182134 02/03/2010 CITY OF CARMEL, INDIANA VENDOR: 319900 Page 1 of 1
ONE CIVIC SQUARE WARD DIESEL FILTER SYS INC
fi CHECK AMOUNT: $330.00
k )o CARMEL, INDIANA 46032 133 PHILO ROAD WEST
ELMIRA NY 14903 CHECK NUMBER: 182134
CHECK DATE: 2/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 17398 330.00 REPAIR PARTS
WARD DIESEL FILTER SYSTEMS Invoice
I33 PHILO ROAD WEST Date Invoice
ELMIRA, NY 14903
PHONE: 800 -845 -4665 1/18/2010 17398
FAX: 607 739 -7092
Bill To
CARMEL FIRE DEPARTMENT
ACCOUNTS PAYABLE
2 CIVIC SQUARE
CARMEL, IN 46032
P.C. No. Terms Project
E -45 N30
Quantity Description Rate Amount
I NO SMOKE" Regenerated Large Filter# 5716 295.00 295.00
UPS SHIPPING CHARGE 35.00 35.00
REF: VEH# E -45
Total $330.00
r�
VOUCHER NO. r WARRANT NO.
ALLOWED 20
Ward Diesel Filter Systems
IN SUM OF
133 Philo Road West
Elmira, NY 14903
$330.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# /Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 17398 42- 370.00 $330.00 I 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 1 HIP
t
V 6y V
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))
17398 $330.00
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