206018 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: 305700 Page 1 of 1
ONE CIVIC SQUARE TOM WOOD FORD INC CHECK AMOUNT: $178.18
CARMEL, INDIANA 46032 3130 E 96TH ST
INDPLS IN 46240 CHECK NUMBER: 206018
CHECK DATE: 1/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 345102 178.18 REPAIR PARTS
TO�]vi MOOD
FORD pQQ`7`0
3130 E. 96th Street a Indianapolis, IN 46240 Parts Dept: (317) 845 -4251
(800) 423 -4646 a (317) 846 -4241
www.tomwoodford.com
THANK YOU FOR YOUR BUSINESS!!
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91806 0031201550 -020 CHARGE KEVIN DEUTH 01/19/12 345102
w FOW
317- 571 -2622
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T CARMEL, IN 46032 -2584 T
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1 0 8L1Z- 17682 -DA MIRROR ASY 237.57 178.18 178.18 1-3\
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TOM WOOD FORD, INC. hereby expressly disclaims all warranties, either express or implied, including any SUBTOTAL
implied warranty of merchantability or fitness for a particular purpose, and TOM WOOD FORD, INC. neither
assumes nor authorizes any other person to assume for it any liability in connection with the sale. Customer
agrees to Dav reasonable attorney's fees if collection hereof is necessary.
NO CREDIT ALLOWED UNLESS ACCOMPANIED BY INVOICE AND
AFTER 15 DAYS 10% HANDLING CHARGE WILL BE MADE. TAX 0.00
NO RETURN OF SPECIAL ORDERED PARTS OR ELECTRICAL PARTS.
NO REFUND WITHOUT THIS NOTICE.
I hereby aree to pay Tom Wood Ford, Inc. attorney's fees if
collection hereof becomes necessary.
RECEIVED BY:
FREIGHT 0.00
"C alolik C Oou PAY THIS AMOUNT 178.18
08:57:06 CUSTOMER COPY NET512 PAGE 1 OF 1
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))
345102 C4501 $178.18
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 N O. WARRANT NO.
ALLOWED 20
Tom Wood Ford
IN SUM OF
3130 East 96th Street
Indianapolis, IN 46240
$178.18
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
1120 I 345102 I 42- 370.00 I $178.18 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
JAN 3 Q 2012
a
`t
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund