217853 02/26/2013 CITY OF CARMEL, INDIANA VENDOR: 318000 Page 1 of 1
ONE CIVIC SQUARE VAN'S ELECTRICAL SYSTEMS INC CHECK AMOUNT: $159.53
CARMEL, INDIANA 46032 PO BOX 51797
.y,roN ca. INDIANAPOLIS IN 46251 CHECK NUMBER: 217853
CHECK DATE: 2/26/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 445677 31 .46 REPAIR PARTS
1120 4237000 445778 112 .49 REPAIR PARTS
1120 4237000 445842 15 . 58 REPAIR PARTS
REMIT TO:; I N V 0 I C E * } P{rg 1
P.O. Box 511,797
Indianapolis, IN.462511 I_I ' X 5 7 7° Or-c;# 0-2134
317-240-5900 ACCOUNT NO.
ELECTRICAL SYSTEMS vanselec.com VAP.IS DELIVER'f P•I;'S 01 10171
1850 Oliver Avenue * C H A F: G E * * CUST.SVC.REP.
Indianapolis, IN 46221
27 15 Di's'c 1-1 EL 30 SEE BELOW. . . . GIN - 90
DATE
S CARL":EL FIFE OEPT S CAR1'`3EL F-F.R- DEPT ,1 ' 201.3
0 ? CI`i:!_I_: Wit,? H CIVIC c<`- TIME OF ORDER
D t_ARI`iEL IN 4G03''? P CA .l IEL IN '�:=<I.7;:� 1 . " 5:� : .,'
T T
0 0 * k FAXED * .k
Part Number Order Ship B/O Description List Net Value
VD 301104 1 l FUEL I_.uif(=E 581 56 3= . 1.5111 05 . 15
VQ 310107 1 1 T�AtIS TEi'IP r,•3 �
.011 350104 i 1 t]I.L P='RESLS1. G5 . t:_<4 3� . :3�<I`•I � , ?c
This RATE * � , NO DISCOUNT Ok .d• CORES `TAX — FREIT".,H T }� > >,X>-
RATE o»,.m x,r�
TOTAL UNITS PART TOTAL CORE TOTAL FREIGHT HANDLING OTHER TAX
11y .
PAST DUE ACCOUNTS WILL BE CHARGED 1h% INTEREST PER MONTHyy�yy��
(18%PER ANNUM) RETURNED GOODS MUST BE ACCOMPANIED BY INVOICE. RE- RCVD. Na �
TURNED GOODS SUBJECT TO RESTOCKING CHARGE. NO CREDIT ON PART BY:X UVUI:.I5 1 122 .49
IF IT HAS BEEN INSTALLED. DISCREPANCIES TO BE REPORTED WITHIN 7 DAYS.
REMIT TO.' I N V 0 1 C E P I
P'.O,.a Box 511797
445G'7 7 Ox--d# 02'018
Indianapolis, INI462511
317-240-5900 ACCOUNT NO.
ELECTRICAL SYSTEMS vanselec.com V A L'J S D,EL Y 0i 10171
1850 Oliver Avenue C H A R G E, * * CUST.SVC.REP.
Indianapolis, IN 46221 1
217. 5) DAYS 1,jET 35 0 SE E ' E L t;!:? , . . . JR -_ 9 0
DATE
S CARNIEL FIRE DEFT S CAR DEL FIRE DfPT
0 1:, CIVIC ISQ H �-� Cjk,'IC SQ TIME OF ORDER
L I�T I
D CARIIEL 4 G CI 32 P CARREL I 141 46032 9 ;4S ; 36
T T Q.PADFV(
0 0 FAXE05 *4
Part Number Order Ship B/O Description List Net Value
CH 20
PL- -7 11 C
C-Hx� 2 PILOT LIGH 10 7 . 37N 14 . 74
Piart Ordered; # P L-2 0-(3(_7R-X
CH PL-20-AC-B1 i 1 PILOT LIGH 13' .2° 7 =2.'0 IN 7 . 30
E74 x,
--A
C
'CH FL-612-G-By
2 LED FIILOT 8 . 56 4 7 1 N 9 .at.'
C
pate TAX RAZE NO DISCOUNT Ora CORES TAX VREItil!T > >,>
TOTAL UNITS PART TOTAL CORE TOTAL FREIGHT HANDLING�__ OTHER TAX
5 3 1 . ``±S
PAST DUE ACCOUNTS WILL BE CHARGED 11/�% INTEREST PER MONTH VD. )v I
(1 BY' OEM
8%PER ANNUM) RETURNED GOODS MUST BE ACCOMPANIED BY INVOICE, RE- RC
TURNED GOODS SUBJECT TO RESTOCKING CHARGE. NO CREDIT ON PART 1 4
IF IT HAS BEEN INSTALLED. DISCREPANCIES TO BE REPORTED WITHIN 7 DAYS. 01V 3
REMIT TO: I N V 0 1 C. E P 0 1
P.O. Box 51797
Indianapolis, IN 46251 Tnv # 445842 Or d:fr 0222°
P.O.NO.
317-240-5900 ACCOUNT NO.
ELECTRICAL SYSTEMS vanselec.com VANS DELIVER'y 01 10171
1850 Oliver Avenue C H A R G E CUST.SVC. REP.
Indianapolis, IN 46221
JET -�E BELOW. . . . - CIO
7. 15 DAYS N 0 SE PC
DATE
f`A 13, 2 0 133
S U-1EL FIRE DEPT S CARN;(:1L F- RE EFT
0 2 C I VIhn H CIVIC SQ
TIME OF ORDER
L I T T 6032 P, C P, i� 4 G 0 3 2 1 1, 1 - 0 4
D CARP-1EL 1`4 111 El 1
T T
ED
Part Number Order Ship B/O Description List Net Value
KET H1 5 5 . 5-1 5
_r I ERA G_'I1*' 2 5 1)Ut-1 '25 . 00
CH PL,-fS12--G-BX 2- - 2-- LED PILOT 8 i,5S a 4 . 71N
9� 4 2-
RATE 1-40 DISCOUNT 01-1 CORES, - TAX FREIGHT
TOTAL UNITS PART TOTAL CORE TOTAL FREIGHT HANDLING OTHER TAX
01
PAST DUE ACCOUNTS WILL BE CHARGED 1'h% INTEREST PER MONTH
(18%PER ANNUM) RETURNED GOODS MUST BE ACCOMPANIED BY INVOICE. RE- RCVD.
TURNED GOODS SUBJECT TO RESTOCKING CHARGE. NO CREDIT ON PAR By-X 15 . 58
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
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))
445842 E46 $15.58
445677 E46 $31.46
445778 I E46 I $112.49
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
$159.53
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members
1120 445842 42-370.00 j $15.58 1 hereby certify that the attached invoice(s), or
1120 445677 42-370.00 $31.46 bill(s) is (are) true and correct and that the
1120 I 445778 I 42-370.00 I $112.49 materials or services itemized thereon for
which charge is made were ordered and
received except
FEB 2 5 2013
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund