221756 07/02/2013 CITY OF CARMEL, INDIANA VENDOR: 318000 Page 1 of 1
z,. ONE CIVIC SQUARE VAN'S ELECTRICAL SYSTEMS INC CHECK AMOUNT: $455.88
CARMEL, INDIANA 46032 PO BOX 51797
a oa INDIANAPOLIS IN 46251 CHECK NUMBER: 221756
CHECK DATE: 7/2/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 452654 455 . 88 REPAIR PARTS
REMIT TO:
*'* I N V O I C E ** Pg J.
`�' 3A-ws- P.O. Box 51797
Indianapolis, IN 46251 Inv # 452654 Ord# 10906
P.O.NO. HAT 4
317-240-5900 ACCOUNT NO.
ELECTRIC AL SYSTEMS vanselec.com VANS DELIVERY 01 10171
1850 Oliver Avenue x * E
G R A H '
Indianapolis, IN 46221 C CUST.SVC.REP.
2% 15 DAYS NET 30 SEE BELOW. . . . BC - 90
DATE
s CARMEL FIRE DEPT s CARMEL FIRE DEPT 6/17/2013
0 2 CIVIC SQ H 2 CIVIC SQ TIME OF ORDER
D CARMEL IN 46032 P CARMEL IN 46032 12: 32: 02
T T BOBC
0 0 'A'* FAXED *-k
Part Number Order Ship B/O Description List Net Value
SR 804-1220-02 1 1 TRUCHARGE2 498.09 288.75N 288.75
—CH-A-8 122=BX _1 1 BATT_.I.S.O 4---L6.3-.25 81_.6.314 81_._63_
SR 808-8040-00 1 1 TC2 REMOTE 147 . 50 85 . 50N 85. 50
'ELL-) Q C'
TAX RATE ** NO DISCOUNT ON CORES - TAX - FREIGHT * »»
TOTAL UNITS PART TOTAL CORE TOTAL FREIGHT HANDLING OTHER TAX
3 455 .88
IE ACCOUNTS WILL BE CHARGED 1%% INTEREST PER MONTH
4NNUM) RETURNED GOODS MUST BE ACCOMPANIED BY INVOICE.RE- RCVS. LL/JVI:.I/.h18
SODS SUBJECT TO RESTOCKING CHARGE. NO CREDIT ON PART BY:X � 455.88
-N 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))
452654 New BC $455.88
I 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.
ALLOWED 20
Van's Electrical Systems
IN SUM OF $
P.O. Box 51797
Indianapolis, IN 46251
$455.88
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1120 I 452654 I 42-370.00 I $455.88 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
gAarv,ffpr,--
2101
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund