227141 12/11/2013 CITY OF CARMEL, INDIANA VENDOR: 318000 Page 1 of 1
ONE CIVIC SQUARE VAN'S ELECTRICAL SYSTEMS INC
€ 0 CHECK AMOUNT: $38.10
CARMEL, INDIANA 46032 PO BOX 51797
INDIANAPOLIS IN 46251 CHECK NUMBER: 227141
CHECK DATE: 12/11/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 461887 38 . 10 REPAIR PARTS
} REMIT TO �< I N V Q 1 C E
P O Box 51797
Indianapghs, IN 46251: aF ( 3-,1
'[ ' a. .
317-240-5900 ACCOUNT NO.
ELECTRICAL SYSTEMS vanselec.com , t
VANS T�ELI ,iE:RY Ci 1 10171
1850 Oliver Avenue * .* H lZ E x OUST.SVC.REP.
Indianapolis, IN 46221
2% 15 DAYS NET 30 SEE BELOW. . . . AC: — 9Q
DATE
s CARN!EL EIRE DEPT s CARMEL FIRE DEPT 12/02/2013
0 2 CIVIC Shy 1 2 CIVIC S ) TIME OF ORDER
CARMEL IN 4:6032 P CARMEL IN 46032 1.2 : 58: 16
T T ACLAP
Part Number Order Ship B/O Description List Net Value
CH 240597BX 2 2 12V SOLE:NO 38-10 19.05 N 381.10
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TOTAL UNITS PART TOTAL`," CORE TOTAL ;-;,. FREIGHT ?`' MANDLINGn°� OTHER', TAX
2 38. 10
PAST DUE ACCOUNTS WILL BE CHARGED 1'h% INTEREST PER MONTH
TURNED GOODS SUBJECT I D GOODS MUST CHARGE UM
CREDITVOINEPART BY:x n
IF IT 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
$38.10
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 461887 I 42-370.00 I $38.10 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
DEC - 9 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))
461887 E45, Stock $38.10
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