168735 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 318000 Page 1 of 1
ONE CIVIC SQUARE VAN'S ELECTRICAL SYSTEMS INC CHECK AMOUNT: $50.26
CARMEL, INDIANA 46032 PO sox 51797
INDIANAPOLIS IN 46251 CHECK NUMBER: 168735
CHECK DATE: 2/4/2009
DEP ARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 352982 50.26 REPAIR PARTS
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REMIT TO: I N V O I C E Pg 1
P.O. Box 51797
I n ;f 352982 Or d# f l
Indianapolis, IN 46251
P.O. No_ STOCK EOB
317 240 5900 ACCOUNT N o.
ELECTRICAL SYSTEMS D ELIVERY
2541 Kentucky Avenue vanselec.com VAN'S 01 10171
Indianapolis, IN 46221 C H A R G E COST. SVC. REP.
2% 15 DAYS NET 30 SEE BELOI.4.... CG 90
DATE
s CARt1EL FIRE DEPT s CARMEL FIRE DEPT 1.'23;2009
0 2 CIVIC Cz H 2 civic so TIME OF ORDER
D CAR IN 460:32 P CARMEL IN 46032 10:58:46
T T ALEXC
I o C FA:X:ED
Part Number Order Ship B/O Description List Net Value
WE 2010 7120 -10 2 2 STOF'/TAIL 36.06 25.13tJ 1 50.26
T,tiX PATE NO DISCOUNT ON CORES TAX FREIGHT
TOTAL UNITS PART TOTAL CORE TOTAL FREIGHT HANDLING OTHER TAX
2 50.26
PAST DUE ACCOUNTS WILL E G"RG�D 1`>'% INTEREST PER MONTH
(18% P B
ER ANNUM) RETURNED GOODS MUST BE ACCOMPANIED BY INVOICE. RE- RCVD.
TURNED GOODS SUBJECT TO RESTOCKING CHARGE. NO CREDIT ON PART By. X
IF IT HAS BEEN INSTALLED. DISCREPANCIES TO BE REPORTED WITHIN 7 DAYS. 50.26
HEADQUARTERS BRANCHES
Van's Electrical Systems 1800 Lincoln Street
2541 Kentucky Avenue Anderson, IN 46016
(765) 642 -4299
IN 46221
Indianapolis, Fax: (765) 642 -3319
(317) 240 -5900
Fax: (317) 240 -5910.
vvww.vanselec.com
PLEASE REMIT TO:
P.O. BOX 51797
INDIANAPOLIS, IN 46251
C
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))
352982 Parts $50.26
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. V...'ARRANT NO.
ALLOWED 20
Van's Electrical Systems
L IN SUM OF
P.O. Box 51797
Indianapolis, IN 46251
$50.26
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 352982 42- 370.00 $50.26 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
FEB �nnn
d
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund