243971 04/08/15 'y��cep"'" CITY OF CARMEL, INDIANA VENDOR: 00352767
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ONE CIVIC SQUARE WILLIAM HOHLT CHECK AMOUNT: $"'"•""'••5.99"
CARMEL, INDIANA 46032 cio DOCS CHECK NUMBER: 243971
'M,•,..o._. :r� cio Docs CHECK DATE: 04/08/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4351000 4421150797 5.99 AUTO REPAIR & MAINTEN
SORE PHONE N 317 846-2537
/� ADDRESS: 2140E 116TH ST
I ,moiCAR�f;= IN� Rd 46032-3276
�afl��mu
�
• REt=IIT TO: PO BOX 9464
OFFICE P.O.BOX 1156,SPRINGFIELD,MO.65801 SPRINGFIELD NO 65801-9464
PHONE(417)862-3333 0 e
BILL TO SHIP TO
999998
C 4421-150197
CASH SALE
WE APPRECIATE YOUR i �}U ��� CASH SALE
FEEDBACK. SEE INVITATION
BELOW FOR SURVEY 00000 �\ 312911.5
COUNTER USTO E}7 TIME OF FILLED;CHECKED
NO. i SPECIAL INSTRUCTIONS SHIP VIA ORDE NQ ORDER BY BY
77362 10:20:12 f
TAXI, RI QTY. LINE ITEM NUMBER UNIT''..CD. DESCRIPTION LIST NET DISC CORE EXTENDED
C , iMEAS., PRICE PRICE % PRICE PRICE
- ) WE VALUE YOUR OPINION! ''ENTER TO WIN 35000!CASH e=dOREILLYCARES.COf or' 800-30015904 �
�NTERII44216881507977. RULED AT OREILLYCARES.COM. DISPONIBLE EPI ESPANOL.
T; 1 SYL 4157LLBP BP ! NINI BULB i 10.15 5.991 ' 5.93
i
TOTALS i `Cl1ST®ME�3�i®�Y'1V,e apprrrinlcyair husBlrcc 1a.,1�� SUBTOTAL
1 ,J .........._.....55.99'...1 MISC. 5.991
... �._� TOTAL L .. .. 64
CASH TEND,
CUSTOMER SIGNATURE CHANGE 20.00
. - 13.59
MERCHANDISE 'MUST BE ACCOMPANIED BYTHIS INVOICE"' VTST! IIS f1G: l:'lYlU.oi'BlTIyaTT/o.Co//T
(Reviscd 07-20-1`!1 Limited Warr n v
"..11h,filk,tioll Is our toll pliodly, K it product fillIS dllljllll(flu will-laill'y jl,;I-Iod SMWIl on'Ills receipt(file
to a dcrcct in Irialeriillsor Nvorkillunship we Will,at our oplioil,provido it replituluelli pwilt.101 ol,it(JuIld. 'I"hiS w:wrimly
cxcludo!;pI'odw(;l 1hal to(i)ilA:i(h;lll or L-011kik)rl: (H) illiplopci Il.,k:. inSi'llialioll. Illailltuliww"or
(iii I collibilulljoll of the product wilh ollwr third-1);Ilty jvodw((�I)which lilit:I Iv)ablis"',nliqlIe,illudill"'Illon ev
(V)fililkil'![I)follow dilviaiolls:(vi)all lcl ni,(.;o(I(we'll as it 1100d,Chl.'MiCal Iall0w.salt,hail or ollik.,ir
Conditions includjll.iy�Ilittur;if ilkL)Stert,);(vii)ijieuillilflon or use On vchicba ti.,w.d for nflf'.roa(L ur racin,,-,pttrpo,,L;,:or
(viii)installation or use on vohitJ,!.S used lot-marine purpose';where tiUoll pi-odilIa is not illtawj,:d for Inalilic uSo. I'lliq
%val-l-nilty also culkidt..,s or IT111111 Liir I.:11alvP NvIlik-11 are your Our products havo it
limited one(I)'VnI,wilIT:111ty period it nIcS.S olhorwike quill:if on votlrri�coipll- It Y001' d 'IJIl1iIC0 I JIf.'IhlW
Wmnfors or:I product,the warnnity 1wriod will he its lomat:.I,;you,(fit-orij,.hial purchasor ol'tht:producl,Own IhI,;
vehicle for which the product Niue oi-i"ill"Illy pill-chilsod and ilwollod. Conrinrreial Vehicles-AoV I'VINILIC1.which iS used
or.I I is I it I I e(1 on:1 Ci)].I]I I I crt:ii I I VCI I iCk'shall IliIVC it Will't a I I iy p oriod of ninny(90)1 It I ys i I Ift L'I'I I I e d;I I o of ifs I)ilIVII:IS L!Olfly.
11'a product is replaced 1111(lor this warranty.-.I replacement product will be covered for ninety
v(90)days frim(the c
(lai
OfGXCNIII"(�01'If I C rouminder of the ic.migincl warranty JI(!l i0d, is III C:A tCl'. 'this iS Wilrral)[V. expires:At the alit Of
the applicable warranty period or oulier if you soli or otherwise I I OWIlel.;Ilip of yi.,lu volucic(IS ill','tflo product
THIS WARRANTY DOES NOT COVER IM I il)f.iNTAL fNDIVE(.71', OR SITCLM-
DAMMIF'S. THIS LI MYIED WARRANTY R171IRKS I.NTS TI If�TOTAI,LIABILI'l Y OF Ukt,'1111Y I t()R ANN'
PRODUCT. (YRF."IIA-Y MAKFIS NO OT111.)k WARRANTILS OR RITRUSENTATIONS OF ANN' KIND
'A PARTIC111,AR PURPOSE ARI: III? DISCLAINIFID,
CA' AND IATNTSS FOR
SOMF 8'FA'.IT.1J' DO NOT AI.J.Ow THE EXCLUSION OR LlivIfTATION Of' INCIM:INTAI. OR
C 0 INS 1`0 U 1;,INITIAL, DAJMAC :,I�s OR Till{ DISCI'AINUIR (A WANRANTII`S, SO AHOVE
LIMITATION'S 1\111A�y Noll'APPLTO YYOU.
hlris wmrarily IS valid only if'You nr':Iho orilliIIIII jlllfdlw;kn.of Ills Plodiwialld Im!),pli'l.lic IlIlrvdhl wd.
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317 946-2537
ADDRESS: 2180 E 11GTH ST
X11A CARMEL IN:46213&-32716
• ;. REMIT TO, PD BOX 94E4
OFFICE 0.BOX 1156;SPRINGFIELD,M0.65801 e SPRIPISFIELD PID 65801-9464
PHONE(417)862.3333
BILL TO SHIP TO \
99999 4421-150797�
CASH SALE , d" L� GASH SALE;
WE-APPRECIATEYOURbv,�FEEDBACK„ SEE INVITATION3!29!15
BELOW FOR SURVEY:
USTO Ep I '.TME OF f Fl6CEOCNECKE `.
.000NTER_`�j 3PECIALINSTRUCTIONS- '%� "SHIPVIA -ORDE NO. 4' ORDER'` I BY BY
774ac
t ''L13T ''� NET. I O13C fi COflE �� �'�E7(TENDED
TAX :6 I`'pTV LINE.� REM NUMBER Um Co.' DESCRIPTION 4 n PRICE PRICE ( %.I;_ PRICE .�;. PR,tCE
l
i,, 13 �E' VALUE;YOUR OPINION' ;ENTER TO;FlIN {CASH. @OREIL}LYCARE$>COC4ori-86D 5904-, -+
3TER)4 ?�W8815@7977 RULE ATDREILLYGARES COM DISPONIBLE EPf ESMt�l.
4157LLHP $ __ i MINI BLIT 8 k 121 15' 5.991 5
SUB TOTAL
TOTALS Cummm `,{9e appreotata your hNs+oeFs �. __ 5e9
CASH TEND. ! TAXI FENS /
CUSTOMER SIGNATURE CHANGE 't TOTAL I
-1&59-
Visit Us At: mmoreillyauto-com —
VOUCHER NO. WARRANT NO.
ALLOWED 20
William Hohlt
IN SUM OF$
c/o One Civic Square
Carmel, IN 46032
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. I ACCT#!TITLE AMOUNT Board Members
I hereby certify that the attached invoice(s), or
1192 I 4421150797 I 43-510.00
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
Friday, A ril 03, 2015
Direc r
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
i
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.
I
Payee
Purchase Order No.
Terms
i
i
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
03/29/15 4421150797 $6.41
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