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176489 08/19/2009 CITY OF CARMEL, INDIANA VENDOR: 318000 Page 1 of 1 0 ONE CIVIC SQUARE VAN'S ELECTRICAL SYSTEMS INC CARMEL, INDIANA 46032 PO BOX 51797 CHECK AMOUNT: $14.04 INDIANAPOLIS IN 46251 CHECK NUMBER: 176489 CHECK DATE: 8/19/2009 DEP ARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4237000 366146 14.04 REPAIR PARTS Ii -EMIT TO: I N V O I C E `z 1 P.Q. Box 51797' India napIoils, IN'46251 1 n 366146 Or d# 03183 W A-,,W- P. E 4 5 317- 240 -5900 O, M O. ACCOUNT NO. ELECTRICAL SYSTEMS vanselec.com VANS DP, L 1 V ER 1::=; 01 10 1 ,j 1 2541 Kentucky Avenue k CUST. SVC. REP. Indianapolis, IN 46221 G- G E a °.!u i 5 DA`fS e '.;ET 30 _:EE BELOW e o AC q0 DATE C.AR' G TP;'.E DEP i?i`kE I~ E INt I:tE E' 175- ('4' I F? 1 C H t` I r :Iti) TIME OF ORDER D CHRI iE %:i60 2 P I_:AR i EL 1 t 4 4 T T H L_ E X C 0 O Part Number Order Ship B/O Description List Net Value (C t 979 J E CLEAR I E 1:d�= 1 �}E 0"'I 14.04 I t JJ NO DISOOI_NT ON CORES -;.TAX FREIGHT TOTAL UNITS PART TOTAL CORE TOTAL FREIGHT HANDLING OTHER TAX 1 4 PAST DUE FCCOUNTS WILLjBE CHARGED 1%% INTEREST PER MONTH (18% PER ANNUM) RETURNED GOODS MUST; BE ACCOMPANIED BY INVOICE, RE. RC-VD w N� TURNED GOODS SUBJECT TO RESTOCKING CHARGE. NO CREDIT ON PART By. X 1 [1 14-04 IF IT HAS BEEN INSTALLER- DISCREPANCIES TO BE REPORTER WITHIN I DAYS. •+v u�nu 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.c©rte PLEASE REMIT TO: 4. r P.O. BOX 51797 INDIANAPOLIS, IN 46256 1 Prescribed by State Board of Accounts City Fnrm 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)) 366146 E45 -Stock $14.04 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 NO:. WARRA NO. ALLOWED 20 Van's Electrical Systems IN SUM OF P.O. Box 51797 Indianapolis, IN 46251 $14. ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 366146 42- 370.00 $14.04 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 AUG l 7 ?9ns v V r Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund