180287 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 305700 Page 1 of 1
ONE CIVIC SQUARE TOM WOOD FORD INC CHECK AMOUNT: $321.99
,la CARMEL, INDIANA 46032 3130 E 96TH ST
1.a� `o INDPLS IN 46240 CHECK NUMBER: 180287
CHECK DATE: 12/8/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 323260 210.11 REPAIR PARTS
1120 4237000 323278 111.88 REPAIR PARTS
T s GENUII�IE
310 E. 96th Street Indianapolis, Ind. 46240
PARTS
(800) 423 -4646 (317) 846 -4241 Parts Dept: (317) 846 -4251
THANK YOU FOR YOUR BUSINESS!!
CUST. P.O. NO. PARTS REPRESENTATIVE-�, INVOICE DATE
91806 0031201550 -02Q gqT 4 CHARGE PHIL 11/23/09 323278
w FOW
317.571 -2600
B CARMEL FIRE DEPARTMENT s
L 2 CIVIC SQ H
L CARMEL, IN 46032 -7543 P
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1 0 5C3Z- 17D743 -BAA COVER MIRR 147111 88 9.17 111.88 r1�
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TOM WOOD FORD, INC. hereby expressly disclaims a war, e express op, g ay SUBTOTAL 111 .88
o implied warranty of merchantabildy or ftness for a particular ll ranties either r implied, including n
purpose, and TOM WOOD FORD, INC. neither
w assumes nor authorizes any other person to assume for it any liability in connection with the sale. Customer
a rees to a reasonable attorney's fees if collection hereof is necessary.
NO CREDfTALLOWED UNLESS ACCOMPANIED BY INVOICE AND
AFTER 15 DAYS 10% HANDLING CHARGE WILL BE MADE. TAX 0.00
L9 NO RETURN OF SPECIAL ORDERED PARTS OR ELECTRICAL PARTS.
a NO REFUND WITHOUT THIS NOTICE.
I hereby aree to pay Tom Wood Ford, Inc. attorney's fees if
collection hereof becomes necessary.
RECEIVED BY:
FREIGHT 0 -00
a "Cryl(iilt�+ C'Otfll PAY THIS AMOUNT 111.88
08:19:26 J CUST OMER COPY NET512 PAGE 1 OF 1
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10M GEIMUINE
PARTS
310 E. 96th Street Indianapolis, Ind. 46240
(800) 423 -4646 (317) 846 -4241 Parts Dept: (317 846 -4251
THANK YOU FOR YOUR BUSINESS!!
CUST. P.O. NO, PARTS REPRESENTATIVI INVOICE DATE
91806 0031201550 -020 CHARGE PHIL 11/20/09 323260
W FOW
317- 571 -2600
B CARMEL FIRE DEPARTMENT S
2 CIVIC SO
L CARMEL, IN 46032 -7543 P
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DESCRIPTI AMO UNT
1 0 5C3Z- 17683 -EAACP MIRROR ASY 277 262.64 210.11 210.11 Illllttt[tt�
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TOM WOOD FORD, INC. hereby expressly disclaims all warranties, either express or implied, including any SUBTOTAL
o implied warranty of merchantability or fitness for a particular purpose, and TOM WOOD FORD, INC. neither 210.11
assumes nor authorizes any other person to assume for it any liability in connection with the sale. Customer
agrees to pay reasonable attorney's fees if collection hereof is necessary.
n NO CREDITALLOWED UNLESS ACCOMPANIED BY INVOICEAND
AFTER 15 DAYS 10% HANDLING CHARGE WILL BE MADE. TAX O.00
c� NO RETURN OF SPECIAL ORDERED PARTS OR ELECTRICAL PARTS.
NO REFUND WITHOUT THIS NOTICE,
hereby aree to pay Tom Wood Ford, Inc. attorney's fees if
A collection hereof becomes necessary.
a
RECEIVED BY:
FREIGHT 0.00
a ()It PAY THIS AMOUNT 210.11
13:21:29 CUSTOMER COPY NET512 PAGE 1 OF 1
l
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))
323260 $210.11
323278 $111.88
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
Tom Wood Ford
IN SUM OF
3230 East 96th Street
Indianapolis, IN 46240
$321.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 323260 42- 370.00 $210.11 1 hereby certify that the attached invoice(s), or
1120 323278 42- 370.00 $111.88
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 7 2009
A v
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle hiahwav fund