HomeMy WebLinkAbout259111 05/31/16 ,+ _c�\�
CITY OF CARMEL, INDIANA VENDOR: 214400
® ONE CIVIC SQUARE MUFFLERS &MORE CHECK AMOUNT: $*******350.00*
:q� /_�, CARMEL, INDIANA 46032 2235 WESTFIELD ROAD CHECK NUMBER: 259111
M��TON�� NOBLESVILLE IN 46060 CHECK DATE: 05/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 051316 350.00 AUTO REPAIR & MAINTEN
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
MUFFLERS & MORE
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
,
2235 WESTFIELD ROAD IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
NOBLESVILLE, IN 46060 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$350.00 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Street Department 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
0 43-510.00 $350.00 1 hereby certify that the attached invoice(s),or 5/13/16 0 $350.00
2201 5 � 201 2201 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
` Tuesda ay 016
To
aox 47'
Street Commissioner
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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
FOREIGN DOMESTIC
BRAKE SERVICE SPECIALISTS Jr r�t5�6nr9s,`
OTY PART NO. DESCRIPTION ACTUAL AMOUNT
VluvouNE /
*A*
R t :7 , a BRAKES•SHOCKS•STRUTS
QUICK OIL CHANGES• TRUCKS•VANS• RVs
Bendix�
(317) 896-5868
223L5 Westfield Road I Noblesville, IN 46060
NAME
(y\C) 5c`� e DATE l� •l
STREET CITY ZIP
YEAR/MAKE MODE MOTOR NO. PHONE
l M C
ODOMETER PLATE# PROMISED PHONE YES
WHEN
READY NO
NOT RESPONSIBLE FOR LOSS.OR DAMAGESIGNATURE OF MECHANICS
TO CARS OR ARTICLES LEFT IN CARS IN REPAIRS C TOTAL LABOR
CASE OF FIRE,THEFT OR ANY OTHER CAUSE PERFORMED t t'�J I I t
BEYOND OUR CONTROL BY 2 TOTAL PARTS
ALL MUFFLERS CARRY A ONE YEAR WARRANTY UNLESS SPECIFIED ❑ CASH
OTHERWISE.15% HANDLING CHARGE ON ANY RETURNED MERCHANDISE AND ❑ CHECK NO.
$20.00 CHARGE FOR RETURNED CHECKS. THIS RECEIPT MUST ACCOMPANY OUTSIDE REPAIRS
ALL RETURNS. ❑ VISA
THANK YOU! OTHER
❑ MASTERCARD SUBTOTAL
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 express mechanic's lien is acknowledged to secure the amount of
repairs. X TOTAL