245790 06/03/15 j 1'C�\f`
>., ;, CITY OF CARMEL, INDIANA VENDOR: 355635
;; it ONE CIVIC SQUARE CREW CAR WASH CHECK AMOUNT: $*******100.00*
r•. -� CARMEL INDIANA 46032 10251 HAGUE ROAD CHECK NUMBER: 245790
:.
'M•..._.� INDIANAPOLIS IN 46256
a,oN� CHECK DATE: 06/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4351100 005617 100.00 CAR CLEANING
,
;_ Crew Carwash,lnc.
INVOICE
.4- 10251 N.Hague Road
:: - Indianapolis, IN 46256
�'� Phone: (317)572-9250 INVOICE DATE
Fax: 317 572-9251 5/11/2015
INVOICE NUMBER
Email Address:mcw@mail.fwi.com Web site,...http:l\www.crewcarwash.com 005617
CUSTOMER NUMBER
City of Carmel Information&Systems CITCA01
311stAve.NW TERMS
Carmel,IN 46032
Net 30
Description QTY UNIT PRICE AMOUNT
Carwash Singles 16.00 8.00 128.00
Discount 1.00 -28.00 -28.00
I
I
i
" I
Make Checks Payable to.' Crew Carwash, Inc.
Attn:Accounts Receivable
10251 N. Hague Road
,Pf 1 Indianapolis, IN 46256
TotalDue 100.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
CREW CAR WASH
10251 HAGUE ROAD IN SUM OF$
INDIANAPOLIS IN 46256
$100.00
ON ACCOUNT OF APPROPRIATION FOR
Communications
PO#/Dept. INVOICE NO. ACCT#lrITLE AMOUNT Board Members
1115 005617 43-511.00 $100.00
I hereby certify that the attached invoice(s), or
I I
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
Thursday, May 28, 2015
Terry Crockett, Director
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
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))
05/11/15 005617 $100.00
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