245246 5 /13/2015 �/ CITY OF CARMEL, INDIANA VENDOR: 368101 CHECK AMOUNT: $*'"*"*400.00'
.;; `,• ONE CIVIC SQUARE RAMA CAR WASH
s. ?� CARMEL, INDIANA 46032 431 EAST CARMEL DRIVE CHECK NUMBER: 245246
vM, :�: CARMEL IN 46032 CHECK DATE: 05/13/15
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4351100 400.00 CAR CLEANING
MINA&
W/15H
4752 S. Emerson Avenue • Indianapolis, Indiana 46203 • (317) 786-1176
Invoice
.—_ May 5, 2015
A ill 12
Miss Lisa M Stewart t
Administrative supervisorCID C3 C11
2�
CIA
Department of Community Services �� L cj�
25 Washes @ $16..00/wash $400.00
TOTAL AMOUNT DUE: $400.00
Please make check payable to:
RAMA CAR WASH
4752 South Emerson Avenue
Indianapolis, Indiana 46203
VOUCHER NO. WARRANT NO.
ALLOWED 20
RAMA Car Wash
IN SUM OF$
I
4752 South Emerson Avenue
Indianapolis, IN 46203
$400.00
ON ACCOUNT OF APPROPRIATION FOR
.� Carmel DOCS
i
i PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
I hereby certify that the attached invoice(s), or
1192 I I 43-511.00 I $400.001
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
,
Monday, M y 11, 2015
i
Directco
Title
Cost distribution ledger classification if
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claim paid motor vehicle highway fun
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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))
05/05/15 $400.00
r
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