241876 02/03/15 �4A,,f. CITY OF CARMEL, INDIANA VENDOR: 319900
® ONE CIVIC SQUARE WARD DIESEL FILTER SYS INC CHECK AMOUNT: $*******900.17*
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CARMEL, INDIANA 46032 1580 LAKE STREET CHECK NUMBER: 241876
9-'lsos.c�` ELMIRA NY 14901 CHECK DATE: 02/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 1166 900.17 REPAIR PARTS
WARD DIESEL FILTER Invoice
WARD CLEAN AIR PRODUCTS Date Invoice#
1580 LAKE STREET
ELMIRA,NY 14901 1/21/2015 1166
PHONE:800-845-4665 FAX: 607-739-7092
Bill To Ship To
CARMEL FIRE DEPARTMENT CARMEL FIRE DEPARTMENT
ACCOUNTS PAYABLE 2 CIVIC SQUARE
2 CIVIC SQUARE CARMEL,IN 46032
CARMEL,IN 46032 ATTN: BOB VANVOORST
P.O. Number Terms Rep Ship Via F.O.B. Project
ENGINE 45 Net 30 1/21/2015 UPS
Quantity Item Code Description Price Each Amount
1 BOARD, 12V- Electronic Control Board, 12V Negative Ground#10425 599.85 599.85
1 SOLENOID, 12V Solenoid,Assembled, 12V 282.38 282.38
1 UPS SHIPPING UPS SHIPPING CHARGE 17.94 17.94
REFERENCE ENGINE 45
Total $900.17
VOUCHER NO. WARRANT NO.
ALLOWED 20
Ward Diesel Filter Systems
IN SUM OF$
1580 Lake Street
Elmira, NY 14901
$900.17
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1120 1166 42-370.00 $900.17 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
FEB ® 0�
L' I
L4 �; '
I
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))
1166 E45 $900.17
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