168217 01/21/2009 CITY OF CARMEL, INDIANA VENDOR: 305700 Page 1 of 1
ONE CIVIC SQUARE TOM WOOD FORD INC
CARMEL, INDIANA 46032 3130 E 96TH SF CHECK AMOUNT: $10.63
iNDPLS IN 46240 CHECK NUMBER: 168217
CHECK DATE: 1121/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601: 5023990 312969 10.83 OTHER EXPENSES
t[ q
hl
ce
3130 E. 96th Street o Indianapolis, Ind. 46240
(800) 423 -4646 (317) 846 -4241 Parts Dept: (317) 846 -4251
ooe e o
THANK YOU FOR YOUR BUSINESS!!
108036 0031201550 -020 TRUCK 32 CHARGE PHIL 01/12/09 312969
W FOW
317- 571 -2645
B CITY OF CARMEL SEWER DEPT. s
1 CIVIC SQ WATER DEPT
L CARMEL, IN 46032 -2584 P
T T
O O
u2tp LY.: 99v Gu Mum
0 E69 Z-1 8D434-B COUPLING ASY 75 14.44 10.83 10.83 I�
T o O
o
a o
0 t 0
m
CL 0
lhl� rl o
o
U
a
N
w
U
rr TOM WOOD FORD, INC. hereby expressly disclaims all warranties, either express or im lied, including any SUBTOTAL
p
0 implied warranty of merchantability or fitness for a particular purpose, and TOM WOOD FORD, INC. neither 10-83
w assumes nor authorizes any other person to assume for it any liability in connection with the sale. Customer
agree
s to a reasonable attorney's fees if collection hereof is necessary,
V
a NO CREDIT ALLOWED UNLESS ACCOMPANIED BY INVOICE AND
AFTER 15 DAYS 10/ HANDLING CHARGE WILL BE MADE. TAX 0.00
c� NO RETURN OF SPECIAL ORDERED PARTS OR ELECTRICAL PARTS.
a NO REFUND WITHOUT THIS NOTICE.
hereby aree to pay Tom Wood Ford, Inc. attorney's fees if
col Lion hereof becomes necessary.
a RECEIVED
FREIGHT 0.00
T1 cJI
Z" 1LlIL Otl PAY THIS AMOUNT 10.83
14:09:45 CUSTOMER COPY NET512 PAGE 1 OF 1
Prescribed by State Board o` Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL w
An _invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, -rates per day, number of units,
price per unit, etc.
Payee
305700
TOM WOOD FORD Purchase Order No.
3130 E. 96th Street Terms
Indianapolis, IN 46240 Due Date 1/12/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/12/2009 312969 $10.83
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
Date Officer
VOUCHER 08438 WARRANT ALLOWED
305"700 IN SUM OF
&A TOM WOOD FORD
3130 E. 96th Street �1
Indianapolis, IN 46240 "1
0
Carmel 'Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
312969 01- 6500 -04 $10.83
Voucher Total $10.83
Cost distribution ledger classification if
claim paid under vehicle highway fund