HomeMy WebLinkAbout239335 11/19/14 y CITY OF CARMEL, INDIANA VENDOR: 00352025
g ® ONE CIVIC SQUARE P F M CAR &TRUCK CARE CENTER CHECK AMOUNT: $*******351.04*
s. =Q; CARMEL, INDIANA 46032 4902 W 106TH ST CHECK NUMBER: 239335
9,�/ ZIONSVILLE IN 46077 CHECK DATE: 11/19114
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 5014523 351.04 OTHER EXPENSES
Carmel— 1441 S Guilford Rd,Carmel,IN 46032 317-571-8777
'P mCar& Truck Care Center Castleton—9501 Corporation Dr,Indianapolis,IN 46256 317-577-7777
Truck&Car Care Center South—14021N Hanna Ave,Indianapolis,IN 46217 317-784-7777
Onsite Services Zionsville—4900 W 1061 St,Zionsville,IN 46077 317-733-7777
PFMAtitomotivexom PLEASE REMIT TO: 4902 W 1061'St.•Zionsville,IN-46077-317-733-3077
FAST FRIENDLY QUALITY SERVICE ATA FAIR PRICE
Customer: CITY OF CARMEL SERW DEPT Vehicle: 2013 Ford Fiesta Invoice#5014523
Address: 9609 HAZELL DELL PARKWAY Unit#: 90 I IIIIIIII III VIII VIII VIII VIII VIII VIII IIII IIII
City: CARMEL,IN 46280- VIN: 3FADP4BJ3DM224737 Date:10/31/2014 Page 1 of 1
Phone 1 : ( 317 ) 571-2634 LICP: 20799 Engine:4-1596 1.6L DOHC Orig Est#: Center: 1
Phone 2 : (317 ) 571-2636 Trans: AUTO Mileage: 14620 PO#*S14472
Tech Job Description Price
My, Part Description List Disc Price Net Reason for Replacement Labor Parts Subtotal
Service Requests:
HERE
1. REPLACE TIRES
5013 MOUNT 6 BALANCE FOUR.TIRES under 19.5 40.00 311.04 351.04
4.00 ASSURANCE ALL-SEASON 91.76 77.76 311.04
Warranty: 0
Size:
M690NHIR2114
M690NHIR2114
M690NHIR2114
M690NHIR2114
As owner or authorized agent,I authorize the services along with necessary
Labor: $40.00
parts and materials and grant PFM employees permission to operate the vehicle
Parts: $311.04
herein described on streets,highways or elsewhere,at your discretion,for Sublet: $0.00
the purpose of testing and/or Inspection.I acknowledge an express mechanics Other Fees• $0.00
lien on the vehicle to secure all outstanding charges.I understand that PFM Supply Charges: $0.00
is not responsible for delays consequences.Not esponsible for damage or Subtotal $351.04
articles left in car in case of fire,theft or any other cause beyond our Sales Tax $0.00
direct control.A 2%service charge will be added to the monthly account
Balance.Storage charge after 21 days of$5.00 a day.Warranty is limited to Total $351.04
original invoice amount and must be performed by PFM or preapproved.
Paid: $0.00
— — Due: $351.04
Signature X
VOUCHER # 145949 WARRANT # ALLOWED
00352025 IN SUM OF $
PFM TRUCK & CAR CARE CENTER
4902 W. 106TH STREET
ZIONSVILLE, IN 46077
r
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
a
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
i
5014523 01-7500-02 $351.04
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Voucher Total $351.04
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee '
00352025
PFM TRUCK&CAR CARE CENTER Purchase Order No.
4902 W. 106TH STREET i Terms
ZIONSVILLE, IN 46077 Due Date 11/7/2014
Invoice Invoice Description
Date Number (or note attached 1nvoice(s) or bill(s)) Amount
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11/7/2014 5014523 ' $351.04
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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 fficer