226004 11/05/2013 CITY OF CARMEL, INDIANA VENDOR: 318000 Page 1 of 1
ONE CIVIC SQUARE VAN'S ELECTRICAL SYSTEMS INC CHECK AMOUNT: $288.75
CARMEL, INDIANA 46032 PO BOX 51797
INDIANAPOLIS IN 46251 CHECK NUMBER: 226004
CHECK DATE: 11/5/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 460241 288 . 75 REPAIR PARTS
* I N V O I C E * Page 1 rCMEL Inv # 460241 Ord# 20654
wr- s • JASON
ELECTRICAL SYSTEMS .°VANS DELIVERY # 00 10171 FIRE DEPT
* * C H A R G E * * 2% 15 DAYS NET 30 SEE BELOW . . . . °
AV - 90 460241
S CARMEL FIRE DEPT S CARMEL FIRE DEPT °'
L 2 CIVIC SQ i 2 CIVIC SQ 10 30 2013 10 30 2013
D CARMEL IN 46032 P CARMEL IN 46032 • • 'e s s
T T 11:48.21 0 ) 10171
O p
Please Return
Part Number Order Ship B/O Description Unit Net TE Value With Stub
SR 804-1220-02 1 1 TRUCHARGE2 20A 498.09 288.7500 288.75 With You r
Part Ordered: ## 804122002 remittance
!" W/
TAX RATE ** NO DISC ON CORES/TAX/FREIGHT ** SEE EARLY PAYMENT DISCOUNT--»»> 5. 78
TOTAL UNITS PART TOTAL CORE TOTAL FREIGHT HANDLING OTHER TAX ° 1
/ 11/14/2013
ALL PAST DUE ACCOUNTSU'ILL BE CHARGED I T INTEREST PER NIMTH(IAiL PER ANNUM ALL RETURNED RGVD, p p
NO REFUND MU OR ANY CREDIT ON PART I IT VO E[N INSTALLED,ED GOODS SUBJECT TO RESTOCKING CHARGE. BY�, • 288 .75 2 8 8.7 5
(2A6 11./
VOUCHER NO. WARRANT NO.
ALLOWED 20
Van's Electrical Systems
IN SUM OF $
P.O. Box 51797
Indianapolis, IN 46251
$288.75
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 460241 I 42-370.00 I $288.75 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
NOV 4 2013
t
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))
460241 $288.75
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