168234 01/21/2009 CITY OF CARMEL, INDIANA VENDOR: 318000 page 1 of 1
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ONE CIVIC SQUARE VAN'S ELECTRICAL SYSTEMS INC CHECK AMOUNT: $29.44
CARMEL. INDIANA 46032 PO BOX 51797
INDIANAPOLIS IN 46251 CHECK NUMBER: 168234
CHECK DATE: 1121/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIP
1120 4237000 352081 29.44 REPAIR PARTS
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REMIT TO: I N V O I C E Pg i
P.O. Box 51797
Indianapolis, IN 46251 Inv 352081 Or•d# 85509
P.O. No. BOB
ELECTRICAL SYSTEMS 317 -240 -5900 ACCOUNT NO.
vanselec.com VAN'S DELIVERY 01 10171
Indianapolis, IN 46221
2541 Kentucky Avenue {t C H A R G E if COST. SVC. REP.
2% 15 DAYS NET 30 SEE BELOW.... TB
DATE
s CARMEL FIRE DEPT s CARMEL FIRE DEPT 11121"2009
2 CIVIC So H 2 C IVIC so TIME OF ORDER
D CARMEL IN 46032 P CARMEL IN 46032 12:59:40
T T PACO
0 0 FAXED
Part Number Order Ship B/O Description List Net Value
CH 9096-02 4 2 2 OVERDRIVE 30.09 14.7211 29 .44
i
I
TAX RATE NO DISCOUNT ON CORES TAX FREIGHT
TOTAL UNITS PART TOTAL CORE TOTAL FREIGHT HANDLING OTHER TAX
LJ' L 9.44 1 J�;
PAST DUE ACCOUNTS WILL BL'._CHARO -ER 1'/.% INTEREST PER MONTH {y
(18% PER ANNUM) RETURNED GOODS MUST BE ACCOMPANIED BY INVOICE. RE- RCVD. 3
TURNED GOOD SUBJECT TO RESTOCKING CHARGE. NO CREDIT ON PART BY. X Ul„JU(i.LS 29.44
IF IT HAS BEEN -t STALLED. DISCREPANCIES TO BE REPORTED WITHIN 7 DAYS.
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HEADQUARTERS BRANCHES
Van's Electrical Systems 1800 Lincoln Street
2541 Kentucky Avenue Anderson, IN 46016
(765) 642 -4299
IN 46221
Indianapolis,
(317) 240 -5900 Fax: (765) 642 -3319
Fax: (317) 240 -5910
www.vanselecicorn
PLEASE REMIT TO:
P.O. BOX 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))
352081 Pump Switches $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. WARRANT N
ALLOWED 20
`Van's Electrical Systems
IN SUM OF
P.O. Box 51797
Indianapolis, IN 46251
$29.44
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1120 352081 42- 370.00 $29.44 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
JAN 1 6 2009
�a
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund