HomeMy WebLinkAbout212393 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 305700 Page 1 of 1
�0 ONE CIVIC SQUARE TOM WOOD FORD INC
? CARMEL, INDIANA 46032 3130 E 96TH ST CHECK AMOUNT: $59.09
INDPLS IN 46240 CHECK NUMBER: 212393
CHECK DATE: 8/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 350848 59 . 09 OTHER EXPENSES
T � TOM WOOD GENUINE
`� FORD PARTS
3130 E.96th Street• Indianapolis, IN 46240 Parts Dept: (317) 846-4251
(800)423-4646• (317) 846-4241
www.tomwoodford.com
THANK YOU FOR YOUR BUSINESS!!
CUST.P.O.NO INVOICE DATE
108036 0031201550-020 0 CHARGE PAUL POTEET 08/16/12 350848
G FOW
317-571-2645
B CITY OF CARMEL SEWER DEPT. H� /�
� 1 CIVIC SQ P
T CARMEL, IN 46032-2584 T
D O
•
B.O.
DESCRIPTION • AMOUNT
1 0 5C3Z-14529-AAA SWITCH-WIN 55 78.78 59.09 59.09
T 0
NM
. . 0
o � —
0
° ,p y
a �
N f e®
M WOOD FORD,INC.hereby expressly disclaims all warranties,either express or implied,including any SUBTOTAL
flied warranty of merchantability or fitness for a particular purpose,and TOM WOOD FORD,INC.neither
umes no authorzes any other person to assume for it any liability in connection with the sale.Customer
ees to pay reasonable attorney's fees if collection hereof is necessary.
)CREDIT ALLOWED UNLESS ACCOMPANIED BY INVOICE AND
TER 15 DAYS 10%HANDLING CHARGE WILL BE MADE. TAX 0,00
RETURN OF SPECIAL ORDERED PARTS OR ELECTRICAL PARTS.
i REFUND WITHOUT THIS NOTICE.
I hereby aree to pay Tom Wood Ford,Inc.attorney's fees if
collection hereof becomes necessary.
CEIVED BY 3�
FREIGHT
0.00
9104�011 I
PAYTHISAMOUNT 59.09
58:10 CUSTOMER COPY NET512 PAGE 1 OF 1
S t3m''A `m.; •.. :.4'w.x". ...,�.-.i F .a.
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 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 8/20/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8%20/2012 350848 $59.09
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 # 125568 WARRANT # ALLOWED
305700 IN SUM OF $
TOM WOOD FORD
3130 E. 96th Street
Indianapolis, IN 46240
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
350848 01-7500-08 $59.09
Voucher Total $59.09
Cost distribution ledger classification if
claim paid under vehicle highway fund