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Home My WebLink About323879 04/06/18 CITY OF CARMEL, INDIANA VENDOR: 305700 d '{ ONE CIVIC SQUARE TOM WOOD FORD INC CHECK AMOUNT: $*******156.86* CARMEL, INDIANA 46032 3130 E 96TH ST CHECK NUMBER: 323879 MiTON INDPLS IN 46240 CHECK DATE: 04/06/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4237000 380750FOW 156.86 REPAIR PARTS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 305700 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER TOM WOOD FORD INC IN SUM OF$ CITY OF CARMEL 3130 E 96TH ST 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. INDPLS, IN 46240 Payee $156.86 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Dept of Community Service Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 380750 FOW 42-370.00 $156.86 1 hereby certify that the attached invoice(s),or 3/28/18 380750 FOW Fuel Pump Control Unit for DOCS 13 Gillian $156.86 1192 101 1192 101 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 Wednesday,April 04,2018 Mike Hollibaugh Director 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— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer 3T £ TOM WOOD 0F.WUIIVE FORD PARTS 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 BUSINESSII CELL: 317-714-3058 162583 0031201550-020 S18266 CHARGE MIKE TURNER 03/28/18 380750 G klustig@carmel.in.gov POW 317-571-2441 B CITY OF CARMEL ENGINEERING HWATER DEPT 1 CIVIC SQ P T CARMEL, IN 46032-2584 T O O • • B.O.SHIP AMOUNT 1 0 4L3Z-9D370-A CONTROL UNIT Y LBIN06 197.99 156.86 156.86 M O '1 00 CD0 -0 40h roll v T a z TOM WOOD FORD,INC.hereby expressly disclaims all warranties,either express or implied,including any SUBTOTAL 100.00 D implied warranty of merchantability or fitness for a particular purpose,and TOM WOOD FORD,INC.neither L assumes nor authorizes any other person to assume for it any liability in connection with the sale.Customer Y agrees to pay reasonable attorney's fees if collection hereof is necessary. = NO CREDIT ALLOWED UNLESS ACCOMPANIED BY INVOICE AND AFTER 15 DAYS 10%HANDLING CHARGE WILL BE MADE. TAX 0,00 NO RETURN OF SPECIAL ORDERED PARTS OR ELECTRICAL PARTS. o NO REFUND WITHOUT THIS NOTICE. m 1 hereby aree to pay Tom Wood Ford,Inc.attorney's fees if o collection hereof becomes necessary. RECEIVED BY: ('� FREIGHT 0.00 II jh([;1[2 2101,1" PAYTHISAMOUNT 156.86 WOO 3/28/2018 Purchase Orders Page 1 CARMEL WASTE WATER TREATMENT PLANT 9609 HAZEL DELL PARKWAY Purchasing Center CARMEL PC PO No. S18266 INDIANAPOLIS IN 46280 Release No. 0 USA Order Date 3/28/2018 Telephone No 317-571-2634 Request Status ORDERED Ext. 1643 Fax 317-571-2636 Revision No. 0.00 VENDOR 305700 SHIP TO CARMEL WASTE WATER TREATMENT PLANT TOM WOOD FORD 3130 E.96TH STREET ATTN:DUANE JARVIS 9609 HAZEL DELL PARKWAY INDIANAPOLIS IN 46240 INDIANAPOLIS IN 46280 USA USA Contact Brad Telephone No. (317)846-4251 Telephone No. 317.571.2634 ext 1640 Ext. Fax (317)843-7727 INVOICE TO CARMEL WASTEWATER UTILITIES CONFIRM TO CARMEL WASTE WATER TREATMENT PLANT ATTN:PAUL ARNONE ATTN:RECEIVING 9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY INDIANAPOLIS IN 46280 INDIANAPOLIS IN 46280 U.S.A. USA Freight Terms Payment Terms Ship Via, Freight Carrier Shipping Terms Qty Item No./Service Code Vendor's Item No. Receive To ID Item Unit Cost Center Description Due Date Account Code Specifications Unit Cost $ Total Cost $ 1.00 NS 18266 41L3Z9D370A 800-64 1 each DOCS Fuel pump driver module 156.86 156.86 3/28/2018 DOCS Subtotal $ 156.86 Tax Charge $ 0.00 Shipping $ 0.00 Misc. $ 0.00 Approval Date Order Total $ 156.86 Fuel Pump control unit for Truck 13 fro DOCS. 3/28/2018 Receiver Print Page 1 CARMEL WASTEWATER UTILITIES Receiver No. 11213 ATTN:PAUL ARNONE Purchasing Center CARMEL PC 9609 HAZEL DELL PARKWAY PO No. S18266 Release No. 0 INDIANAPOLIS IN 46280 Status All Received U.S.A. Close Date Vendor Name TOM WOOD FORD Vendor Address Vendor ID 305700 3130 E.96TH STREET Vendor Branch TOMWOODFORD Telephone No. (317)846-4251 Extension INDIANAPOLIS IN 46240 Fax No. (317)843-7727 USA Item No./Service Code Unit of Purchase Account Code Qty Requested(UOP) Qty Received diusted Unit( $ Purchase Order Description Date Received Cost Center Backorder Total $ NS 18266 each DOCS 1.00 1.00 156.86 Fuel pump driver module 3/28/2018 DOCS 0.00 156.86 Carrier Received By Total Cost $ 156.86 Date