225595 10/23/2013 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: $14.09
o� INDIANAPOLIS IN 46251 CHECK NUMBER: 225595
CHECK DATE: 10/23/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 459521 14 . 09 REPAIR PARTS
E * I N V O I C E * Pa
REMIT TO '. as�
¢ w
g
P.O. 51797
Indianapolis, IN 46251 +
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317-240-5900 ACCOUNT NO.
ELECTRICAL SYSTEMS vanselec.com
VAI4u DELIVEP,Y ol 1-0171
18 Oliver Avenue
Indianan apolis, IN 46221 , x C 1-1 A R G E CUST.SVC.REP.
2% 15 DAYS NET 30 SEE BELOW. . . . AN7 -- 9
DATE
S CARPEL FIFE DEPT S CARMEL FIRE DEPT 10/16 t t
L 2 CIVIC Std 1 2 CIVIC SQ TIME OF ORDER
D CARMEL IN 4:6032 P CARMEN IN 46032 1 2 : 55. 59
T T GEOFF
0 0 h x FAXED 'k k
Part Number Order Ship B/O Description List Net Value
FL 4421 1 1 SEALED, BEA ;20 .15
14 08 N 14-09
LA /
Q n� x s
- S ."w¢xii ..v. " ' "w;''°.«....:._.�...,.aw.w'Pad' b .•.Le`_`�.va.snQ
Tt i? RATE iAR ; ,"k NO DIS C?UN`1'P.a.ON. C,ORE a.v- TAX..
TOTAL UNITS PART TOTAL. � CORE TOTAL. FREIGHT HANDLING°z OTHER TAX
1 14 .0
PAST DUE ACCOUNTS WILL BE CHARGED 1Yz% INTEREST PER MONTH
(18%PER ANNUM) RETURNED GOODS MUST BE ACCOMPANIED BY INVOICE. RE- RCVD. - LLl:1L'/llA"Z
TURNED GOODS SUBJECT TO RESTOCKING CHARGE. NO CREDIT ON PART BY:X 0
IF IT HAS BEEN INSTALLED. DISCREPANCIES TO BE REPORTED WITHIN 7 DAYS. Oq
VOUCHER NO. WARRANT NO.
ALLOWED 20
Van's Electrical Systems
IN SUM OF $
P.O. Box 51797
Indianapolis, IN 46251
$14.09
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1120 I 459521 I 42-370.00 I $14.09 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
OCT 23 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
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))
459521 L40 $14.09
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