221291 06/18/2013 CITY OF CARMEL, INDIANA VENDOR: 318000 Page 1 of 1
` ONE CIVIC SQUARE VAN'S ELECTRICAL SYSTEMS INC
CARMEL, INDIANA 46032 CHECK AMOUNT: $13.00
PO BOX 51797
INDIANAPOLIS IN 46251 CHECK NUMBER: 221291
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 452025 13 . 00 REPAIR PARTS
I N V 0 1 C E
Flbiff T6. Pc;(
VA801P.O. Box 51.797 51
Indianapolis, IN 4�2
317-240-5900 ACCOUNT NO.
ELECTRICAL SYSTEMS 4 S
vanselec.com -7-1
1850 Oliver Avenue VANS DELIVERY C f qj
Indianapolis, IN 46221 C H A R G E * *' . VC�.AEP.
24 15 DAYS t4ET 30 SEE BELOW. . . . GG
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SC H '-TiWt'6F'dhbt ARMEL FIRE DEPT' S CARMEL FIRE DEPT
L2 CIVIC SQ 1 2 CIVIC SQ
D CARMEL 114 46032 P CARMEL 114 46032 9! 40 - 09
T T DSP10
O 0 A-A. FAXED
Part Number Order Ship B/O Description List Net Value
TS TB390E-W 2 2 8_jQB 1.1-2/241- 12 .20 6.50N 13 .00
TAY RATF
qn 0 1 q Cnj JUT nM rnPl7q TTiV 9'QfrTQ4fj!
TOTAL UNITS PART TOTAL CORE TOTAL FREIGHT HANDLING -----OTHER- TAX
PAST DUE ACCOUNTS WILL BE CHARGED 1'12% INTEREST PER MONTH
(18%PER ANNUM)RETURNED GOODS MUST BE ACCOMPANIED BY INVOICE. RE- RCVD
TURNED GOODS SUBJECT TO RESTOCKING CHARGE NO CREDIT ON PART BY-
X
IF 17 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
$13.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 452025 42-370.00 I $13.00 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
JUN 1 7 201.3
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))
452025 I Stock Parts I $13.00
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