327157 07/10/18 `y' �,qM* CITY OF CARMEL, INDIANA VENDOR: 355635
I ONE CIVIC SQUARE CREW CAR WASH CHECK AMOUNT: $*******299.00*
,� v+' CARMEL, INDIANA 46032 10251 HAGUE ROAD CHECK NUMBER: 327157
M�«oN�. INDIANAPOLIS IN 46256 CHECK DATE: 07/10/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4351100 005791 299.00 CAR CLEANING
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 355635 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
CREW CAR WASH IN SUM OF$ 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
$299.00
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Engineering
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
005791 43-511.00 $299.00 1 hereby certify that the attached invoice(s),or 6/16/18 005791 City vehicle car wash booklet $299.00
2200 2200 2200 2200
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,July 03,2018
Jeremy Kashman
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Crew Carwash,lnc. INVOICE
� f 10251 N.Hague Road
Indianapolis, IN 46256
CARWASH Phone: (317) 572!9250 INVOICE DATE
Fax: (317) 572-9-0.5-1, 06/16/2018
INVOICE NUMBER
Email Address:mcw@mail.fwi.com Web Site: hftp:%Nwww.crewcarwash.com 005791
CUSTOMER NUMBER
City of Carmel -z Zp O— y 3 5 t 1 pp CCAR01
Kate Lustig
1 Civic Square TERMS
Carmel, IN 46032 Net 30
Description QTY UNIT PRICE AMOUNT
Big Carwash Book 1.00 299.00, 299.00
Make Checks Payable to: Crew Carwash, Inc.
Attn: Accounts Receivable
10251 N. Hague Road
10f 1 _ Indianapolis, IN 46256
TotalDue 299.00
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Date: wt))
Billing Address/Location
Name Wma
Street ` �1 t
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City State Zip
Mailing Address
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Street
City State Zip
6 Tix Type Qty Serial Numbers Price Total
Carwash Books
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
❑ Gift Box Signature Date: I� S/H
TOTAL 3CIQ
Payment Details Type (CC): ❑AM ❑VS ❑MC ❑DC
❑Direct Bill ❑Check Number
El Cash El Credit Card Expires (CC)