HomeMy WebLinkAbout253614 01/22/16 CITY OF CARMEL, INDIANA VENDOR: 355635
ONE CIVIC SQUARE CREW CAR WASH CHECK AMOUNT: $*******637.50*
CARMEL, INDIANA 46032 10251 HAGUE ROAD CHECK NUMBER: 253614
'MUTON�` INDIANAPOLIS IN 46256 CHECK DATE: 01/22/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 R4351100 33340 005626 312.50 CAR WASH TICKETS
2200 4351100 5712 325.00 CAR CLEANING
Crew Carwash,inc. INVOICE
10251 N.Hague Road
j^VW Indianapolis, IN 46256
INVOICE PATE
CARWASH Phone: (317) 572-9250
Fax: (317) 572-9251 12/26/2015
INVOICE NUMBER
Email Address:mcw@mail.fwi.com Web Site: http:\\www,crewcarwash.com 005626
CUSTOMER NUMBER
City of Carmel Police Dept. CARPD01
Pat Young TERMS
3 Civic Square
Carmel, IN 46032 Net 30
Description QTY UNIT PRICE AMOUNT
Carwash Books 10.00 32.00 320.00
Discount 1.00 -7.50 -7.50
Make Checks Payable to: ' Crew Ciarwash, Inc.
Attn:Accounts Receivable.
10251 N. Hague Road
1of 1
Indianapolis, IN 46256
TotalDue 312.50
INDIANA RETAIL TAX EXEMPT PAGE
City oCarme
I CERTIFICATE NO.003120155 002 0
;� PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIP;
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE
JRCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
21W2015
Crow Car Whfih Camel Police Department
CIVIC quwe
VEND SHIP
a 9 N. Haguo load TO Carmel, IN 40932
Indianapolis, IN d (317)571 2559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Lecount 43.511.00
10 Each car wash tickets $31.25 $312.50
Sub Total: $312.50
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Send Invoice To:
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Carel Polka Depaafiment - ?
Attn: Pat Young
3 CIVIC squa
Carmel, IN 4M-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT &04,AMQUNT
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER WORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THY TH/RE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATIO ISUO ICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
• ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. Chf6f of Police
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE f�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 111 A Ilk A.P.V. COPY-SIGk AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.----
ALLOWED 20
IN THE SUM OF a
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT# I hereby certify that the attached invoices), 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
20
Signature
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 Date Invoice# Description Amount
Dept.. Fund# (or note attached invoices)or bill(s))
12/26115 005626 $312.50
1.110 t 101
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO:
ALLOWED: . 20
CREW CAR WASH
10251 HAGUE ROAD . IN SUM OF$
INDIANAPOLIS, IN 46256::
$312.50
ON"ACCOUNT.OF APPROPRIATION FOR71
Carmel Police
#/:Dept. INVOICE NO. ACCT#Fund - AMOUNT
Board Members
A05 005626 as
-511.00 $312.50 I hereby certify that the attached invoice(s), or
1110 I Encrmrbered, ,I 101 . I.Prior Year
bills)) is.(are)true,and correct and that the
materials terials or services itemized thereon for
which charge is made Were ordered and
received except
Friday,.January 15, 2.016
Cost distribution,ledger classification if
claim paid motor vehicle highway fund
3rescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
Nn invoice or bill to be properly itemized must show: kind of service,where performed,dates service rendered, by
Yhom, rates per day, number of hours, rate per hour, number of units, price per unit,etc.
Payee
Purchase Order No.
Terms
Date Due
nvoice Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
01/13/16 5712 Carwash Big Book $325.00
2200 201
hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance
,vith IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
CREW CAR WASH
10251 HAGUE ROAD
IN SUM OF$
INDIANAPOLIS, IN 46256
$325.00
ON ACCOUNT OF APPROPRIATION FOR
Engineering
PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Members
5712 I 43-511.00 I $325.00 1 hereby certify that the attached invoice(s), or
2200 201
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, January 15, 2016
Cost distribution ledger classification if
claim paid motor vehicle highway fund