161870 07/23/2008 CITY OF CARMEL, INDIANA VENDOR: 361554 Page 1 of 1
ONE CIVIC SQUARE HYDRA AIR
0 CARMEL, INDIANA 46032 PO BOX 569 CHECK AMOUNT: $183.39
AKRON OH 44309 CHECK NUMBER: 161870
CHECK DATE: 7/2312008
f JEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 E28900 -001 183.39 REPAIR PARTS
INVOICE
MAIL REMITTANCE TO: ENTERING OFFICE INVOICE NUMBER TRAN
stfr� 1 r HYDRA AIR E28900 -001 DI
-1
DIV OF BW ROGERS CO INVOICE DATE PAGE
8208 INDY LANE
P.O. Box 569, Akron, Ohio 44309 INDIANAPOLIS IN 46214 06/26/08 1
For Terms and Conditions visit: www.bwrogers.com
Any different or additional terms that may be embodied in your purchase order are hereby objected to. If your order is not an
acceptance of our proposal, this will operate as an acceptance of your order only in the event you agree to the terms hereof.
The terms and conditions contained above and attached shall apply.
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TRACK #:1Z4712160347635889
CARRIER: UPS
SERVICE: GROUND
10 2 2 73212BN2MV00NOL222C1 83.9700 167.94
VALVE P21 S EA
*NEW REMIT TO: PO BOX 569, AKRON,OH 443 )9
INBOUND FRT IS: .00
FOLD
CUST. NO. ORDER DATE TERR PC ORD Written By DATE SHIPPED WHSE AMOUNT 167.94
C4034 06/26/08 98 25 S DMF 06/26/08 02
FRGHT /INS /HNDL 15.45
Carrier: UPS FOB: SP,FNA,PREPAID ORIGINAL INVOICE
SALES TAX 00
Tracking-.
Terms of Payment: NET 30 DAYS CUST FAX 317- 733 -2005 INVOICE TOTAL 183.39
Please Pay This Amount
ORDER ISSUED IN: INDIANAPOLIS
PHONE: 317- 271 -9288
Customer PO No. VERBAL BOB VAN VOORST Mark No. CFD VEHICLE
s CARMEL STREET DEPARTMENT s CARMEL FIRE DEPARTMENT
0 H 2 CIVIC SQUARE
L 3400 W 131 ST p ATTN BOB VAN VOORST
T WESTFIELD IN 46074 T CARMEL IN 46032
0 0
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))
06/26/08 E28900 -001 Air Horn Solenoids $183.39
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
VOUCHER.,NO. WARR NO.
ALLOWED 20
Hydra -Air
IN SUM OF
P.O. Box 569
Akron, OH 44309
$183.39
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 E28900 -001 42- 370.00 $183.39 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
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund