240755 01/07/15 �qq
*% CITY OF CARMEL, INDIANA VENDOR: 355635
b ONE CIVIC SQUARE CREW CAR WASH CHECK AMOUNT: $*******31 2.50*
CARMEL, INDIANA 46032 10251 HAGUE ROAD CHECK NUMBER: 240755
INDIANAPOLIS IN 46256 CHECK DATE: 01/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 R4351100 32254 005613 312.50 CAR WASH TICKETS
- - Crew Carwash,lnc.
INVOICE
:=_ = 10251 N.Hague Road
Indianapolis, IN 46256
Phone: (317) 572-9250 INVOICE DATE
Fax: (317) 572-9251 12/26/2014
INVOICE NUMBER
Email Address:mcw@mail.fwi.com Web Site: http:\\www.crewcarwash.com 005613
CUSTOMER NUMBER
City of Carmel Police Dept. CARPD01
Teresa Anderson
TERMS
3 Civic Square
Carmel,IN 46032 Net 30
Description QTY UNIT PRICE AMOUNT
Carwash Books 10.00 32.00 320.00
Discount 1.00 -7.50 -7.50
Make Checks Payable to: Crew Carwash, Inc.
Attn: Accounts Receivable
10251 N. Haque Road
10f 1 Indianapolis, IN 46256
TotalDue 312.50
INDIANA RETAIL TAX EXEMPT PAGE
City ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972
ONE CIVIC SQUARE i THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
92/9562094
Crm C@r Vfth C@mGl P®IIcG DGparitmGn4
VENDOR
SHIP 3 CIVIC sgUcIrTJ
10251 N. b2gue Ro@d TO CamGl, IN 4I 2
Indimmp®Us, IN 4M (399)67125%
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS T FREIGHT
iQUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 4"11.60
94 Each car wash tickets $31.25 $392.30
Serb Total: $392.50
r�-A
K) � p
a..___J _ja
Send Invoice To:
Carmol P®llcG Department
Atte: Pat Young
3 Civic Squ@Fo
ftmol, IN 462= PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT 02.50
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS N UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFF L�O PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. d P®llcG
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO,
CLERK-TREASURER
DOCUMENT CONTROL NO. 2 54 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO._--____WARRANT NO.
ALLOWED 20
IN THE SUM OF$
$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I 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_
20
Signature
_.......----------.----_-----------...--..-.-..--"---..-.-..-----"-------- "-
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))
01/05/15 005613 car wash tickets $312.50
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
Crew Car Wash
IN SUM OF $
10251 N. Hague Road
Indianapolis, IN 46258
$312.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
Encumbered 1 hereby certify that the attached invoice(s), or
32254 005613 43-511.00 $312.50
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
Wednesday, December 31, 2014
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund