HomeMy WebLinkAbout173081 05/27/2009 CITY OF CARMEL, INDIANA VENDOR: 319900 Page 1 of 1
O ONE CIVIC SQUARE WARD DIESEL FILTER SYS INC
CARMEL, INDIANA 46032 133 PHILO ROAD WEST CHECK AMOUNT: $1,444.33
ELMIRA NY 14903
a CHECK NUMBER: 173081
CHECK DATE: 5/27/2009
DEPA RTMENT ACCOU PO NUMBER IN VOI CE NUMBER AMOUNT DE
1120 4351000 16750 1,444.33 AUTO REPAIR MAINTEN
5
WARD DIESEL FILTER SYSTEMS Invoice
133 PHILO ROAD WEST Date Invoice
ELMIRA, NY 14903
5/12/2009 16750
PHONE: 800 845 -4665
FAX: 607 739 -7092
Bill To
CARMEL FIRE DEPARTMENT
ACCOUNTSPAYABLE
2 CIVIC SQUARE
CARMEL, IN 46032
P.O. No. Terms Project
COURTESY VISIT N30
Quantity Description Rate Amount
I Electronic Control Board, 12V Negative Ground 420.00 420.00
REF: ENGINE 44
1 Electronic Control Board, 12V Negative Ground 0.00 0.00
1 End Cap, Large 5" with 4" Pipe out Side 144.65 144.65
31 Flex Pipe, 4" Stainless Steel (Price per inch) 3.12 96.72
1 Band Clamp, 4" 24.28 24.28
REF: AMBULANCE 42
COURTESY VISIT ON 4/29/09 4/30/09
Total $1,444.33
Page 3
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))
16750 $1,444.33
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. WARRANT NO.
ALLOWED 20
Ward Diesel Filter Systems
IN SUM OF
133 Philo Road West
Elmira, NY 14903
$1,444.33
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1120 16750 43- 510.00 $1,444.33 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
MAY 2 2 2009
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund