168435 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 358647 Page 1 of 1
ONE CIVIC SQUARE DAYTON APPLIANCE PARTS CO. CHECK AMOUNT: $21.10
CARMEL, INDIANA 46032 122 SEARS ST
DAYTON OH 45402 CHECK NUMBER: 168435
CHECK DATE: 2/412009
DEPARTMENT ACCOUN PO NUMBER INVOI NUMB AMOUNT DE SCRIPTION
1120 4237000 924547 21.10 REPAIR PARTS
i
A DIVISION OF DAYTON APPLIANCE PARTS COMPANY
het HA1WC V/ �ll� ORIGINAL alig
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Dayton Appliance Parts Co. a
Serving The Parts Industry Since 1937 122 Sears St.
1734 W. 15th St. Branch Locations Dayton, OH 45402
Indianapolis, IN 46202 8258 Center Run Dr. 1940 E. Stop 13 Rd. 9$7 224_3531
3171488 -4000 Castleton Greenwood 4,,+'a +'r
FAX 317 488 -4020 317 845 -1000 317 882 -2400
REFERENCE SHIP VIAL a o lr
2. Pivi
!+d11 C.'ALL. PI K. UP KET I UP -1 FDRi, X 32:382 3 KRK 1 ',.rw,r 'I
SOLD TO: SHIP TO:
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LINE QUANTITY PROD. UNIT
NO. ORDERED LINE PART NUMBER DESCRIPTION PRICE UeG9
1
1 CI 4JI ;3 l.1CJ 'i 1 ra F 11_1 "E ---R 2 10 2.' 1 100 0 2 '1 '1 I_)
MCDEL.
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GAS OR ELECTRICAL PARTS MAY NOT OTHER LOCATIONS SERVING THE REGION
BE RETURNED! warranties are those Dayton Appliance Dayton Appliance Dayton Appliance Cincinnati Appliance Dayco Appliance Evansville Appliance
subjec to us re uireme manufa
We and are Parts Company Parts Company Parts Co Parts Co Parts Company Parts Company
Qo subject to their requirements. we offer no P y P y P y P Y P Y P y
warranty. RETURNS must be authorized 122 Sears St. 630 Maryland Avenue 116 Fifth Avenue 11273 Grooms Road 620 E. Weber Rd. 900 East Diamond Ave.
Q D OH 45402 Charleston, WV 25302 ton, Huntin WV 25701 Cincinnati, OH 45242 Columbus, OH 43211 Evansville, IN 47711
and accompanied by invoice number. All Yt 9
returns are due within 30 days and are 937 224.3531 3041345 -4400 3041523 -1990 5131489 -1980 6141262 -6446 8121423.8867
subject to a 20% restocking charge. Fax 937 224 -3437 Fax 3041343 -6999 Fax 304 1523-1993 Fax 513 1489-8675 Fax 6141262 -8027 Fax 8121423 -6833
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))
924547 Dryer Filter $21.10
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. WARRANT NO.
ALLOWED 20
Dayton Appliance Parts Co.
IN SUM OF
122.Sears Street
Dayton, OH 45402
$21.10
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1120 924547 42- 370.00 $21.10 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
FEB Z US
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund