HomeMy WebLinkAbout204048 11/21/2011 CITY OF CARMEL, INDIANA VENDOR: 319900 Page 1 of 1
s ONE CIVIC SQUARE WARD DIESEL FILTER SYS INC CHECK AMOUNT: $546.46
CARMEL, INDIANA 46032 1580 LAKE STREET
a ELMIRA NY 14901 CHECK NUMBER: 204048
CHECK DATE: 11/21/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 19190 546.46 AUTO REPAIR MAINTEN
WARD DIESEL FILTER SYSTEMS Invoice
1580 LAKE STREET Date Invoice
ELMIRA, NY 14901
I0i25i20I I I9190
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
E42 N30
Quantity Description Rate Amount
Diverter Box, Rebuilt, 5" Standard with.Regular Air Cylinder# 4658 525.00 525.00
i r 21.46 21.46
1 UPS SHIPPING CHARGE
REF: E -42
WE HAVE MOVED
1
PLEASE MAKE A NOTE OF OUR NEW ADDRESS:
WARD DIESEL FILTER SYSTEMS
1580 LAKE STREET 4
ELMIRA, NY 14901
Total $546.46
VOUCHER NO. WARRANT NO.
Ward Diesel Filter Systems ALLOWED 20
IN SUM OF
Elmira, NY 1490\
$546.46
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# 1 Dept. INVOICE NO. I ACCT #ITITLE I AMOUNT Board Members
1120 I 19190 I 43- 510.00 I $546.46 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
NOV 2 2011
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))
19190 E42 $546.46
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