175200 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 318000 Page 1 of 1
0 ONE CIVIC SQUARE VAN'S ELECTRICAL SYSTEMS INC CHECK AMOUNT: $174.72
CARMEL. INDIANA 46032 PO BOX 51797
'tiy oN .t a INDIANAPOLIS IN 46251 CHECK NUMBER: 175200
CHECK DATE: 7122/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 363973 174.72 OTHER CONT SERVICES
�ti
REMIT TO-
Ot- 00488
PO'eox 51 797
'Indianapolls,�IN
'.S'
317 240-5900 ACCOUNT NO.
ELECTRICAL SYSTEMS vanseleC.com h'r;..i I _L_ 0 10171.
2541 Kentucky Avenue E A r_; 6 E OUST. SVC. REP.
Indianapolis, IN 46221
DATE
S
O f 1 1 t :_..:r. H r t 1 TIME OF ORDER
D I i i'{ .f,1: p f i i .I:. L_ f �.1 'r .5 ll._ 3 j0
T T C5 E o. l f
O O
Part Number Order Ship B/O Description List Net Value
.m�i i f._ 1 k I" .i i'r i:. i"� L i L J L.1'
o et Bob V f E, V !or -r "i
1 Itit l No D I scouj�rr ON CORES TAX 1= FEE I GH`I
TOTAL PARTTOTAL CORE TOTAL FREIGHT HANDLING OTHER TAX
1 1 .f s•F
PAST DUE ACC. -aUNTS WILL BE CHARGED 1'h% INTEREST PER MONTH
(16% PER ANNUM) RETURNED GOODS MUST BE ACCOMPANIED BY INVOICE. RE- RCVD. O
TURNED GOODS SUBJECT TO RESTOCKING CHARGE. h�0 CREDIT ON PART BY; X 0 V 1 f L
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. SOX 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))
363973 $174.72
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
r
VOUCHER NO. WARRAN NO.
Van's Electrical Systems ALLOWED 20
IN SUM OF
P.O. Box 51797
Indianapolis, IN 46251
$174.72
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1 120 363973 43- 509.00 $174.72 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
JUL 2 0 2009
U
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund