169668 03/04/2009 CITY OF CARMEL, INDIANA VENDOR: 318000 Page 1 of 1
0 ONE CIVIC SQUARE VAN'S ELECTRICAL SYSTEMS INC
/a CARMEL, INDIANA 46032 PO BOX 51797 CHECK AMOUNT: $65.60
INDIANAPOLIS IN 46251 CHECK NUMBER: 169668
CHECK DATE: 3/412009
DEPARTMENT ACCOUNT PO NUMBE INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 352789 29.44 REPAIR PARTS
1120 4237000 354266 36.16 REPAIR PARTS
40
REMIT TO: I N V O I C E Pg 1
P.O. Box 51797
Indianapolis, IN 46251 Inv 354266 Ord# 88293
P.O. NO- E,02, 317- 240 -5900 ACCOUNT NO.
ELECTRICAL SYSTEMS vanselec.com VAt!'S DELIVERY 01 10171
2541 Kentucky Avenue H A R G E if GUST. SVC. REP.
Indianapolis, IN 46221
2 15 DAYS NET 30 SEE BELOW.... RH ?0
DATE
S CARMEL FIRE DEPT s CARMEL FIRE DEPT 2!12/2009
0 2 CIVIC SID H 2 CIVIC Sit TIME OF ORDER
D CARMEL I tJ 46032 P CARMEL IN 46032 9:48:03
T T PACO
0 FAXED
Part Number Order Ship B/O Description List /y Net Value
CH 71092-02 1 1 HEADLAMP S 47.60 23.2 23.28
_C.H_5_5 2 it 1 1 U S T O.0 -G:L E —Sl !_I 8_, S 1 4 _._3.6.1 4 L -J
CH 4721 —P12 1 1 Z JUNCTION B 17.42 8.52N 8.52
I
f
i
h
TAX RATE NO DISCOUNT ON CORES TAX FREIGHT
TOTAL UNITS PART TOTAL CORE TOTAL FREIGHT HANDLING OTHER TAX
6.16
PAST DUE ACCOUNTS WILL BE CHARGED 1'h 'INTEREST PER MONTH AA yyyy yy��.�
(18% PER ANNUM) RETURNED GOODS MUST BE ACCOMPANIED BY INVOICE. RE- RGVD. �V,,
TURNED GOODS SUBJECT TO RESTOCKING CHARGE. NO CREDIT ON PART BY D 36 1 6
IF IT HAS BEEN INSTALLED. DISCREPANCIES TO BE REPORTED WITHIN 7 DAYS.
L
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. BOX 51797
INDIANAPOLIS, IN 46251
ATTENTION A/P DEPT: DOUGLAS C
Page 1
INVOICE REPRINT O
vAt%ris
Inv 352789 Ord# 86396 Indiana06,11N 46251
B/O REL
ELECTRICAL SYSTEMS VAN'S DELIVERY 0010171 CARMEL FIRE DEPT
C H A R G E 2% 15 DAYS NET 30 SEE BELOW
TB 90 01 352789
S CARMEL FIRE DEPT S CARMEL FIRE DEPT P
L 2 CIVIC SQ 1 2 CIVIC SQ 1 21 2009 1 21Q009
D CARMEL IN 46032 P CARMEL IN 46032
T T 1 00 10171-
O O
Please Return
Part Number Order Ship B/O Description Unit Net TE Value This Stub
CH 9096 -02 2 2 OVERDRIVE SW 30.09 14.7200 29.44 With Your
Orig. Order# 85509 Customer PO# BOB Order Date: 01/12/2009 Remittance
Inst...:VAN'S DELIVERY xx
TAX RATE NO DISC ON CORES /TAX /FREIGHT SEE EARLY PAYMENT DISCOUNT .58
TOTAL UNITS PART TOTAL CORE TOTAL FREIGHT HANDLING OTHER TAX
Z 1 Z.7. -1 1 M 2/05/2009
ALLPAST DUE ACCOUNTS WILL BE CHARGED INTEREST PER MONTH (I 13L PER ANNUf411 ALL RETURNED RCVD.
GOODS MUST BE ACCOMPANIED BY THIS INVOICE. RETURNED GOODS SUBJECT TO RESTOCKING QiMGE B x t 29.44
2 9 4 4.
NO REFUND OR ANY CREDIT ON PART IF IT HAS BEEN INSTALLED.
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r
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))
354266 $36.16
352789 $29.44
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
VOUCHER NO. WA NO.
ALLOWED 20
Van's Electrical Systems
IN SUM OF
P.O. Box 51797
Indianapolis, IN 46251
$65.60
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #TTITLE AMOUNT Board Members
1120 354266 42- 370.00 $36.16 1 hereby certify that the attached invoice(s), or
1120 352789 42- 370.00 $29.44
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
,n
Fire Ch 3
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund