308062 02/13/17 `+' �4q"' CITY OF CARMEL, INDIANA VENDOR: 00353385
L/® t1 ONE CIVIC SQUARE CAR X CHECK AMOUNT: $*******405.90*
�. ;� CARMEL, INDIANA 46032 1436 KEYSTONE WAY CHECK NUMBER: 308062
9.y�roN�, CARMEL IN 46032 CHECK DATE: 02/13/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4351000 0280416 405.90 AUTO REPAIR & MAINTEN
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995)
Vendor# 00353385 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
CAR X IN SUM OF$ CITY OF CARMEL
1436 KEYSTONE WAY An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
CARMEL, IN 46032
Payee
$405.90
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Dept of Community Service 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
0280416 43-510.00 $405.90 1 hereby certify that the attached invoice(s),or 2/2/17 0280416 New battery for the Prius $405.90
1192 101 1192 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, February 03,2017
r y �
Mike Hollibaugh
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
120—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
cap
Auto Service
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QTY. PART # DESCRIPTION PRICE AMOUNT
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PAY THIS AMOUNT > A.fZl5s. 9ili
CAR-X FULL WARRANTIES For the location of the nearest CAR-X Muffler Shop,consult your Yellow Pages
or contact CAR-X Associates Corp. 8750 W. Bryn Mawr Ave. Suite 410,
l]UzS.j,a6d Foreign Car Mufflers/Shocks/Springs/Brakes—See Warranty Certificate. Chicago IL.60631.
U.8Nbnd Foreign Car Pipes—YOUR CAR-X PIPE IS UNDER WARRANTY for This warranty is made by CAR-X Associates Corp.and gives you specific legal
one year from date of installation. Should it wear out or rust out during that rights. You may have other rights which vary from state to state. CAR-X is a
period, simply present this sales invoice or other evidence of date of installa- federally registered trademark of CAR-X Associates Corp. Seller is a licensee
tion and your car with the defective pipe to any CAR-X Muffler Shop. A new of CAR-X Associates Corp.
pipe will be installed at NO CHARGE for the pipe or for its installation.
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 or truck herein described on streets,highways
or elsewhere for the yse of testing and/or inspection. t iUar4,1 L".1
CUSTOMER SIGNATURE
Your CAR-X pipes are under warranty for one year from date of original installation.