248942 08/26/15 CITY OF CARMEL, INDIANA VENDOR: 214400
® it ONE CIVIC SQUARE MUFFLERS & MORE CHECK AMOUNT: $****""""85.00*
CARMEL, INDIANA 46032 2235 WESTFIELD ROAD CHECK NUMBER: 248942
NOBLESVILLE IN 46060 CHECK DATE: 08/26/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 81115 85.00 OTHER EXPENSES
BRAKE SERVICE SPECIALISTS FOREIGN vC r E:FIS �o DOMESTIC
.• VALVOLIN
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— — BRAKES•SHOCKS•STRUTS
Benox QUICK OIL CHANGES• TRUCKS•VANS• RVs
(317) 896-5868
2235 Westfield Road I Noblesville, IN 46060
NAME l�(� 1`' f'j �� rte 1
DATE X 1 1 —/15/✓
STREETIJQt'�jt CITY ZIPTr',eV.l NO( h
YEAR/MAKEFr)(CJ� MODEL//�Ji`Jl MOTOR NO. PHOnJE� r��rrJ�I�
ODOMETER \/\/ PLATE#�^ PROMISED PHON,E
WHEN
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NOT RESPONSIBLE FOR LOSS OR DAMAGE REPAIRS SIGNATURE OF MECHANICS TOTAL LABOR
TO CARS OR ARTICLES LEFT IN CARS IN
CASE OF FIRE,THEFT OR ANY OTHER CAUSE PERFORMED �,
BEYOND OUR CONTROL By
2 TOTAL PARTS
ALL MUFFLERS CARRY A ONE YEAR WARRANTY UNLESS SPECIFIED J CASH
OTHERWISE. 15% HANDLING CHARGE ON ANY RETURNED MERCHANDISE AND O CHECK NO.
$20.00 CHARGE FOR RETURNED CHECKS. THIS RECEIPT MUST ACCOMPANY ourslDE REPAIRS
ALL RETURNS. ❑ VISA _ OTHER
THANK YOU!
MASTERCARD SUB TOTAL
I hereby authorize the,above repair work to be done along with the necessary material,and hereby grant you and/or
your employees permission to operate the'car,truck or vehicle herein described on streets,highways,or elsewhere ❑ DISCOVER SALES TAX
for the purpose of testing and/or inspection.An ex ress mechanic's lien is acknowledged to secure the amount of 7�
repairs. # TOTAL t\ r~ l
•y, i,
t
+r'. r1'' '•r'
_ ,. ., as .. ".3, Y,:; ;.i';. 'r a .x�•' ., .. ., ..., ..,. ,_.._
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 of service rendered, by whom, rates per day, number of units,
price per unit,etc.
Payee
214400
MUFFLERS & MORE Purchase Order No.
2235 WESTFIELD RD Terms
NOBLESVILLE, IN 46060 Due Date 8/18/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/18/2015 81115 $85.00
I hereby certify that the attached invoice(s), or bill(s) is (are)true and
correct and I have auditte/,d same in accordance/with IC/ 5-11-10-1.6
Date Officer
VOUCHER # 152810 WARRANT# ALLOWED
214400 IN SUM OF $
MUFFLERS & MORE
2235 WESTFIELD RD
NOBLESVILLE, IN 46060
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
i
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
81115 01-6500-04 $85.00
i
i
Voucher Total $85.00
Cost distribution ledger classification if
claim paid under vehicle highway fund