240686 01/07/15 CITY OF CARMEL, INDIANA VENDOR: 362830
ONE CIVIC SQUARE GIBBS AUTO INTERIORS, LLC CHECK AMOUNT: $ .*"'*190.00'
f r CARMEL, INDIANA 46032 23699 US 31 NORTH CHECK NUMBER: 240686
ARCADIA IN 46030 CHECK DATE: 01/07/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 1027 125.00 AUTO REPAIR & MAINTEN
1120 4351000 1038 65.00 AUTO REPAIR & MAINTEN
Gibbs Auto Interiors
23699 US Hwy 31
Arcadia, IN 46030 US
(317)758-5239 Invoice
BILL TO
CARMEL FIRE DEPT
2 CIVIC SQUARE
CARMEL, IN 46032
INVOICE NO. DATE TERMS DUE DATE TOTAL DUEENCLOSED -�
` 1027 12/15/2014 12/15/2014 $125.00
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Gibbs Auto Interiors
23699 US Hwy 31
Arcadia, IN 46030 US I
(317)758-5239 A Invoice
BILL TO
CARMEL FIRE DEPT
2 CIVIC SQUARE
CARMEL, IN 46032
I
INVOICE NO. DATE TERMS DUE DATE TOTAL DUE ENCLOSED
1038 12/23/2014 01/22/2015 $65.00
ACTIVITY QTY RATE AMOUNT
Car Seats Labor 1 55.00 55.00
SEAT RE-PADDED
Car Seats Material 1II 10.00 10.00
MATERIALS _ L
BALANCE DUE $65.00
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))
1038 A41 $65.00
1027 E43 $125.00
1 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
20Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Gibbs Auto Interiors
IN SUM OF $
23699 US 31 North
Arcadia, IN 46030
$190.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 1038 43-510.00 $65.00 1 hereby certify that the attached invoice(s), or
1120 1027 43-510.00 $125.00 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
JAN - 5 2015
7/7
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund