HomeMy WebLinkAbout252744 12/15/15 s CAA
CITY OF CARMEL, INDIANA VENDOR: 00352025
ONE CIVIC SQUARE P F M CAR & TRUCK CARE CENTER CHECK AMOUNT: $********78.70*
}• ,?� CARMEL, INDIANA 46032 4902 W 106TH ST CHECK NUMBER: 252744
ZIONSVILLE IN 46077 CHECK DATE: 12/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4351000 5020576 78.70 AUTO REPAIR & MAINTEN
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:'-FR!ENDLY QUALITY SERVICE ATA FAIR PRICE
-ner: CITY OF CARMEL DEPT OF COMM. SER Vehicle : 2008 Ford Escape Invoice# 5020576
.`%ddress : ONE CIVIC SQUARE Unit# :
City : CARMEL, IN 46032- VIN : 11-MCU59H48KB58554 Date: 11/24/2015 Page 1 of I
Phone 1 317 571-2418 LicP Engine : 4-140 2-31- DOIAC Orig Est#: Center: 1
Phone 2 317 571-2426 Trans Mileage : 21095 1� );
Tech Jot)Description Price
Qty Part Description List Disc Price Net Reason for Replacement Labor Parts Subtotal
,,Service Requests:
waiter
I perform oil change
2 replace both wipers blades.
F, Quart LIGHT DUTY GAS "A"PM SERVICE: CHANGE ENGINE OIL WITH Up TO 5 TS OF 34.95
0, 14.19 20.76
MOTOR OIL, REPLACE OIL FILTER AND LUBRICATE CHASSIS WHERE POSSIBLE, WITH
"A" SERVICE. PERFORMED SERVICE PER INSPECTION SHEET.
"additional parts are an extra charge
L.00 Oil, 8.46 7. 17 . 17
cil EULI (ITT, 0
l"o PiPLACE WINDSHIELD WIPER:; 0.00 37.92 37.92
q.
37
% 4567--------------------
:'aynr!nts:
(On. Accoun L) $78.70, on 11/24/15
-0
CS
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ICHLD T'-JJLTN"�; Sys
SEVICES OK OK
MAINTENANCE OK ✓ CH IRGING SYS GK
AIC & HEATING CK DRIVE TRAIN OK
BATTERY OK ✓ EMISSIONS OK
BELTS S HOSES OK EXHAUST OK
BRAKES OK ✓ FLUIDS OK
TIRES OK ✓ LIGHTING; OK
TRANSMISSION OK ✓ STEERING OK
DOT OK ✓ SUSPENSION OK
As owner or authorized agent, I authorize the services along with necessary
parts and materials arid grant PFM employees permission to operate the vehicle Labor $14.19
herein described on streets,highways.or elsewhere,at your discretion,for Parts $58.68
Sublet $0.00
the Purpose of testing and/or inspection. I acknowledge an express rnechanio:s Other Fees $0.00
licli'm the%chicle In secure all oulsfailding,clian"CS.I 1111tierstaild 111:11 111:,N] fSupply Charges $5.83
is not responsible for delays consequences. Not esponsible for damage or Subtotal $78.70
articles left in car in case of fire,theft or any other cause beyond our Sales Tax $0.00'
direct control.A 2%service charge will be added to the monthly account
Balance.Storage charge after 21 days of$5.00 a day.Warranty is limited to Total: $78.70
original invoice an"10LInt and must be performed by PFM or preapproved.
Paid: $0.00
L Due : $78.70
Signature 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 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))
11/24/15 5020576 $78.70
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
pfm Truck and Car Care Center
' IN SUM OF $
i
4900 W. 106th Street
Zionsville, IN 46077 I
I
$78.70
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. I ACCT#!TITLE AMOUNT Board Members
1192 I 5020576 I 43-510.00 I $78.70 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
Friday, December 11, 2015
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund