252588 12/15/15 r . CITY OF CARMEL, INDIANA VENDOR: 355635
ONE CIVIC SQUARE CREW CAR WASH CHECK AMOUNT: $"""*100.00'
�• i4 CARMEL, INDIANA 46032 10251 HAGUE ROAD CHECK NUMBER: 252588
INDIANAPOLIS IN 46256 CHECK DATE: 12/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4351100 005623 100.00 CAR CLEANING
g Crew Carwash,lnc. INVOICE
10251 N.Hague Road
Indianapolis, IN 46256
INVOICE DATE
Phone: (317) 572-9250
Fax: (317) 572-9251 11/28/2015
INVOICE NUMBER
Email Address:mcw@mail.fwi.com Web Site: http:\\-/wkww�crewcarwash.com 005623
1p eo, Ojf, CUSTOMER NUMBER
City of Carmel Information&Systems CITCA01
31 1 st Ave.NW
TERMS
Carmel, IN 46032
Net 30
Description QTY UNIT PRICE AMOUNT
Carwash Singles 16.00 8.00 128.00
Discount 1.00 -25.60 -25.60
1
Make Checks Payable to: Crew Carwash, Inc.
Attn: Accounts Receivable ,
10251 N. Haque Road
6-10
1°f 1
Indianapolis, IN 46256 ✓
TotalDue40
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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s) or bill(s))
11/21/15 I 005623 I I $100.00
1115 101
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
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
PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Members
005623 I 43-511.00 I $100.00 1 hereby certify that the attached invoice(s), or
1115 101
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, December 14, 2015
Terry Crockett, Director
Cost distribution ledger classification if
claim paid motor vehicle highway fund