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