The URL can be used to link to this page

Home My WebLink About242059 02/10/15 i r,4ggy CITY OF CARMEL, INDIANA VENDOR: 00352025 ONE CIVIC SQUARE P F M CAR &TRUCK CARE CENTER CHECK AMOUNT: $****"2,742.24* ?� CARMEL, INDIANA 46032 4902 a 06TH ST CHECK NUMBER: 242059 CHECK DATE: 02/10/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4351000 5015821 40.99 AUTO REPAIR & MAINTEN 1125 4351000 38009 5015926 581.26 REPLACE TIRES ON KUBO 1120 4351000 5015968 43.15 AUTO REPAIR & MAINTEN 1125 4351000 38026 5015971 2,076.84 TRUCK REPAIRS Carmel— 14418 Guilford Rd,Carmel,IN 46032 317-571-8777 Car&Truck Care Center Castleton—9501 Corporation Dr,Indianapolis,IN 46256 317-577-7777, Truck&Car Care Center South—1402 W Hanna Ave,Indianapolis,IN 46217 317-784-7777 OnSite Services Zionsville—4900 W 1060'St,Zionsville,IN 46077 317-733-7777 pi, PFMAutomotive.com PLEASE REMIT TO: 4902 W 10611 St.•Zionsville,IN 46077.317-733-3977 FAST FRIENDLY QUALITY SERVICE AT A FAIR PRICE Customer: CARMEL CLAY FIRE DEPARTMENT Vehicle :2009 Ford F250 super duty Invoice# 5015968 Address : 2 CIVIC SQUARE Unit#: 45 11111111111111111111111111111111111111111111111111 IN City: CARMEL, IN 46032- VIN : 1 FTSX21579EA85476 Date: 1/27/2015 Page 1 of 2 Phone 2 : ( ) 664-0958 LicP : 583 Engine :V8-330 5.4L SOHC Orig Est#: Center: 1 Phone 4 : ( ) 690-4283 Trans : AUTO Mileage:65494 Tech Job Description Price Qty Part Description List Disc Price Net Reason for Replacement Labor Parts Subtotal -- 1. P.M. SERVICE. 2. TIRE ROTATION AND BALANCE. . CUSTOMER CAN FEEL A VIBRATION AT AROUND 50 M.P.H. CHECK AND ADVISE. 5014 7 Quart, 5W20, LIGHT DUTY GAS "A"PM SERVICE: 10.07 29.88 39.95 CHANGE ENGINE OIL WITH UP TO 7 QTS OF MOTOR OIL, REPLACE OIL FILTER AND LUBRICATE CHASSIS WHERE POSSIBLE, WITH "A" SERVICE. PERFORMED SERVICE PER INSPECTION SHEET. 1.00 OIL FILTER 5.69 4.82 4.82 7.00 5 W20 OIL 4.22 3.58 25.06 5014 TIRE ROTATION AND BALANCE, CARS 6 L/D TRUCKS. 34.95 34.95 1000 -34.95 -34.95 1001 FOUND THE DRIVER SIDE UPPER AND LOWER BALL JOINTS HAVE EXCESSIVE PLAY ALSO 0.00 FOUND THE RIGHT FRONT OUTER TIE ROD END HAS EXCESSIVE MOVEMENT. THE PASSENGER SIDE BALL JOINTS HAVE SLIGHT PLAY. 1000 REMOVE AND REPLACE THE UPPER AND LOWER BALL JOINTS BOTH SIDES. Declined 0.00 2.00 UPPER BALL JOINT Declined 2.00 LOWER BALL JOINT Declined 1.00 OUTER TIE ROD END Declined 1.00 Drag Link Declined 100( FOUR WHEEL ALIGNMENT CHECK AND ADJUST THE ALINGMENT AS NEEDED. INSTALLATION Declined AND PARTS EXTRA AS NEEDED. -------------------- Payments: ___(On.Account)-, $43.15, -on 01/27/15 - - -- --- _ Carmel-1441 S Guilford Rd,Carmel,IN 46032 317-571-8777 Car di Truck Care Center CaSlleton-9501 Corporation Dr,Indianapolis,IN 46256 317-577-7777 0— fm Truck&Car Care Center South-1402 W Hanna Ave,Indianapolis,IN 46217 317-784-7777 OnSite Services Zionsville-4900 W 106th St,Zionsville,IN 46077 317-733-7777 -00 PFM.t6tomotive.com PLEASE REMIT TO: 4902 W 10611 St.•Zionsville,IN 46077.317-733-3977 FAST FRIENDLY QUALITY SERVICE AT A FAIR PRICE Customer: CARMEL CLAY FIRE DEPARTMENT Vehicle :2009 Ford F250 super duty Invoice# 5015968 Address : 2 CIVIC SQUARE Unit#: 45 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII City: CARMEL, IN 46032- VIN : 1 FTSX21579EA85476 Date: 1/27/2015 Page 2 of 2 Phone 2 : ( ) 664-0958 LicP : 583 Engine :V8-330 5.41-SOHC Orig Est#: Center: 1 Phone 4 : ( ) 690-4283 Trans : AUTO Mileage :65494 Tech Job Description Price ____Qty P_art_Description List—Disc-Price—Net Reasi nt abor�P_arts.—..Subtota%- ✓ SCHLD SEVICES OK COOLING SYS OK ✓ MAINTENANCE OK ✓ CHARGING SYS OK ✓ A/C & HEATING OK ✓ DRIVE TRAIN OK ✓ BATTERY OK ✓ EMISSIONS OK ✓ BELTS & HOSES OK ✓ EXHAUST OK ✓ BRAKES OK ✓ FLUIDS OK ✓ TIRES OK ✓ LIGHTING OK ✓ TRANSMISSION OK ✓ STEERING OK ✓ DOT OK x SUSPENSION LOOSE BALL JOINTS As owner or authorized agent,I authorize the services along with necessary Labor: $10.07 parts and materials and grant PFM employees permission to operate the vehicle Parts: $29.88 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.1 understand that PFM Supply Charges : $3.20 is not responsible for delays consequences.Not esponsible for damage or Subtotal: $43.15 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: $43.15 original invoice amount and must be performed by PFM or preapproved. Paid: $0.00 Due: $43.15 Signature X Carmel—1441 S Guilford Rd,Carmel,IN 46032 317-571-8777 .POVMCar 6 Truck Care Center Casdeton-9501 Corporation Dr,:lndianapolis,IN 46256 317577-7777 Truck&Car Care Center South—1402 W Hanna Ave,Indianapolis,IN 46217 317-784-777-7 OnSite Services Zionsville—4900 W 106"'St,Zionsville,IN 46077 317-733-7777 PFMAutomoth .com PLEASE REMIT TO: 4902 W 100 St.•Zi6nsville,'W46077.317-733-3077 FAST FRIENDLY QUALITY SERVICE ATA FAIR PRICE Customer: CARMEL CLAY FIRE DEPARTMENT Vehicle:2012 Ford F150 pickup Invoice#5015821 Address: 2 CIVIC SQUARE Unit#: 431 IIIIIIIIIIIIIIIIIIII�IIIIIII�IIIIIIIIII�IIIIIIII City: CARMEL, IN 46032- VIN : 1FTFW1ET3CFD01817 Date:1/19/2015 Page 1 of 1 Phone 2 : ( ) 664-0958 LicP: 12870 Engine:V6-3496 3.5L DOHC Orig Est M Center: 1 Phone 4: ( ) 690-4283 Trans: AUTO Mileage:43455 Tech Job Description Price t,Tty- Part Description List Disc Price . Net - Reason for Replacement - - Labor-_Parts__- .Subtotal - - - Service Requests: WAITING 1. PM SVC 5017 6 Quart LIGHT DUTY GAS "A"PM SERVICE: CHANGE ENGINE OIL WITH UP TO 6 QTS OF 7.62 30.33 37.95 MOTOR OIL, REPLACE OIL FILTER AND LUBRICATE CHASSIS WHERE POSSIBLE, WITH "A" SERVICE. PERFORMED SERVICE PER INSPECTION SHEET. 6.00 5 W20 OIL 4.22 3.58 21.48 1.00 NAPA OIL FILTER 10.44 8.85 8.85 As owner or authorized agent,I authorize the services along with necessary parts and materials and grant PFM employees permission to operate the vehicle Labor: $7.62 herein described on streets,highways or elsewhere,at your discretion,for Parts: $30.33Sublet: $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: $3.04 is not responsible for delays consequences.Not esponsible for damage or Subtotal• $40.99 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: $40.99 original invoice amount and must be performed by PFM or preapproved. Paid: $0.00 Due: $40.99 Signature X VOUCHER NO. WARRANT NO. ALLOWED 20 PFM Truck Care IN SUM OF $ 4902 West 106th Street Zionsville, IN 46077 $84.14 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 5015968 43-510.00 $43.15 1 hereby certify that the attached invoice(s), or 1120 5015821 43-510.00 $40.99 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 ca- a,r• Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund i , 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 i iPurchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 5015968 VIN 5476 $43.15 5015821 VIN 1817 $40.99 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 AIM q &jVEDr Carmel- 14-11 S GLI'Po,d R(,1,Can-nal.IN!46032 3 1 -377" Cat,6z Truck LIS tie t017-9-50 1 kr'-f PC,r a tlior"Dr,in dian a Do I!s,!N 4625 - 77-7 7_77-'7 South-1-102',:Hanna Ave.Indianapolis,1'1-11,3217 -' :1 '7 7-64-7 77 Truck& Car Care Wqio 2015 OnSite Services Z onsville--*oo vi,1r0' Jt.zionsviiie,iP4 14077 `7 31 f,733.77 . "t. PFMAutomotivexom 1BY:_ 2LZ_A":-PREI",.11TT0: 4902 1411061"St. -Zionsville,IN 1,16077.317-733-39,77 FAST FRIENDLY QUALITY SERVICE ATA FAIR PRICE r Invoice#5015926 Customer: CARMEL PARKS AND RECREATION Vehicle: 20 GOLF Rtvx1 100 Address: 1411 E 116TH ST Unit#: I IIIIIIII III VIII VIII VIII VIII VIII VIII IIII IIII City: CARMEL,IN 46032- VIN: Date:1129/2015 Page I of 2 Phone 1 317 573-4044 LicP: Engine: Orig Est#: 0002432 Center: I Phone 2 . 317 573-4026 Trans Mileage: 2536 PO#-38009 Tech Job Description Price Qty Part Description List Disc Price Net Reason for Replacement Labor Parts Subtotal Service Requests: REPLACE 4 TIRES. Estimate Approvals: Original Approval Date: 1/22/2015 3:00:00 PM Reason: TIRES Amount: $581.26 Auth By: CARMEL PARKS AND RECREATION Contacted By Phone --- "Phone-(317) 573-4044 By:' 288 - -------------------------------------------------------------- 5017 MOUNT & BALANCE FOUR TIRES 35.00 546.26 581.26 -1.00 CARLIE ALL TRAIL 120.77 102.35 -102.35 -1.00 TIRE TAX 0.30 0.25 -0.25 Warranty: 0 Size: NIA 4.00 STREET TIRE Declined 4.00 FREIGHT Declined 4.00 STREET TIRE Declined Warranty: 0 Size: Not on File Not on File Not on File Not on File 1.00 TAX Declined 4.00 CARLIE TRAIL TIRE Declined Warranty: 0 Size: r& Not on File 4.111 �",#4WA Not on File Not on File Not on File 4.00 25X10X12 ATV OTR TIRE 169.63 143.75 575.00 4.00 TIRE TAX 0.30 0.25 1.00 4.00 TIRE DISPOSAL 5.84 4.95 19.80 Warranty: 0 Size: 25X10X12 ATV 4114 C10-2 4114 C10-2 C9-1 4114 C9-1 4114 1.00 FREIGHT 62.61 53.06 53.06 100 MANAGER NOTES: WILL ISSUE CREDIT ON ONE SINGLE TIRE THAT WAS JUST REPLACED SO 0.00 THAT WE CAN INSTALL 4 MATCHING STREET TIRES. ALL TIRES NEED TO MATCH IN TREAD DEPTH AND TREAD PATTERN SINCE THIS VEHICLE IS ALL WHEEL DRIVE. IF ALL TIRES DO NOT MATCH DAMAGE TO DRIVE TRAIN MAY OCCUR. ALSO WE DO NOT KNOW THE LIFE SPAN OF THE STREET TIRES SINCE THEY WILL BE DRIVEN ON DRY PAVEMENT AND MAY WEAR FASTER THAN EXPECTED. -------------------- Payments: (On Account), $581.26, on 01/29/15 :y -v pimmoARM Carmel— 14,1 _Gui'iord Rd.Carmel.IE 46032 -317 ;;71-8777 MCar& Truck Care Venter Castleton- 01 Corporation?r.Indianapolis,IN 46255 31 r 77-7 Truck CSI Car Care Center 5011th—1 _ , Hanna Ave,Indlanapo:is. IN 46217 , ' r g! 777,• AlommunwO anSite Set-vices Zionsville- 9v0`, 1„6'=St.Zionsville.IFS X6077 733 7'7" PFAIAtrtomotive.corn PLEASE RE1,,JiT TO: 4902 bre/106"St.•Zionsville,IN 46077.317.733.3977 FAST FRIENDLY QUALITY SERVICE AT A FAIR PRICE Customer: CARMEL PARKS AND RECREATION Vehicle:20 GOLF Rtvxl 100 Invoice#5015926 Address: 1411 E 116TH ST Unit#: 1111111111111 11111 111111111 X11111111111111 X1111111 City: CARMEL,IN 46032- VIN Date:1/29/2015 Page 2 of 2 Phone 1 : ( 317 ) 573-4044 LicP: Engine: Orig Est#: 0002432 Center: 1 Phone 2 : (317 ) 573-4026 Trans: Mileage: 2536 PO#:38009 Tech Job Description Price Qty Part Description List Disc Price Net Reason for Replacement Labor Parts Subtotal I ✓ SCHLD SEVICES OK ✓ COOLING SYS OK ✓ MAINTENANCE OK ✓ CHARGING SYS OK ✓ A/C & HEATING OK ✓ DRIVE TRAIN OK ✓ BATTERY OK ✓ EMISSIONS OK ✓- BELTS & HOSES OK - --✓ - EXf7AUST-- -- OK--- ------ --—-- - - ✓ BRAKES OK ✓ FLUIDS. OK ✓ TIRES OK ✓ LIGHTING OK ✓ TRANSMISSION OK ✓ STEERING OK ✓ DOT OK ✓ SUSPENSION OK As owner or authorized agent,I authorize the services along with necessary Labor: $35.00 parts and materials and grant PFM employees permission to operate the vehicle Parts: $525.71 herein described on streets,highways or elsewhere,at your discretion,for Sublet: $0.00 the purpose of testing and/or inspection.1 acknowledge an express mechanics Other Fees: $20.55 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: $581.26 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: $581.26 original invoice amount and must be performed by PFM or preapproved. Paid: $0.00 Due: $581.26 Signature X 'a Carmel- `4.11 S G10tord Rd.Carmel.IN 16032 317-57!_F77-, Car oSi truck -_ - astletan- 93-0'1 Corporation India apo is.IN-125j3-<, 'J( Truck& Car #� � South- , 0_ .,'zanna A. e !nciar.apo rs. IN 11621.. 317 73 + n5ite Set ces FEB 0 2 2015 ronsvitle— 9 ° �.tial s €ilc.1".i 43C'=7 :317-733-77" � �c PFMAutomorive.cotn PLEA REr.1 T TO: 4902 W 106x'St. •Zionsville, 1rV 4E077.317-733-3977 FAST FRIENDLY QUALITY SERVICE ATA FAI . Customer: CARMEL PARKS AND RECREATION Vehicle: 2003 Chevrolet Silverado 3500 1 Invoice# 5015971 Address: 1411 E 116TH ST Unit#: 11111111111 X11111111111111 X1111 X111111111 X111 IN City: CARMEL, IN 46032- VIN : 1GBJK34GX3E265690 Date:1/31/2015 Page 2 of 2 Phone 1 ( 317 ) 573-4044 LicP: Engine:V8-495 8.1 L Orig Est#: Center: 1 Phone 2 : (317 ) 573-4026 Trans: AUTO Mileage: 26864 PO#:38026 Tech Job Description Price Qty Part Description List Disc Price Net Reason for Replacement Labor Parts Subtotal ✓ SCHLD SEVICES OK ✓ COOLING SYS OK ✓ MAINTENANCE OK ✓ CHARGING SYS OK ✓ A/C & HEATING OK ✓ DRIVE TRAIN OK ✓ BATTERY OK ✓ EMISSIONS OK _ ✓ BELTS & HOSES OK ✓ EXHAUST OK ✓ BRAKES OK ✓ FLUIDS OK ✓ TIRES OK ✓ LIGHTING OK ✓ TRANSMISSION OK ✓ STEERING OK ✓ DOT OK ✓ SUSPENSION OK As owner or authorized agent,I authorize the services along with necessary Labor: $1,169.94 parts and materials and grant PFM employees permission to operate the vehicle Parts: $906.90 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 $2,076.84 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 $2,076.84 original invoice amount and must be performed by PFM or preapproved. Paid: $0.00 Due: $2,076.84 Signature X s r ' Carmel- 144 1 S Guilford Rd,CarrneI.IN 46032 317-57,-8 1 7- � SiMCar eSz Truck Care Center Castleton- �z)50 i :.o`,.cra i:.n Indianiapoils.IN 1621_ 3 7-57--17-- Truck& Car Care Center South- Henna Ave.Ind.ianapoiis. IN-i52^_ 3;7--r _i7; Onsite Services Zionsville- 900 , I -° r 7 :- .Zir�nsi,le,i�=tfi� 7 a „3-7-- PFMAutomotivexom PLEASE REt.<'IT TO: 4902 W 10V)St. •Zionsville, IN 46077.317-733-3977 FAST FRIENDLY QUALITY SERVICE AT A FAIR PRICE Customer: CARMEL PARKS AND RECREATION Vehicle: 2003 Chevrolet Silverado 3500 I 11 Invoice# 5015971 Address: 1411 E 116TH ST Unit#: 111111111 111 X1111 X1111 X1111 X111111111111111111 IN City: CARMEL, IN 46032- VIN: 1GBJK34GX3E265690 Date:1/31/2015 Page 1 of 2 Phone 1 ( 317 ) 573-4044 LicP: Engine:V8-495 8.1 L Orig Est#: Center: 1 Phone 2 : (317 ) 573-4026 Trans: AUTO Mileage: 26864 PO#:38026 Tech Job Description Price Qty Part Description List Disc Price Net Reason for Replacement Labor Parts Subtotal Service Requests: TOW IN 1. CUSTOMER INSTALLED A BATTERY BUT VEHICLE WILL NOT START. 2. RE-INSPECT BRAKES TO SEE IF THEY HAVE GOTTEN ANY WORSE. - Original Approval Date: 1/28/2015 7:37:00 AM Reason: BRAKE LINES, STARTER Amount: $2,077.94 Auth By: CARMEL PARKS AND RECREATION Contacted By Phone Phone: (317) 573-4044 By: 5131 -------------------------------------------------------------- 5014 REMOVE AND REPLACE MAIN BRAKE LINE FROM ABS MODULE TO REAR AXLE, REPLACE ALL 970.00 760.90 1730.90 BRAKE CALIPERS AND CONNECTION HOSES DUE TO BRAKE BLEEDERS NOT OPENING TO BLEED BRAKES AFTER REPAIR. THIS ALSO INCLUDES REPLACMENT OF ALL LINES IF NEEDED. 25.00 BRAKE LINE 3.35 2.84 71.00 5.00 BRAKE TUBE NUT 2.34 1.98 9.90 1.00 REMAN BRAKE CALIPER 132.90 112.63 112.63 3.00 1/4 BRAKE FITTING 2.04 1.73 5.19 1.00 REMAN BRAKE CALIPER 132.90 112.63 112.63 1.00 REMAN BRAKE CALIPER 122.17 103.53 103.53 1.00 REMAN BRAKE CALIPER 122.17 103.53 103.53 1.00 LEFT BRAKE HOSE 39.22 33.24 33.24 1.00 RIGHT BRAKE HOSE 39.22 33.24 33.24 1.00 BRAKE HOSE 30.79 26.09 26.09 1.00 BRAKE HOSE 35.78 30.32 30.32 1.00 BRAKE HOSE 35.78 30.32 30.32 10.00 BRAKE LINE 3.35 2.84 28.40 6.00 BRAKE LINE 3.35 2.84 I7.04 8.00 BRAKE FLUID 5.30 4.49 35.92 4.00 3116 BRAKE LINE FITTING 2.34 1.98 7.92 5701 Remove 6 Replace Starter Assembly + w/Skid Plate add starter is broken and 199.94 146.00 345.94 will have no core credit. 1.00 REMAN STARTER 172.28 146.00 146.00 -------------------- Payments: (On Account), $2076.84, on 01/31/15 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL I . An invoice of 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. 00352025 P F M Car&Truck Care Center Terms 4902 W 106th Street Zionsville, IN 46077 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 1/29/15 5015926 Replace tires on Kubota 38009 $ 581.26 1/31/15 5015971 Inspect and repair brakes P03 28026 $ 2,076.84 Total $ 2,658.10 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. 00352025 P F M Car&Truck Care Center Allowed 20 4902 W 106th Street Zionsville, IN 46077 In Sum of$ $ 2,658.10 ON ACCOUNT OF APPROPRIATION FOR 101 General PO#or INVOICE NO. CCT#/TITL AMOUNT Board Members Dept# 38009 F 5015926 4351000 $ 581.26 1 hereby certify that the attached invoice(s), or 38026 F 5015971 4351000 $ 2,076.84 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 February 5, 2015 Phi"" Signature $ 2,658.10 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund i