246768 06/30/15 L �f CITY OF CARMEL, INDIANA VENDOR: 079150
® y ONE CIVIC SQUARE DONLEY SAFETY CHECK AMOUNT: $*****1,062.08*
=a CARMEL, INDIANA 46032 5546 ELMWOOD AVE CHECK NUMBER: 246768
y��oN�• INDIANAPOLIS IN 46203 CHECK DATE: 06/30/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 1996 1,062.08 AUTO REPAIR & MAINTEN
DONLEY SAFETY
5546 ELMWOOD COURT
INDIANAPOLIS, IN 46203
317-786-2268 / fax: 317-786-2532
ACCT# . IN # 1996 05/30/15 TL$0 DUE$1,062.08 Mileage In 58261 Out 58261
Work 317-571-2600 MUN84231A-41
Fax 317-571-2615 1 GDE4V1 978F418435
CARMEL FD 2008 GMC
2 CIVIC SQUARE C4500
CARMEL, IN 46032 6.6 L DIESEL AMBULANCE 41
[1] REPAIR/REPLACE DAMAGED REAR BUMPER AS NEEDED
GENERAL WORK Group Total 1039.58
JL2CORNER *BODY CORNER 1@ 83.33 83.33
JL210509 *BUMPER ENDS/CENTER 1@ 718.75 718.75
Parts Sub-Total 802.08
MIKE 2.50hrs @ 95.00/hr 237.5C
***REMOVED DAMAGED REAR BUMPER COMPONENTS. STRAIGHTENED BUMPER MOUNTS. INSTALLED NEW
BUMPER FLIP UP SECTION, BOTH BUMPER ENDS, AND LEFT SIDE BODY CORNER.
SUBLET 22.50 Group Total
SHOP MISC SHOP SUPPLIES/HARDWARE 1. 00 22 . 50 22 .50
THANK YOU FOR CHOOSING US.
WE APPRECIATE YOUR BUSINESS.
PARTS 802 . 08
LABOR 237 . 50
Sublet 22 . 50
<< NO TAX >>
TOTAL WORK ORDER 1062 . 08
VOUCHER NO. WARRANT NO.
� ALLOWED 20
Donley Safety
IN SUM OF $
5546 Elmwood Court
Indianapolis, IN 46203
$1,062.08
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
1
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 1996 43-510.00 $1,062.08 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 2 9 2015
Fire Chief
Title
Cost distribution ledger classification if i
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
Ik 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
i
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
1996 $1,062.08
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