HomeMy WebLinkAbout234832 07/16/14 >l \ CITY OF CARMEL, INDIANA VENDOR: 365796
® : ONE CIVIC SQUARE DOLLAR THRIFTY CAR RENTAL &SALECHECK AMOUNT: $""`1,099.48•
CARMEL, INDIANA 46032 ATTN: ARLENE-CLAIMS CHECK NUMBER: 234832
582 SOUTH RANGE LINE ROAD CHECK DATE: 07/16/14
CARMEL IN 46032
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4351000 1,099.48 AUTO REPAIR & MAINTEN
Remit Dollar Thrifty Car Rental and Sales Date of
Pymt MEL RAC LLC - Corp Office Loss
To: Attn: Arlene - Claims 07/01/14
582 South Range Line Road
Carmel, IN 46032
Today's
To: - James Brainard/City of Carmel Date:
Attn: Sharon Kibbe 07/03/14
Email: SKIBBE(a),CARMEL.IN.GOV
Claim: 070114-1110007-I N5
RE: Rental Fleet Unit Damages
Amount to remedy damages:
Damage Repair- 2012 Ford Fusion Hybrid $883.62
Other 10.00
Subtotal $883.62
Diminished Value $88.36
Administrative $50.00
Loss of Use $77.50
Total-Due for Damages $1,099.48
Payments:
Payment Received $0.00
Balance Due $1,099.48
If you have questions please feel free to contact:
Claims: Arlene
Telephone: (317)844-3700 x4
Email: claims@DTHrac.com
If you have filed a claim with your insurance or credit card company,please call with claim number,name of
adjuster and telephone contact number as well as deductible amount which will apply. THANK YOU!
VOUCHER NO. WARRANT NO.
ALLOWED 20
Dollar Thrifty Car Rental and Sales
Arlene- Claims
IN SUM OF$
582 South Range Line Road
Carmel, IN 46032
$1,099.48
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1160 Invoice 43-510.00 $1,099.48 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
Thursday, July 10, 2014
Mayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
07/03/14 Invoice $1,099.48
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