175942 08/06/2009 a CITY OF CARMEL, INDIANA VENDOR: 318000 Page 1 of 1
f ONE CIVIC SQUARE VAN'S ELECTRICAL SYSTEMS INC CHECK AMOUNT: $131.52
CARMEL, INDIANA 46032 PO BOX 51797
oN INDIANAPOLIS IN 46251 CHECK NUMBER: 175942
CHECK DATE: 8/6/2009
DEPARTMENT ACCOUNT P O NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 365211 131.52 REPAIR PARTS
REMIT TO: INVOICE P 1
P.O. Box 51797
Indianapolis, IN 46251 Inv 4 365211 02022
317-240-5900 ACCOUNT NO.
ELECTRICAL SYSTEMS vaMseUec'comm CUSTOMER WILL CALL 0 1 10 171
2541Kentucky
C H A R G E
Indianapolis,""°G221
2�� 15 DAYS NET 30 SEE 8ELOW,
DATE
S C4RHEL F(RE O[PT u CARMEL FIRE D�Pl
2 C(V(C H 2 CIVIC SG! TIME OF ORDER
L 46U
D CARM�L [N 46032 p '(���MEi lN 32
T r ALEXCi
o n FAXED
Part Number Order Ship B/O Description List Net Value
FREIGHT HAND�� ER
OTH
PAST ACCOUNTS WILL BE CHARGED I'A% INTEREST PER MONTH
(18% PER ANNUM) RETURNED GOODS MUS-1 BE ACCOMPANIED BY INVOICE. RE- RCYD. Wr4�DM
TURNED GOODS SUBJECT TO RESTOCKING CHARCE. NO CREDIT ON PART By. X V@W&- 131.52
IF IT HAS BEEN INSTALLED. DISCREPANCIES TO BE REPORTED WITHIN 7 DAYS.
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. R ®1C 51 797
INDIANAPOLIS, IN 46251
Prescribed by State Board of Accounts 1 1 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))
365211 $131.52
I hereby certify that the attached invoice(s), or biil(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 N
ALLOWED 20
Van's Electrical Systems
IN SUM OF
P.O. Box 51797
Indianapolis, IN 46251
$131.52
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 365211 42- 370.00 $131.52 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 3 200
Fire Chie
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund