241353 1 /22/2015 of(, ,. 'F. CITY OF CARMEL, INDIANA VENDOR: 237560
® i ONE CIVIC SQUARE PEARSON FORD,INC CHECK AMOUNT: $ ...."594.00'
CARMEL, INDIANA 46032 10650 N MICHIGAN RD CHECK NUMBER: 241353
9Ml��jy Gp? ZIONSVILLE IN 46077 CHECK DATE: 01/22/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 23693 297.00 REPAIR PARTS
2201 4237000 23708 297.00 REPAIR PARTS
DATE OF ORDER CUSTOMER ORDER NO. TERMS STOCK NUMBER
01/12/15 23693
DATE SHIPPED SHIP VIA PPD ADD COLL
SHIP PEARSON
AUTOMOTIVE
TO
FOR A UFETIME.
10650 N Michigan Rd
Zionsville, IN 46033
PHONE 317-873-3333
SOLD City of Carmel Street Department
TO 3400 W. 131st St FAX 317-733-3132
Carmel, IN 46074
ATTN Dave Huffman
QUANTITY QUANTITY
ORDERED BACKORDR DESCRIPTION PART NO. UNIT PRICE AMOUNT
1 Ford Factory Running Boards $297.00
1FTBF2B65FEC40970
I
SUBTOTAL $297.00
FREIGHT/SHPG
LABOR
TERMS: TAX
TOTAL INVOICE $297.00
STOCK NUMBER
DATE OF ORDER CUSTOMER ORDER NO. TERMS
01/12/15 23708
DATE SHIPPED SHIP VIA PPD ADD COLL
SHIP F PEARSd./N
�
AUTOMO E
To FOR A LIFETIME
10650 N Michigan Rd
Zionsville, IN 46033
PHONE 317-873-3333
SOLD City of Carmel Street Department
TO 3400 W. 131 st St FAX 317-733-3132
Carmel, IN 46074
ATTN Dave Huffman
I
QUANTITY QUANTITY
ORDERED BACKORDR DESCRIPTION PART NO. UNIT PRICE AMOUNT
1 Ford Factory Running Boards $297.00
1FTBF2B65FEC40967
SUBTOTAL $297.00
FREIGHT/SHPG
LABOR
TERMS: TAX
TOTAL INVOICE $297.00
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))
01/12/15 23708 $297.00
01/12/15 23693 $297.00
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
Pearson Ford
IN SUM OF $
10650 N. Michigan Road
Zionsville, IN 46077
$594.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 23708 42-370.00 $297.00 1 hereby certify that the attached invoice(s), or
2201 23693 42-370.00 $297.00 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
oFri• nuary 16,2015
f'
Street Commissioner
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund