HomeMy WebLinkAbout303355 09/26/16 +u�,C�Nb
al YF�- CITY OF CARMEL, INDIANA VENDOR: 370235
j d ONE CIVIC SQUARE ELEGANT COLLISION CHECK AMOUNT: $""'2,228.10'
;� ,?� CARMEL, INDIANA 46032 10809 BROADWAY STREET CHECK NUMBER: 303355
M.roN„�o; INDIANAPOLIS IN 46280 CHECK DATE: 09/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 090916 2,228.10 AUTO REPAIR & MAINTEN
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
VOUCHER NO. WARRANT NO.
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
ELEGANT COLLISION
10809 BROADWAY STREET IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
INDIANAPOLIS, IN 46280 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$2,228.10 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 $2,228.10 1 hereby certify that the attached invoice(s),or 9/9/16 0 $2,228.10
2201 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
Tuesday, September 13,2016
Dave Huffman
Director
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
f � ;2 7-
71
DATfQRDEI3ED ORDER TAKEN BY
SOLDTO pHONE,N CUSTOMER ORDER#
vJ
JOB LOCATION _
JOB PHONE STARTING DATE }
! L TERMS
lz1x.355
r *
. , _
'« ` , DESCRIPTION 0 F WORK
'
Gr 4
MISCELLANEOUS 1,C"AR
n�
J�
TOTAL MISCELLANEOUS
TOTAL LABOR
TOTAL MATERIALS'
WORK ORD ED j J e� TOTAL LABOR A0 y
DATE ORDERED TOTAL MATERIALS
DATE COMPLETED TOTAL MISCELLANEOUS
SUBTOTAL r
CUSTOMER t ~�
NPPROVAL SIG ATURE J
TAX �p
AUTHORIZED SIGNATURE ,
GRAND TOTAL ;4.G.218
10-11
A-2817-3817/T-3866
Material Record
s a
TOTAL
LESS RETURNED MATERIALS
NET COST OF MATERIALS
Lab®r.Rec®rd
sO,
A E'C "NI'
HA C-,-' RWOONE, a
TOTAL LABOR COSTS
NOTES TOTAL MATERIAL PRICE TOTAL SELLING PRICE
TOTAL LABOR COSTS TOTAL COSTS
SUBCONTRACT COSTS GROSS PROFIT
JOB COMPLETE? ❑TES ® NO OTHER DIRECT COSTS LESS OVERHEAD
DATEBILLED: TOTAL COST NET PROFIT