HomeMy WebLinkAbout235973 8 /13/2014 �/ CITY OF CARMEL, INDIANA VENDOR: 00351721
4 ONE CIVIC SQUARE JAMES PAGE. CHECK AMOUNT: $*******170.99*
�; CARMEL, INDIANA 46032 CHECK NUMBER: 235973
a,,roN�` CHECK DATE: 08/13/14
. DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4232000 170.99 TIRES & TUBES
EXPRESS AUT 0
1922 E 38TH ST
INDIANAPOLIS, IN 46218
317/546-7576
TER11I11Al ID. 26430001
PIERCHRIIi 0; 000210003641511.
ERP;Tmi0 SWIPED
SALE
BATCH; 000426 IN: 000001
JU1 28, 14 15:32
RRII; 000012216524 AUTH: 043215
a M-mmmu
JAMES E PAGE
CUSTOMER COPY
EXPRESS AUTO �� 1
REPAIR ORDER 1922 E 38th St
MATERIAL USED Indianapolis, IN 46218-
QTY DESCRIPTIONLUBRICATION ❑
317.546.7576 '
CHANGE OIL ❑ I 1
NAME CHANGE OIL FILTER CART ❑ I
r fames Pa eDATE'_ -1
CHANGE TRANS ❑
APPRESS CHANGE DIFF. 13
/ I / TYPEM DEL Y RECEIVED PACK FRONT WHEEL BRCS ❑
\ A.M. '
f I C 1 -'91 d p M. ADJUST BRAKES ❑ I
PROMISED A M ROTATE TIRES ❑
P.M. WASH POLISH p �
O
DO w ,i LICENSE NO. y TERMS PHONE WHEN READY' j
�Q ❑YES 13 NO STATE INSPECTION 13 I
' ORDER WRITTEN BY PHONE I
I
' 0
•• • NO. INSTRUCTIONS ❑
-77
Ir
I
OUTSIDE REPAIRS I
I �
You are entitled to a price estimate for the repairs you have authorized.The repair price may be less than the estimate,but will not exceed the estimate without
your permission.Your signature will indicate your estimate selection.
I Tear down estimate-I understand that my car will be reassembled within days of the date shown if I choose not to authorize the services recommended.
1. 1 request an estimate in writing before you begin repairs.
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2. Please proceed with repairs,but call me before continuing if the price will exceed$
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3. 1 do not want an estimate. I
BROUGHT FORWARD METHOD OF PAYMENT: TOTAL LABOR
I hereby authorize the above repair work to be done along vd necessary material,and hereby grant
you and/oy�rour empI •permission to ope a car, ck o vehicle herein described on street, ❑CASH- TOTAL PARTS' j
hlghways66r, ref the purpose of tes and/or 1 ,M s mechanic's ileo Is hereby �`
a owll:dg.d ori abov truck or vehl a to secure th o t of r airs hereto.
l - 1 ❑CHECK ACCESSORIES /
-
-,NOT
� / GAS,OIL& EAASE'� PRICE ❑CHARGE GAS,OIL ft GREASE
NOT Es BLE
FOR L 55 0 DAMAGE GALS.GAS LABOR: OUTSIDE REPAIRS
TO CARS OR ARTICLES ` '
LEFT IN CARS IN QTS.OIL ❑FLAT RATE
CASE OF FIRE,THEFT — t
OR ANY OTHER LBS GREASE @ ❑HOURLY t/ �TAx
Total CAUSE BEYOND OUR TOTAL GAS,OIL,ft GREASE ❑BOTH � "� I
CONTROL TOALAMOUNT J
/0 I
i
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))
07/28/14 $170.99
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
120-
Clerk-Treasurer
20Clerk-Treasurer
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VOUCHER NO. WARRANT NO.
James Page ALLOWED 20
c/o IS Department
IN SUM OF$
$170.99
ON ACCOUNT OF APPROPRIATION FOR
IS Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1202 42-320.00 $170.99
I hereby certify that the attached invoice(s), or
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bill(s) is (are)true and correct and that the j
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materials or services itemized thereon for
which charge is made were ordered and
received except
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Thursday,August 07 2014
Director, IS
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund