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HomeMy WebLinkAbout180553 12/16/2009 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: $546.50 ELMIRANY 14903 CHECK NUMBER: 180553 CHECK DATE: 12/16/2009 DEPARTMENT ACCOUNT PO NUM INVOICE NUMBER A MOUNT DESCRIPTION 1120 4237000 17296 546.50 REPAIR PARTS 6077397092 Line 1 05:39:29 p.m. 10 -10 -2009 1 /1 1' WARD DIESEL FILTER SYSTEMS Invoice 133 PHILO ROAD WEST Date invoice ELMIRA, NY 14903 PHONE: 800 845 -4665 12isi2oo9 17296 FAX: 607-739-7092 Bill To TRUCK SERVICE INC. 14700 HERRIMAN BLVD. NOBLESVILLE, IN 46060 P.O. No. Terms Project ENGINE 44 Net 30 Quantity Description Rate Amount 1 Diverter Box, Rebuilt, 5" Standard with Regular Air Cylinder 525.00 525.00 1 UPS SHIPPING CHARGE 21.50 21.50 REF: CARMEL FD, IN ENGINE 44 Total $546.50 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)) 17296 $546.50 I 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. WKRRANT NO. ALLOWED 20 Ward Diesel Filter Systems IN SUM OF 133 Philo Road West Elmira, NY 14903 $546.50 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 17296 42- 370.00 $546.50 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 DEC 14 Z009 0 v Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund