HomeMy WebLinkAbout236449 8 /27/2014 c*q .
CITY OF CARMEL, INDIANA VENDOR: 359067
ONE CIVIC SQUARE LINE-X OF INDY CHECK AMOUNT: $*******753.00*
f CARMEL, INDIANA 46032 8448 MOLLER ROAD CHECK NUMBER: 236449
INDIANAPOLIS IN 46268 CHECK DATE: 08/27/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 3200 753.00 AUTO REPAIR & MAINTEN
�twe-x Line-X of Indy Invoice
„r,Ad, 8448 Moller Rd
d Indianapolis, IN 46268 Date Invoice No.
(317)228-0123 08/21/2014 3200
linexofindy@hotmail.com Terms Due Date
http://www.linex-indy.com
Due on receipt 08/21/2014
Bill To.
Carmel Fire Department
2 Civic Square
Carmel,IN 46032 USA
Amount Due Enclosed
$753.00
Please detach top portion and_retum with your payment
Date Product Description Quantity Amount
08/20/2014 Line-X Coating 2014 F150 IFTFX1EF6EKF28386 1 425.00
08/20/2014 Rustproofing Full 1 189.00
08/20/2014 Undercoating Full 1 139.00
Total $753.00
Thank you for your business!
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))
3200 $753.00
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. WARRANT NO.
ALLOWED 20
Line-X
IN SUM OF $
8448 Moller Road
Indianapolis, IN 46268
$753.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1120 3200 43-510.00 $753.00 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
AUG 2 5 2014
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund