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174095 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 318000 Page 1 of 1 ONE CIVIC SQUARE VAN'S ELECTRICAL SYSTEMS INC !I CHECK AMOUNT: $85.00 CARMEL, INDIANA 46032 Po eox 51797 INDIANAPOLIS IN 46251 CHECK NUMBER: 174095 CHECK DATE: 6/24/2009 )EPARTMEN7 ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4237000 362235 85.00 REPAIR PARTS I N u C 1 C E E°ci I Indianapolis, 'li\1 X6251::,. 4 3 2 .1 317- 240 -5900 ACCOUNT NO. ELECTRICAL SYSTEMS v an sel ec.com 2541 Kentucky Avenue Indianapolis, IN 46221 C H Et R G E ff CU SVC. REP? �1 i �_i P.: 3 0 �'V 1.�3._ "d .a m a v I'�r� '•i 1.f DATE S S1?i`k P._ i= Ii":f _r; j''{ t' i I Q H 1 V I t: TIME OF ORDER I NI -4 0 P T T I' -tr -1J Part Number Order Ship BJO Description List Net Value S, tjo sYn c NO D ISC UUNT ON .f..QR --l FIRE IG,HT ttstq:�3 TOTAL UNITS PART TOTAL CORE TOTAL FREIGHT HANDLING OTHER TAX :5 m 0 I} PAST DUE RICO UNTS WILL BE CHARGED 1 INTEREST PER MONTH (1B% PER AN�.0 M) R.T. INED GOODS MUST BE ACCOMPANIED BY INVOICE. RE- RC VD. D �y /y TURNED GOODS SUBJECT TO RESTOCKING CHARGE. NO CREDIT ON PART B. X r Q J s J V IF IT HAS BEEN,.INSTALLED. OISCREPAN CIES To BE REPORTED WITHIN 7 DAYS. HEADQUARTERS BRANCHES Mars'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 T®: P.O. BOX 51797 INDIANAPOLIS, IN 46251 S Prescribed by State Board of Accounts City Form No. 201 (Fev. 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)) 362235 $85.00 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 VOUQ NO. WARRANT NO. ALLOWED 20 Van's Electrical Systems IN SUM OF P.O. Box 51797 Indianapolis, IN 46251 $85.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 362235 42- 370.00 $85.00 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 JUN 2 2 2009 .47 n Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund