164988 10/16/2008 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: $230.00
ELMIRANY 14903 CHECK NUMBER: 164988
CHECK DATE: 10116/2008
_DEPARTMENT AC PO NUMBE INVOICE NUMBER AMOUNT DESCRIPTION
1 1120 4237000 15970 1230.00 REPAIR PARTS
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WARD DIESEL FILTER SYSTEMS
Invoice
133 PHILO ROAD WEST Date Invoice
ELMIRA, NY 14903
9i25i2008 15970
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
BOB N30
Quantity Description Rate Amount
I "NO SMOKE" Regenerated Large Filter #5600 195.00 195.00
1 UPS SHIPPING CHARGE 35.00 35.00
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Total $230.00
VO� NO. WARRAN NO.
ALLOWED 20
Ward Diesel Filter Systems
IN SUM OF
133 Philo Road West
Elmira, NY 14903
$230.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1120 15970 42 370.00 $230.00 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
OCT 13 2008
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No (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))
15970 Exhaust Filter $230.00
1 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