246577 06/17/15 9�( \ CITY OF CARMEL, INDIANA VENDOR: 360694 CHECK AMOUNT: $"******241.08*
® �I
ONE CIVIC SQUARE WESTFIELD AUTOMOTIVE LLC
?� CARMEL, INDIANA 46032 17534 WESTFIELD PARK ROAD CHECK NUMBER: 246577
gy.('oN � WESTFIELD IN 46074 CHECK DATE: 06/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 69438 241.08 AUTO REPAIR & MAINTEN
Westfield Automotive LLC
17534 Westfield Business Park Ct
Westfield,IN 46074
Phone(317)867-5500-Fax(317)867-1588
{LIKE US ON FACEBOOK)
5/6/2015 **** R.O. #66621 OF ESTIMATE #69438 **** Page 1 of 1
Customer: CARMEL FIRE DEPARTMENT Vehicle: 2008 Dodge Durango SLT
Address: 2 CIVIC SQUARE License 5412
CARMEL,IN 46032 Current Mileage: 83255-In: 0
Home Phone: V.I.N.: 1D8HB48N18F156241
Work Phone: 571-2600 Engine: 4.71,V8(N)
Cellular Phone (317)664-0958BOB Prod.Date:
Email: Color:
Service Writer: VIC Next Service 8/5/2015,Mileage: 86255
LABOR COMPLETED
TITLE TECH. TOTAL$
CHECK OUT AND REPLACE OUTER TIE RODS NEAL 67.20
QTY. PART# DESCRIPTION PARTS ISSUED TECH. EACH$ TOTAL$
2 45A1378 OUTER TIE RODS NEAL 49.95 99.90
SUBLET LABOR CHARGED
TITLE TOTAL$
FRONT END ALIGNMENT 69.95
�j _�— C� 2��
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Payment Type: TOTAL Labor 67.20
Amount$: TOTAL Parts 99.90
Date: TOTAL Sublet Labor 69.95
Employee TOTAL Shop Supplies 4.03
SUBTOTAL 241.08
TAX 0.00
**TOTAL ** $241.08
Balance Due $241.08
parts and labor are warranted for 90 days or 4,000 miles
WESTFIELDAUTO@COMCAST.NET-www.westfieldautol.com
Westfield Automotive LLC
17534 Westfield Business Park Ct
Westfield, IN 46074
Customer Statement
CARMEL FIRE DEPARTMENT
2 CIVIC SQUARE
CARMEL, IN 46032
6/1/2015 Page 1 of 1
Aging:
Beginning Balance: _$0.00 0 to 30 Days $241.08
Total Payments: $0.00 31 to 60 bays $0.00
Total Charges: $241.08 61 to 90 Days $0.00
Ending Balance: $241.08 Over 90 Days $0.00
5/1/2015 to 5/31/2015
Date _Description _ _ Payments$ Charges$ Balance$
5/6/2015 R.O.#66621 Est.469438 241.08 241.08
VOUCHER NO. WARRANT NO.
Westfield Automotive, LLC. ALLOWED 20
IN SUM OF$
17534 Westfield Park Road
Westfield, IN 46074
$241.08
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 69438 43-510.00 $241.08 1 hereby certify that the attached invoice(s), or
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
JUN 15 2015
Fire Chief
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
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))
69438 6241 $241.08
I ;
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