HomeMy WebLinkAbout259227 05/31/16 CITY OF CARMEL, INDIANA VENDOR: 360694
• ® ONE CIVIC SQUARE WESTFIELD AUTOMOTIVE LLC CHECK AMOUNT: $*******399.04*
17534 WESTFIELD PARK ROAD CHECK NUMBER: 259227
CARMEL, INDIANA 46032 WESTFIELD IN 46074 CHECK DATE: 05/31/16
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 70645 399.04 AUTO REPAIR & MAINTEN
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
WESTFIELD AUTOMOTIVE LLC
17534 WESTFIELD PARK ROAD IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
WESTFIELD, IN 46074 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$399.04 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Carmel Fire Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
70645 43-510.00 $399.04 1 hereby certify that the attached invoice(s),or 5/18/16 70645 VIN 6241 $399.04
1120 101 1120 - 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Wednesday, May 18,2016
David Haboush
Fire Chief
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
120-
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
sot/ Westfield Automotive LLC
I�A� 17534 Westfield Business Park Ct
Westfield,IN 46074
Phone(317)867-5500-Fax(317)867-1588
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5/10/2016 **** R.O. #70645 OF ESTIMATE#73671 **** Page 1 of 1
Customer: CARMEL FIRE DEPARTMENT Vehicle: 2008 Dodge Durango SLT
Address: 2 CIVIC SQUARE License 5412
CARMEL,IN 46032 Current Mileage: 86028-In: 83255
Home Phone: V.I.N.: 1D8HB48N18F156241
Work Phone: 571-2600 Engine: 4.71,V8(N)
Cellular Phone (317)664-0958BOB Prod.Date:
Email: Color:
Service Writer: VIC Next Service 8/10/2016,Mileage: 89028
LABOR COMPLETED
TITLE TECH. TOTAL$
REPLACE FRONT AND REAR SHOCKS NEAL 84.00
PARTS ISSUED
QTY. PART# DESCRIPTION TECH. EACH$ TOTAL$
2 KG4159 REAR SHOCKS NEAL 75.00 150.00
2 KG4160 FRONT SHOCKS NEAL 80.00 160.00
Payment Type: TOTAL Labor 84.00
Amount$: TOTAL Parts 310.00
Date: TOTAL Shop Supplies 5.04
Employee SUBTOTAL 399.04
TAX 0.00
**TOTAL ** $399.04
Balance Due $399.04
parts and labor are warranted for 90 days or 4,000 miles
WESTFIELDAUTO@COMCAST.NET-www.westfieldautol.com