HomeMy WebLinkAbout170151 03/18/2009 CITY OF CARMEL, INDIANA VENDOR: 319900 Page 1 of 1
ONE CIVIC SQUARE WARD DIESEL FILTER SYS INC
CHECK AMOUNT: $660.00
CARMEL, INDIANA 46032 133 PHILO ROAD WEST
s: ELMIRA NY 14903 CHECK NUMBER: 170151
CHECK DATE: 3118/2009
DEPARTMENT ACCOUNT PO NUMBER I NUMBER AMOUNT DESCRIPTION
-1120 4237000 16519 660.00 REPAIR PARTS
WARD DIESEL FILTER SYSTEMS Invoice
133 PHILO ROAD WEST
ELMIRA, NY 14903 Date Invoice
PHONE: 800 845 -4665 3/5/2009 16519
FAX: 607 739 -7092
Bill To
CARMEL FIRE DEPARTMENT
ACCOUNTS PAYABLE
2 CIVIC SQUARE
CARMEL, IN 46032
P.O. No. Terms Project
E43 E46 N30
Quantity Description Rate Amount
2 "NO SMOKE" Regenerated Large Filter# 3208, 5469 295.00 590.00
2 UPS SHIPPING CHARGE 35.00 70.00
REF: ENGINE 46 43
Total $660.00
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))
16519 Replacement Filters $660.00
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. WARR NO.
ALLOWED 20
Ward Diesel Filter Systems
IN SUM OF
13:3 Philo Road West
Elmira, NY 14903
$660.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 16519 42- 370.00 $660.00 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
VIAK 16 Z009
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund