220827 06/04/2013 CITY OF CARMEL, INDIANA VENDOR: 318000 Page 1 of 1
s ONE CIVIC SQUARE VAN'S ELECTRICAL SYSTEMS INC
CARMEL, INDIANA 46032 PO BOX 51797 CHECK AMOUNT: $232.92
4:,ioN.�o INDIANAPOLIS IN 46251 CHECK NUMBER: 220827
CHECK DATE: 6/4/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 451523 232 . 92 REPAIR PARTS
REMIT TO: I N V O I C E * Pct 1
P.O.!Box 51797
Indianapolis, IN 46251 451523 &r4g
317-240-5900 ACCOUNT NO.
ELECTRICAL SYSTEMS vanselec.com
1850 Oliver Avenue VANS DELIVERY
Indianapolis, IN 46221 x C H A R G E * 'A: US . EP.
2% 15 DAYS NET 30 SEE BELOW. . . . Aft
,)CARMEL FIRE DEPT H CARMEL FIRE DEFT R
L2 CIVIC SQ 1 2 CIVIC Std
CARMEL I14 46032 P CARMEL IN 46032 .
T T
O O BC)BC
A'k FAXED A
Part Number Order Ship B/O Description List Net Value
VV 714608 1 1 R.HEAD, CLA 375.68 232 . 92N 232.92
—**—NON==STOCK/NON=RETURNABLE_**",..' ..
TAV PAT
TOTAL UNITS PART TOTAL CORE TOTAL FRET T H I G OTHER TAX 1 232 92
PAST DUE ACCOUNTS WILL BE CHARGED 1'h% INTEREST PER MONTH ryy�y�y �
(18%PER ANNUM)RETURNED GOODS MUST BE ACCOMPANIED BY INVOICE. RE- RCVD.
TURNED GOODS SUBJECT TO RESTOCKING CHARGE. NO CREDIT ON PART BY:X p
IF IT HAS BEEN INSTALLED. DISCREPANCIES TO BE REPORTED WITHIN 7 DAYS.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Van's Electrical Systems
IN SUM OF $
P.O. Box 51797
Indianapolis, IN 46251
$232.92
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 451523 I 42-370.00 ` $232.92 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
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
kn 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))
451523 E45 $232.92
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