179467 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 363013 Page 1 of 1
ONE CIVIC SQUARE WINZER CORPORATION
CARMEL, INDIANA 46032 PO BOX 671482 CHECK AMOUNT: $173.53
DALLAS TX 75267 -1482 CHECK NUMBER: 179467
CHECK DATE: 11/11/2009
DEPARTMENT ACCOUNT PO NUMBE INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 3583387 173.53 REPAIR PARTS
WINZER CORPORATION
P.O. Box 671482 INVOICE
LLELI DALLAS, TEXAS 75267 -1482
(214) 341 -2122 (800) 527 -4126 OUST NO. ,INVOICE 'NO: 'INVOICE.DATE' lC,USTP:O. NO. 1
Email: AR @winzerusa.com 265430 3583387 10/29/09
ORDER NO. ORDER DATE SA_ LESPERSOW" TERMS
41697/00 10/28/09 404 Net 30
013531
P 11/28/09 AGE DUEDATE
1
BILL TO: SHIP TO:
CITY OF CARMEL FIRE DEPARTMENT MAINTENANCE
2 CIVIC SQUARE CITY OF CARMEL FIRE DEPARTMENT
CARMEL IN 46032 2 CIVIC SQUARE
CARMEL IN 46032
QTY. QTY
PRODUCT NUMBER'.' I DESCRIPTION ORDERED $HIPPED' QTY• BI0 =TAX' EXTENDED PRICE
013.1024.114 18 -8 PHIL PAN M/S #10- 24X1 -1/ 50 50 N 11.90
013.1024.58 18 -8 PHIL PAN MS 10- 24X518 50 50 N 7.33
013.14.114 18 -8 PHIL PAN MS 114- 20X1 -114 30 30 N 12.56
013.14.12 18 -8 PHIL PAN MS 114 20X1/2 30 30 N 7.83
01314,134 18 -8 PHIL PAN MS 1 /4- 20X1 -314 30 30 N 16.07
013.6.1 18 -8 PHIL PAN MIS 6 -32X1 100 100 N 11.82
013.6.114 18 -8 PHIL PAN M/S 6- 32X1 -114 50 50 N 7.70
013.8.114 18 -8 PHIL PAN MS 8- 32X1 -1/4 50 50 N 8.79
013.834 18 -8 PHIL PAN MS 8- 32X314 100 100 N 14.68
013.8.58 18 -8 PHIL PAN MS 8- 32X518 100 100 N 13.68
014.1032.114 18 -8 PH FLAT MS 10- 32X1 -1 /4 50 50 N 15.74
303.8 18 -8 SS ACORN CAP NUT 8 -32 50 50 N 27.78
402.10 18 -8 SS FLAT WASHER #10 100 100 N 3,45
402.8 18 -8 SS FLAT WASHER #8 100 100 N 3.70
A SINCERE THAN YOU
SUB TOTAL ;TRANSIT TAX PAY'THIS AMOUNT''.
163.031 10.50 .001 173.53
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER t
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))
3583387 $173.53
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.
Winzer'Corporation ALLOWED 20
IN SUM OF
P.O. Box 671482
Dallas, TX 75267
$173.53
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #r AMOUNT Board Members
1 120 3583387 42- 370.00 $173.53 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
Nov
d
Fire Chief 1
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund