187080 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 319900 Page 1 of 1
ONE CIVIC SQUARE WARD DIESEL FILTER SYS INC
CARMEL, INDIANA 46032 133 PHILO ROAD WEST CHECK AMOUNT: $642.76
o� ELMIRA NY 14903 CHECK NUMBER: 187080
CHECK DATE: 6/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 17820 642.76 REPAIR PARTS
WARD DIESEL FILTER SYSTEMS Invoice
133 PHILO ROAD WEST Date Invoice
ELMIRA, NY 14903
6/7i2010 17820
PHONE: 800 845 -4665
FAX: 607 739 -7092
Bill To
CARMEL FIRE DEPARTMENT
ACCOUNTS PAYABLE
2 CIVIC SQUARE
CARMEL, IN 46032
P.O. No. Terms Project
LADDER 41 N30
Quantity Description Rate Amount
1 Electronic Control Board, 12V Negative Ground# 9442 420.00 420.00
1 Solenoid, Assembled, 12V 210.64 210.64
1 UPS SHIPPING CHARGE 12.12 12.12
REF: LADDER 41, STOCK.
Total $642.76
VOUCHER NO. WARRANT NO.
ALLOWED 20
Ward Diesel Filter Systems
IN SUM OF
C
133 Philo Road West
Elmira, NY 14903
$642.76
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE, NO. ACCT #!TITLE AMOUNT Board Members
1120 17820 42- 370.00 $642.76 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
.S UN 2 1 2
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))
17820 L41 Parts $642.76
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