218659 03/25/2013 a \y� 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: $644.00
INDIANAPOLIS IN 46251 CHECK NUMBER: 218659
CHECK DATE: 3/25/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 031073 -200 . 00 REPAIR PARTS
1120 4237000 447219 844 . 00 REPAIR PARTS
REMIT TQ:�— 1
H , .1 * * INVOIE ** P'�-- I
kA --— C =5'
P.O:'Box 51797
Indianapolis, I,N,46251 tf' ir, T— 7 1 1:�
vA.. 1P.6 6--"] Par
317-240-5900 ACCOUNT NO.
ELECTRICAL SYSTEMS vanselec.com r0E,:. Tly,, :F-'y n i i CA 1 7 1
1850 Oliver Avenue CUST.SVC.REP.
Indianapolis, IN 46221 C 1-1 A F G, S-
2? 15 D a1 3t fl'ET :30 SEE SELOW .
DATE
S C-M-,1121- FIRE, S CARMIEEL F,-1RE EDIEFT 1 11 /,-,;;-,, 1 -4
0 C I V T, S;Q H TIME OF ORDER I
L 2 1 2, CIVIC S-,Q
D r- !-� - 1 -, -4? I
C A 1-E L INT S 0,3-2
.,AF IEL I 14 0 P
T T n U V
�F
0 0
it n FAXED
Part Number Order Ship B/O Description List Net Value
V X 8`3 2 1 ALTA 27011 1287a00 64 4 0 01 14 16 4 4 . 0-1 0
40-0
TAX RATE
NO DISCOUNT ON ,CORES TA`' FREIGHT >Y '
TOTAL UNITS PART TOTAL CORE TOTAL FREIGHT HANDLING OTHER I TAX
bz-,�,4 . C)I" -Z e 1' . n?0 Al I I
PAST DUE ACCOUNTS WILL BE CHARGED 1'/.% INTEREST PER MONTH
(18%PER ANNUM) RETURNED GOODS MUST BE ACCOMPANIED BY INVOICE. RE- RCVD.
mmm
)
TURNED GOODS SUBJECT TO RESTOCKING CHARGE NO CREDIT ON PART BY:X
IF IT HAS BEEN INSTALLED. DISCREPANCIES TO BE REPORTED WITHIN 7 DAYS. 2 Q
C R E D I T DS E M O Page 1 •.
Crd # 031073 Ord# 0432 I
V/%IM • E46 CREDIT
ELECTRICAL SYSTEMS CUSTOMER WILL• CALL
# 00 10171 CARMEL FIRE DEPT
- CREDIT 14EMO - - 2% 15 DAYS NET 30 SEE BELOW . . . . ,
S CARMEL FIRE DEPT Gr;, 90 031073
S
CARMEL FIRE DEPT �{ �
L 2 CIVIC SQ 12 CIVIC SQ 3 14 2013
CARMEL IN 46032 F CARMEL IN 46032 • + + +
0 15:22: 15 00 10171
Please Return
Part Number Order Ship B/O Description Unit Net TE Value This Stub
VX 8321 � 1 1 AZT 270A ----_.__ C -- With Your
**** CORE **** 200.00
Original Invoice # 01 447214 Remittance
07" '
TAX RATE ** IF YOU DISCOUNT INVOICES-YOU HAVE TO REDUCE CREDIT
TOTALUNITS PARTTOTAL — C F TO'A FREIGHT HANOUNG pTTi A TAX
�L;.•-.F,,}: rae:.,�ow::^.Fn err.-=frr= .ar,n•n•,re'n a:.,,v,>u R5t:m,.pr, RC,.RJ • __..
,;YN>.R Lil!.-/+:eON'.N.Uµ. H" h'.:+'t gut✓«mss.,.ras ran,.,.: ;:ate!xx:.;.awx;e BY.x 200.00c . • 3 ` 200,00CIt
a _l: ..i CFt.01::1'.lit,i a t':;Ecl41t.'.:Llllli
CREDIT MEMO CREDIT MEMO
VOUCHER NO. WARRANT NO.
ALLOWED 20
Van's Electrical Systems
IN SUM OF $
P.O. Box 51797
Indianapolis, IN 46251
$644.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 031073 42-370.00 j ($200.00) 1 hereby certify that the attached invoice(s), or
1120 447219 42-370.00 $844.00 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
t which charge is made were ordered and
received except
MAR 2 2 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
4n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
✓vhom, 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))
031073 E46 ($200.00)
447219 E46 $844.00
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