319815 12/21/17 ���'�,q,,F� CITY OF CARMEL, INDIANA VENDOR: 355635
(T�
'i ONE CIVIC SQUARE CREW CAR WASH CHECK AMOUNT: $*******504.00*
_� CARMEL, INDIANA 46032 10251 HAGUE ROAD CHECK NUMBER: 319815
9M�,TON cod INDIANAPOLIS IN 46256 CHECK DATE: 12/21/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351100 100977 005740 504.00 CAR WASH BOOKS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 355635 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
CREW CAR WASH IN SUM OF$ CITY OF CARMEL
10251 HAGUE ROAD 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.
INDIANAPOLIS, IN 46256
Payee
$504.00
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Carmel Police 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
100977 005740 43-511.00 $504.00 1 hereby certify that the attached invoice(s),or 12/2/17 005740 car wash books $504.00
1110 101 1110 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, December 14,2017
Jim Barlow
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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Crew Carwash,lnc. INVOICE¢`" ? 10251 N.Hague Road
to Indianapolis, IN 46256 INVOICE DATE
CARWASH Phone; (317) 572-9250
Fax: (317) 572-9251 12/02/2017
INVOICE NUMBER
Email Address:mcw@mail.fwi.com Web Site: http:\\wvfw.crewcarwash.com 005740
CUSTOMER NUMBER
City of Carmel Police Dept. CARPD01
Pat Young TERMS
3 Civic Square
Carmel, IN 46032 Net 30
Description QTY UNIT PRICE AMOUNT
Carwash Books 14.00 36.00 504.00
Make Checks Payable to: Crew Carwash, Inc.
Attn: Accounts Receivable
10251 N. Hague Road
10f 1 Indianapolis, IN 46256
TotalDue 504.00
� .
Reb-- tock/Orde-i- Form
Date:
Billing Address/Location
Name G of (ww- Phone 31 _ W -2559
Street b Vic Sq Graf-e
City State Zip q&6'2
Mailing Address
Name — —
Street Cv�iti
City State Zip
6 Tix Type Qty . Serial Numbers Price Total
Carwash Books U 50T
Choose Two Books
Works Books
Ultimate Books
$9 Gift Cards
Carwash Big
Choose Two Big
Works Big
Ultimate Big
Carwash Singles
Choose Two Single
Works Single
Ultimate Single
$5 off Works
Fast Pass
Gift Cards
Discount
Rewash
Other
Subtotal
Signature /r �) Date: C1 2°f S/H L�
El Gift Box TOTAL 50 7
Payment Details Type (CC): ❑AM ❑VS ❑MC ❑DC
rect Bill ❑Check Number
El Cash ❑Credit Card Expires (CC)