210581 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 318000 Page 1 of 1
e ONE CIVIC SQUARE VAN'S ELECTRICAL SYSTEMS INC CHECK AMOUNT: $75.15
CARMEL, INDIANA 46032 PO BOX 51797
INDIANAPOLIS IN 46251 CHECK NUMBER: 210581
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 433242 34.95 REPAIR PARTS
1120 4237000 433585 40.20 REPAIR PARTS
RkM1T TO: I' N V O I C, E l
PO�`BOx 511797
v
o� a
Indianapolis, IiV°�46251. r 1�''
O. NO'
317- 240 -5900 ACCOUNT NO.
ELECTRICAL SYSTEMS vanselec.com
2541 Kentucky Avenue j? v 1
Indianapolis, IN 46221 Ca E OUST. SVC. REP.
DATE
S r 'f` -.1_ .I i:. j_ =i" S 2- 'r., .r [i''�_ '..I _j'' 't:
c C: T I j TIME OF ORDER
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._r• -.i.. ji:...._ P I_f�;l�:;'i
T T E: H. C.) i i "E
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Part Number Order Ship B/O Description List Net Value
ED C::/'t, 1 L f
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x _•"'t' ,.erg hw g? sk,Y a* :f €t t� t1' O�G f iA t'C} I.F�FlrI
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TOTAL UNITS.g8 'PART,TOTAL
CORE.TOTAI FREIGHT HANDLING OTHER TAX
n ate
PAST DUE ACCOUNTS WILL BE CHARGED 1'/.% INTEREST PER MONTH
(18% PER ANNUM) RETURNED GOODS MUST BE ACCOMPANIED BY INVOICE. RE- RCVD..
TURNED GOODS SUBJECT TO RESTOCKING CHARGE. NO CREDIT ON PART BY. X 40.20
IF IT HAS BEEN INSTALLED. DISCREPANCIES TO BE REPORTED WITHIN 7 DAYS.
REMIT TO: INVOICE Pg 1
P.O. Box 51797
317-240-5900 ACCOUNT NO.
ELECTRICAL SYSTEMS vanseUec��0n
VANS DELIVERY N/S
Ke ntuck Avenue
Indianapolis, lN48221 C H A R G E
2% 15 DAYS NET 30 SEE BELOW....
DATE
e CARMEL FIRE DEPT a CARMEL FIRE DEPT
L 2 CIVIC SQ 2 CIVIC SQ TIME OF ORDER
o p
CAR!�EL IN 46032 CARMEL �N 4603�
T r GEOF|
o o
FAXED
Part Number Order Ship B/O Description List Net Value
WE 9186-1500�20 LED C/M LA 1q.26 11.65 N 34~95
TOTAL UNITS PART T T��L CORE TOTAL FREIGHT HANDLING OTHER TAX
AS BEEN INSTALLED. DISCREPANCIES TO BE REPORTED WITHIN
PAST ACCOUNTS WILL BE CHARGED 1 INTEREST PER MONTH V
(18% ER ANNUM) RETURNED GOODS MUST BE ACCOMPANIED BY I NVOI CE. RE. RCVD.
TURNED GOODS SUBJECT TO RESTOCKING CHARGE, NO CREDIT ON PART By- X
IF IT H �'�z
VOUCHER NO. WARRANT NO.
ALLOWED 20
Van's Electrical Systems
IN SUM OF
P.O. Box 51797
Indianapolis, IN 46251
$75.15
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE I AMOUNT Board Members
1120 433585 42- 370.00 j $40.20 1 hereby certify that the attached invoice(s), or
1120 433242 42- 370.00 $34.95 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
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
433585 A41 $40.20
433242 L41 $34.95
1 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