HomeMy WebLinkAbout259770 06/16/16 c^g�Fi
�., "�, CITY OF CARMEL, INDIANA VENDOR: 370235
I; ® ONE CIVIC SQUARE ELEGANT COLLISION CHECK AMOUNT: $*****1,104.49*
s. ;?� CARMEL, INDIANA 46032 10809 BROADWAY STREET CHECK NUMBER: 259770
9.y,�TON�°` INDIANAPOLIS IN 46280 CHECK DATE: 06/16/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 . 4351000 061616 1,104.49 AUTO REPAIR & MAINTEN
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ELEGANT COLLISION ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
10809 BROADWAY STREET IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
INDIANAPOLIS, IN 46280 rendered,bywhom,rates perday,numberof hours,rate perhour,numberof units,price per unit,etc.
$1,104.49 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
General Administration 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
06.16.16 Estimate 43-510.00 $1,104.49 I hereby certify that the attached invoice(s),or 6/16/16 06.16.16 Estimate $1,104.49
1205 101 1205 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
Thursday,June 16,2016
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Jun 161608:01a ��s �—/� p.1
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DATE ORDERED ORDER TAKEN BY
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PHONE N0. CUSTOMER ORDER
JOB LOCATION
JOB PHONE STARTING DATE
TERMS
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MISCELLANEOUS CHARGES
-11.............................
TOTAL IYISCELUUIEI
LABOR HRS.
RATE AMOUNT
r
TOTAL MATERIALS
TOTAL LABOR
UORK ORDERED
TOTAL LABOR
DATE ORDERED
TOTAL MATERIALS
DATE COMPLETED
TOTAL MISCELLANEOUS
UsmWR SUBTOTAL
PPROUAL SIGNATURE
TAX
UTHORIZED SIGNATURE
GRAND TOTAL
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