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HomeMy WebLinkAbout305324 11/14/16 +u!_4±xy J�/ CITY OF CARMEL, INDIANA VENDOR: 360694 CHECK AMOUNT: $ 84.88 1; xxxxxxxx x .�® }•, ONE CIVIC SQUARE WESTFIELD AUTOMOTIVE LLC ,. Via; CARMEL, INDIANA 46032 17534 WESTFIELD PARK ROAD CHECK NUMBER: 305324 9�'�Ir`ox�` WESTFIELD IN 46074 CHECK DATE: 11/14/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4351000 72628 84.88 AUTO REPAIR & MAINTEN VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) WESTFIELD AUTOMOTIVE LLC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 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. $84.88 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR 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 72628 43-510.00 $84.88 1 hereby certify that the attached invoice(s),or 11/4/16 72628 VIN 6241 $84.88 1120 101 1120 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Friday, November 04,2016 David Haboush Fire Chief I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 ,20— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Westfield Automotive LLC 17534 Westfield Business Park Ct Westfield,IN 46074 Phone(317)867-5500-Fax(317)867-1588 { LIKE US ON FACEBOOK } 10/28/2016 ***X R.O. #72628 OF ESTIMATE #75777 **X* Page 1 of 1 Customer: CARMEL FIRE DEPARTMENT Vehicle: 2008 Dodge Durango SLT Address: 2 CIVIC SQUARE License 5412 CARMEL, IN 46032 Current Mileage: 88000-In: 86028 Home Phone: V.I.N.: 1 D8HB48N 18F 156241 Work Phone: 571-2600 Engine: 4.7L V8(N) Cellular Phone (317)664-0958BOB Prod.Date: Email: Color: Service Writer: VIC Next Service 1/25/2017,Mileage:91000 LABOR COMPLETED TITLE HOURS BILLED TECH. TOTAL$ CHANGE OIL AND FILTER TWICE Fixed NEAL 20.00 PARTS ISSUED QTY. PART# DESCRIPTION TECH. EACH$ TOTAL$ 2 PG4651F/LF110 OIL FILTER NEAL 8.50 17.00 FLUIDS ADDED QTY. FLUIDS TECH. EACH$ TOTAL$ 12.00 5W30 BULK SYNTHETIC BLEND NEAL 3.99 47.88 Recommendations:ESTIMATE ON MILEAGE Payment Type: TOTAL Labor 20.00 Amount$: TOTAL Parts 17.00 Date: TOTAL Fluids 47.88 ---- - EmployeC _ SUBTOTAL 84.88 TAX 0.00 **TOTAL ** $84.88 Balance Due $84.88 parts and labor are warranted for 90 days or 4,000 miles WESTFIELDAUTO@COMCAST.NET-www.westfieldautol.com