217383 02/13/2013 CITY OF CARMEL, INDIANA VENDOR: 318000 Page 1 of 1
` ONE CIVIC SQUARE VAN'S ELECTRICAL SYSTEMS INC
CARMEL, INDIANA 46032 PO BOX 51797 CHECK AMOUNT: $20.40
INDIANAPOLIS IN 46251 CHECK NUMBER: 217383
CHECK DATE: 2/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 445587 20 .40 REPAIR PARTS
REMIT TO T N V 0 1 C E Pc;
P.O.Box 51797
11S Indianapolis, IN'46251 ii-iv # 445587 Oi
445587 ,d# 01805
V/Af
P.O.NO.
317-240-5900 I ACCOUNT NO.
ELECTRICAL SYSTEMS vanselec.com VANS DELIVERY 01 10171
1850 Oliver Avenue + 1, H A R G E 3 CUST.SVC.REP.
Indianapolis, IN 46221
L7. 15 DAYS NET 3'0 SEE EELOW . . . . 8C
DATE
S CARNEL FIRE OEFT S CARNEL FIRE JDEPT
0 2 CI'iIC SQ H 'I CIVIC SQ TIME OF ORDER
L
D C AR.V1 EL IN 4 Ira,31 2 P CARNEL N :16032 7 : 44 : 29
T T PIO B C 11
0 0 F A i;ED * *
Part Number Order Ship 13/0 Description List Net Value
L:,H 4099-BA
2 2 BUZZER 1 2 V 20 . 40 10 . 2)0 14 20 . 40
Zt
A�
C,
TAN' RATE NO DISCOUNT ON CORES TAX FREIGHT > > > >
TOTAL UNITS PART TOTAL CORE TOTAL FREIGHT HANDLING OTHER TAX
2 20 - 40 1 1
PAST DUE ACCOUNTS WILL BE CHARGED 1'k% INTEREST PER MONTH
8%PER GOODS ANNUM)SUBJECT RETURNED TO GOORESTOCKING DS MUST BE CHARGE. NO CREDIT ACCOMPANIED BY INVOON ICE.PART Y RE- BRCV:X D.
TU RNED
F IT HAS BEEN INSTALLED. DISCREPANCIES TO BE REPORTED WITHIN 7 DAYS. 41- 20 .40
rescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
m invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
Thom, 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))
445587 E45 $20.40
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.
Van's Electrical Systems ALLOWED 20
IN SUM OF $
P.O. Box 51797
Indianapolis, IN 46251
$20.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 445587 I 42-370.00 I $20.40 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
FEB t i 2013
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund