212408 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 318000 Page 1 of 1
ONE CIVIC SQUARE VAN'S ELECTRICAL SYSTEMS INC CHECK AMOUNT: $263.00
CARMEL, INDIANA 46032 PO BOX 51797
INDIANAPOLIS IN 46251 CHECK NUMBER: 212408
CHECK DATE: 8/2812012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 436238 263 . 00 REPAIR PARTS
REMIT TO: I N V 0 1 C E g I
P.O. Box 51797"' I
Indianapolis, IN 462,51 T,--. �F 11 A 01
P.O.NO. I B,,")'
317-240-5900 ACCOUNT NO.
ELECTRICAL SYSTEMS vanselec.com t N.3 DEf,1VEf-?.Y Q1 10171,
2541 Kentucky Avenue -1, -k (-' CUST SVC.REP.
Indianapolis,IN 46221 1:11. A R ('.]f E
:�') - - -"'j Ij
2 X 15 1)A Y' SEE BEL.Oi'#. . . 1-4-
DATE
CA r
U,'IEL FIRE DP:1-T S C.'APME.T. FIRE 1EP1 17/20 1.2
H V Q TIME OF ORDER
CIVIC
C-1 A]'%NE L I N 46032 P I N 4G0:'..:--." 11. =a s
E F I?R I""
T ' ('.)
0 A A- FA X.El) -A.A.
Part Number Order Ship B/O Description List Net Value
JR HANNEY I R 1-;:It',1, N.OT C.)R '26 C) 2 N. 2 C",3 a C.)C)
ITAX RATE NO D I =-;(--OUNT ON CORES TAX FREIGHT
FREIGHT -HANDLING OTHER I
TOTAL UNITS PART TOTAL CORE TOTAL TAX
1 2(-,:-3,00- 1 1
AST DUE ACCOUNTS WILL BE CHARGED 11h% INTEREST PER MONTH
URN ED GOODS SUBJECT TO RESTOCKING CHARGE. NO CREDIT ON PART BY.X
:IT HAS BEEN INSTALLED. DISCREPANCIES TO BE REPORTED WITHIN 7 DAYS.
18%PER ANNUM) RETURNED GOODS MUST BE ACCOMPANIED PANIED BYDNVOICE.RE- RCVD.
E 2f;-*'**:-QQ
>rescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
4n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
rohom, 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))
436238 $263.00
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
$263.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 436238 I 42-370.00 I $263.00 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
AUG 2 .7 012
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund