211507 07/31/2012 CITY OF CARMEL, INDIANA VENDOR: 318000 Page 1 of 1
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ONE CIVIC SQUARE VANS ELECTRICAL SYSTEMS INC
0 CHECK AMOUNT: $708.83
CARMEL, INDIANA 46032 PO BOX 51797
4 oN�o INDIANAPOLIS IN 46251 CHECK NUMBER: 211507
CHECK DATE: 7/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 434474 644 . 00 REPAIR PARTS
1120 4237000 434516 64 . 83 REPAIR PARTS
` * I N V O I C E REPRIN7 ** Po 1
REMIT TO:PO."Box 51797
Indianapolis, IN 46251 J! -4- 4 51
317-240-5900 ACCOUNT NO.
ELECTRICAL SYSTEMS
vanselec.com Vf�NS [ RY
2541 Kentucky Avenue
* * CHARGE * *
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Indiana ,IN 46221 �% 15 BAY3 NET 30 5E L
DATE
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» 2 C[V [C 5O * 2 ClVIC SQ
L �
TIME OF ORDER
oC�E��i lN 4�032 p CARMB' IN 46032
T r ~
» o ** FAXED **
Part Number Order Ship B/O Description List Net Value
* A-
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`
[A� RA[E NO DISCOUN7 ON CORES FREIGPIT
TOTAL UNITS PART TOTAL CORE TOTAL FREIGHT HANDLI G OTHER TAX
PASTPDUE AC C OUNTS WILL BE CHARGED I/.% INTEREST PER MONTH
(18% ER ANNU M) RETURNED GOODS MUST BE ACCOMPANIED BY INVOICE.RE- RCVD. 6 4
TURNED GOOD S SUBJECT TO RESTOCKING CHARGE. NO CREDIT ON PART BY:x
IF IT HAS BEEN INSTALLED.DISCREPANCIES TO 13E REPORTED WITHIN 7 DAYS.
** I N V 0 1 C E 1
REMIT TO
;
P.O.,,Box 51797
Indianapolis, IR46251
Inv :If 4344-74 Urd I- 87970
F P:O.NO. I A 4 2
317-240-5900 ACCOUNT NO.
ELECTRICAL SYSTEMS vanselec-com
2541 Kentucky Avenue VANS I)I_L. [Vt::046032 01 10171
Indianapolis,IN 46221 C FI A R G E. * CUS7 SVC.REP.
2% 15 LAYS NI_T� 30 SFF BVI_OW. . . . AV -' 90
DATE
s CAR111:1_ I= t ilt-: t FF-1T- s CARMI::I_ 'r 112F= t)1:1' I 7/ 1 6/20 12
I V I c `;O H `2 C,1 V 1 C SO TIME OF ORDER
c CA12M1_I I N 46032 P CARML.I. I N 1 1 :02 : 16
T T J I::F F
Part Number Order Ship B/O Description List Net Value
VX 4 364,JB 1 1 8321 2'70A 128 / . 00 644. 00NI-. 644. 00
TAX I2A.=1 i:F * 'ENO U I'SCOU CORES - TAX - FREIGHT ** >>>>
TOTAL UNITS PART TOTAL CORE TOTAL F IGH I HXNDLING THE TAX
1 644 . 00 i
PAST DUE ACCOUNTS WILL BE CHARGED 11h% INTEREST PER MONTH O
(18%PER ANNUM)RETURNED GOODS MUST BE ACCOMPANIED By INVOICE. RE- RC
TURNED GOODS SUBJECT TO RESTOCKING CHARGE. NO CREDIT ON PART BY(X t)LJU(D. 644. 00
IF IT HAS BEEN INSTALLED. DISCREPANCIES TO BE REPORTED WITHIN 7 DAYS.
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
vrhom, 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))
434474 A42 $644.00
434516 E42 $64.83
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Van's Electrical Systems
IN SUM OF $
P.O. Box 51797
Indianapolis, IN 46251
$708.83
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 434474 42-370.00 $644.00 1 hereby certify that the attached invoice(s), or
1120 434516 42-370.00 $64.83 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
J1JL 3 0 2012
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund