216227 01/09/2013 CITY OF CARMEL, INDIANA VENDOR: 318000 Page 1 of 1
ONE CIVIC SQUARE VAN'S ELECTRICAL SYSTEMS INC
0 CHECK AMOUNT: $288.75
CARMEL, INDIANA 46032 PO BOX 51797
w,ion INDIANAPOLIS IN 46251 CHECK NUMBER: 216227
CHECK DATE: 1/912013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 443044 288 . 75 REPAIR PARTS
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P.O.' Box 51797 -
l6diana'0qIis,'IN 46251, Tnv -4 443044 98:Z-i I�
VArl P.O.=NO-' - CAR 4562
ELECTRICAL SYSTEMS 317-240-5900 ACCOUNT NO.
1850 Oliver Avenue vanselec.com VA14S DELIVERY 01 10171
Indianapolis, IN 46221 C H A R G E * * CUST.SVC.REP.
2% 15 DAYS NET 30 SEE BELOW. . . . BC - 90
DATE
S CARMEL FIRE DEPT S CARMEL FIRE DEPT 12/18/2012
2 CIVIC SQ 1
0 H 2 CIVIC SQ TIME OF ORDER
L
D CARMEL IN 46032 P CARMEL IN 46032
T T BOBC
0 0 FAXED ","
Part Number Order Ship B/O Description List Net Value
SR 804--1220-02 1 1 TRUCHARGE2 498.09 288.175N 288.75
TAX RATE NO. DISCOUNT ON CORES. TAX '.FREIGHT. >>>>
TOTAL UNITS P TOTAL I
�A�RT CORE TOTAL FREIGHT HANDLING OTHER TAX
1 288.75
PAST DUE ACCOUNTS WILL BE CHARGED 11/�% INTEREST PER MONTH
TURNED GOODS SUBJECT TO RESTOCKING CHARGE NO CREDIT ON PART BY:
IF IT HAS BEEN INSTALLED, DISCREPANCIES TO BE REPORTED WITHIN 7 DAYS 2
II PER ANNUM) RETURNED GOODS MUST BE ACCOMPANIED BY INVOICE. RE- RCVD.
T 8% 1
X E98-79
VOUCHER NO. WARRANT NO.
ALLOWED 20
Van's Electrical Systems
IN SUM OF $
P.O. Box 51797
Indianapolis, IN 46251
$288.75
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1120 I 443044 I 42-370.00 I $288.75 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 °- 7 2013
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))
443044 C4562 $288.75
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