241388 01/22/15 CI1q .
CITY OF CARMEL, INDIANA VENDOR: 305700
i'. ONE CIVIC SQUARE TOM WOOD FORD INC CHECK AMOUNT: $**......86.65*
q CARMEL, INDIANA 46032 3130 E 96TH ST CHECK NUMBER: 241388
INDPLS IN 46240 CHECK DATE: 01/22/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 367059 86.65 OTHER EXPENSES
TOM WOOD
FOR ®
3130 E.96th Street• Indianapolis, IN 46240 Parts Dept: (317) 846-4251
(800) 423-4646 . (317) 846-4241
www.tomwoodford.com
THANK YOU FOR YOUR BUSINESS!!
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108036 0031201550-020 TRUCK 136 CHARGE MIKE TURNER 01/08/15 367059
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317-571-2645
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ICITY OF CARMEL DEPT OF COMM SERVICE HI 9609 HAZEL DELL
L 1 CIVIC SQ P WASTEWATER DEPT
T CARMEL, IN 46032-2584 T
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TOM WOOD FORD,INC.hereby expressly disclaims all warranties,either express or implied,includingany SUBTOTAL
implied warranty of merchantability or fitness for a particular purpose,and TOM WOOD FORD,INC.neither 86.65
assumes nor authorizes any other person to assume for it any liability in connection with the sale.Customer
agrees to pay reasonable attorney's fees if collection hereof is necessary.
NO CREDITALLOWED UNLESS ACCOMPANIED BY INVOICEAND
AFTER 15 DAYS 10%HANDLING CHARGE WILL BE MADE,
NO RETURN OF SPECIAL ORDERED PARTS OR ELECTRICAL PARTS. TAX 0,00
NO REFUND WITHOUT THIS NOTICE.
I hereby aree to pay Tom Wood Ford,Inc.attorney's fees if
collection hereof becomes necessary.
RECEIVED BY: It
mall LOt FREIGHT PAY THIS AMOUNT 88 ISS 1
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12:41:29 CUSTOMER COPY NET512 PAGE 1 OF 1
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
305700
TOM WOOD FORD Purchase Order No.
3130 E. 96th Street Terms
Indianapolis, IN 46240 Due Date 1/15/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/15/2015 367059 $86.65
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
Date Officer
o �
VOUCHER # 146494 - WARRANT # ALLOWED
IN SUM OF $
305700
TOM WOOD FORD
3130 E. 96th Street
Indianapolis, IN 46240
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
+ Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
i
367059 01-7500-02 $86.65
I
1
Voucher Total $86.65 j
Cost distribution ledger classification if
claim paid under vehicle highway fund