226856 12/03/2013 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: $78.38.
INDIANAPOLIS IN 46251 CHECK NUMBER: 226856
CHECK DATE: 12/3/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 461469 78 .38 REPAIR PARTS
* I N V O I C E * Page 1
V 7f Inv # 4614691 Ord# 22136
JASON
ELECTRICAL SYSTEMS °
VANS DELIVERY # 00 10171 CARMEL FIRE DEPT
* * C H A R G E * * 2% 15 DAYS NET 30 SEE BELOW . . . . °
AV - 90 461469
s CARMEL FIRE DEPT s CARMEL FIRE DEPT
L 2 CIVIC SQ li 2 CIVIC SQ 11 21 2013 11 21 2013
° CARMEL IN 46032 P CARMEL IN 46032 ° ° '' In ' °
T T 12 .50. 14 00 10171
0 0
Please eturn
Part Number Order Ship B/O Description Unit Net TE Value This Stub
SR 808-8040-01 1 1 TC2 REMOTE 135. 21 78 .3800 78. 38 With Your
Part Ordered: ## 808804001 Remittance
74 /
TAX RATE ** NO DISC ON CORES/TAX/FREIGHT ** SEE EARLY PAYMENT DISCOUNT--»»> b 1. 57
TOTAL UNITS PART TOTAL CORE TOTAL FREIGHT HANDLING OTHER TAX - 12/06/2013
ALL PAST DUE ACCOUNTS WILL RE CHARGED 1!5%INTEFERT PER MONTH(i M PER ANNUMI ALL RETURNED RCVO. p
GOODS MUST BE ACCOMPANIED BY THIS INVOICE.RETURNED GOODS SUBJECT TO RESTOCKING CHARGE. BY.X ° 78.38 7 8. 38
NO REFUND OR ANY CREDIT ON PART IF IT HAS BEEN INSTALLED.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Van's Electrical Systems
IN SUM OF $
P.O. Box 51797
Indianapolis, IN 46251
$78.38
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 42-370.00 1 hereby certify that the attached invoice(s), or
1120 461469 42-370.00 $78.38 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
DEC -2 2013
W,agr
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))
461469 $78.38
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
120
Clerk-Treasurer