HomeMy WebLinkAbout325492 05/23/18 ,�.a�A,, CITY OF CARMEL, INDIANA VENDOR: 365262
® ; ONE CIVIC SQUARE GRAY'S AUTOMOTIVE SERVICES CHECK AMOUNT: $********68.76*
x. CARMEL, INDIANA 46032 924 3RD AVENUE SW CHECK NUMBER: 325492
9�'�roe '` CARMEL IN 46032 CHECK DATE: 05/23/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4232100 014259 68.76 GARAGE & MOTOR SUPPIE
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 365262 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
GRAY'S AUTOMOTIVE SERVICES IN SUM OF$ CITY OF CARMEL
924 3RD AVENUE SW 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
$68.76
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
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
014259 42-321.00 $68.76 1 hereby certify that the attached invoice(s),or 5/18/18 014259 Oil change for Blanchard $68.76
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
Monday, May 21,2018
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
20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
QTY. . PART NO. NAME OF PART SALE ANIT. DRAWS AUTOMOTIVE SERVICES` INC. 014259
j 924 3rd Avenue S.W.
1 �C _n ?� CARMEL, IN 46032
✓�� //� (317)57190944 ,
NAME p'� � �✓ � CUST ORDER NO. DATE
• ADDRESS - WHEN PROMISED V1/ ITTEN!BY
J /
CITY ; PHONE MILEAGE
YEAR AKE OR CAR MODELL CENSE
SERIAL NO.NIN#
MOTOR NO.
Q _
DESCRIPTION OF WORK
LUBRICATION ❑ CHANGE OIL ❑ OIL FILTER ❑ TUNE UP ❑
F
TRANSMISSION ❑ DIFFERENTIAL ❑ WASH ❑ WAX ❑
SEE BACK FOR TOTAL PARTS /,..
ADDITIONAL PARTS �
ACCESSORIES-TIRES AND TUBES
GALS.OF GAS LABOR
QTS.OF OIL cam// PARTS
LBS.OF GREASE f ACCESSORIES
MISC.MERCHANDISE
J F?'1
TOTAL GAS,OIL&GREASE GAQ�3L&GREASE
TOTAL ACCESSORIES I HEREBY AUTHORIZE THE ABOVE REPAIR WORK TO BE DONE ALONG WITH NECESSARY MATERIALS.YOU SUBLET REPAIRS
AND YOUR EMPLOYEES MAY OPERATE ABOVE VEHICLE FOR PURPOSES OF TESTING,INSPECTION OR
'�••'•' DELIVERY AT MY RISK.AN EXPRESS MECHANIC'S LIEN IS ACKNOWLEDGED ON ABOVE VEHICLE TO HAZARDOUS WASTE
SECURE THE AMOUNT OF REPAIRS THERETO.IT IS UNDERSTOOD THAT THIS COMPANY ASSUMES NO DISPOSAL
RESPONSIBILITY FOR LOSS OR DAMAGE BY THEFT OR FIRE TO VEHICLES PLACED WITH THEM FOR 777
STORAGE,SALE,REPAIR OR WHILE ROAD TESTING.
ESTIMATED COSTS TAX
PARTS LABOR TOTAL y /{ °
AUTHORIZED BY TOTAL o
THANK YOU! G AMOUNT .■�