208640 05/10/2012 *f CITY OF CARMEL, INDIANA VENDOR: 00351564 Page 1 of 1
ONE CIVIC SQUARE GARY CARTER
CARMEL, INDIANA 46032 4748 BISHOPSGATE DR CHECK AMOUNT: $28.24
CARMEL IN 46032 CHECK NUMBER: 208640
CHECK DATE: 5110/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 28.24 REPAIR PARTS
Q, DIVISION OF DAYTON APPLIANCE PARTS COMPANY
�RiORIGINAL X i� Serving The Appliance Parts Industry L 0
1.
Since 1937 0
e 5/01/12 3
Branch Locations Dayton Appliance Parts Co. jo -m000 Imo-
1734 W. 15TH ST. 1940 E. STOP 13 ROAD 8258 CENTER RUN RD. 122 Sears St.
INDIANAPOLIS, IN 46202 O D IN 4622 GREENWO7 CASTLETON, IN 46250 Dayton, OH 45402
PHONE: (317) 488 -4000 PHONE: (317) 882 -4914 PHONE: (317) 845 -0025 937 224 -3531
FAX: (317) 488 -4020 972378
REFERENCE SHIP VIA o o o
2:08 PM
WILL CALL PICK UP ..ASH SALE 36996 3 KRK Page 1
SOLD TO: C. 0 D. SHIP TO: kc A S H S A L E
CARMEL FIRE DEPARTMENT NO RETURNS ON GAS, ELECTRICAL
CASH SALE OR SPECIAL ORDER PARTS!!!
THANK YOU WE APPRECIATE 20% RESTOCK FEE ON RETURN
YOUR BUSINESS PARTS WITHIN 30 DAYS
LINE QUANTITY PROD. UNIT I
NO. ORDERED Q),`[G' •9D LINE PART NUMBER DESCRIPTION PRICE U o
1 1 0 WP8318084 LID SWITCH 28.24 28.240 28.24
TAX ID 0031201550020
SUBTOTAL 28.24
TOTAL INV. 28.24
AMT. RCVD. 28.24
M/C VISA SALE
7551
GAS OR ELECTRICAL PARTS MAY NOTi�
BE RETURNEDI Warranties are those
p extended to us by manufacturers and are Dayton Appliance Dayton Appliance Dayton Appliance Cincinnati Appliance Cincinnati Appliance Dayco Appliance Evansville Appliance
subject to their requirements. We offer no Parts Company Parts Company Parts Company Parts Company Parts Company Parts Company Parts Company
V warranty. RETURNS must be authorized 122 Sears St. 630 Maryland Avenue 631 Sixth Avenue 11273 Grooms Road 2319 Gilbert Ave. 620 E. Weber Rd. 900 E. Diamond Ave.
Q and accompanied by invoice number. All Dayton, OH 45402 Charleston, WV 25302 Huntington, WV 25701 Cincinnati, OH 45242 Cincinnati, OH 45206 Columbus, OH 43211 Evansville, IN 47711
returns are due within 30 days and are 937 224 -3531 304 3 45 -4400 304 523 -1990 513 489 -1980 513 221 -1195 614 262 -6446 812 423 -8867
subject to a 20% restocking charge. Fax 937 224 -3437 Fax 304 343 -6999 Fax 304 523 -1993 Fax 513 489 -8675 Fax 513 221 -2750 Fax 614 262 -8027 Fax 812 423 -6833
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))
Washing Machine Switch Sta. 42 I $28.24
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. WARR N
ALLOWED 20
Gary Carter
IN SUM OF
$28.24
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 I I 42- 370.00 I $28.24 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 7 2012
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund