1 BAT.SELECT /DISC 128.64 62.9200 62.92 Remittance
Part Ordered: M754BP
CH 24082 -13X 2 2 SOLENOID 12V 42.09 20.5800 41.16
l eLG��Zr4i QGG+!
TAX RATE NO DISC ON CORES /TAX /FREIGHT SEE EARLY PAYMENT DISCOUNT O 1 3.34
TOTAL UNITS PART TOT L CORE TOTAL FREIGHT HANDLING OTHER TAX 10/06/2011
ALL PAST DUE ACCOUNTSW4L EE CHARGED i INTEREST PER MONTH (I R'Iu PERANNUMI ALL RETURNEC HGV0_
GOODS MUST BE ACCOMPANIED BV THIS INVOICE. RETURNED GOODS SUB.IECTTO RE5TOCKING CHARGE. BY: x 167 .00 16 7. 0 0
NU REFUND OR ANY CREDITON PART IF IT HAS BEEN INSTALLED.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Van's Electrical Systems
IN SUM OF
P.O. Box 51797
Indianapolis, IN 46251
$392.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 416324 42- 370.00 $167.00 i hereby certify that the attached invoice(s), or
1120 411935 42- 370.00 $225.00 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 2 6 2091
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))
416324 $167.00
411935 $225.00
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