HomeMy WebLinkAbout327371 07/10/18 (9,
CITY OF CARMEL, INDIANA VENDOR: 370235
ONE CIVIC SQUARE ELEGANT COLLISION CHECKAMOUNT: $*******604.39*
CARMEL, INDIANA 46032 10809 BROADWAY STREET CHECK NUMBER: 327371
INDIANAPOLIS IN 46280 CHECK DATE: 07/10/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 0 604.39 AUTO REPAIR & MAINTEN
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 370235
ELEGANT COLLISION IN SUM OF$ CITY OF CARMEL
10809 BROADWAY STREET 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 46280
Payee
$604.39
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Street Department 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
0 43-510.00 $604.39 1 hereby certify that the attached invoice(s), or 6/27/18 0 $604.39.
2201 2201 2201 2201
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,July 09,2018
Huffman, Dave
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
DAT ORDERED ORDER TAKEN BY
SOLD TOj� PHONE N0. CUSTOMER ORDER#
JOB LOCATION
JOB PHONE STARTING DATE -
TERMS
MATERIAL qN IT AMOUNT DESCRIPTION OF WORK
TOTAL MISCELLANEOUS
LABOR
TOTAL MATERIALS TOTAL LABOR
WORK ORDERED TOTAL LABOR
DATE ORDERED TOTAL MATERIALS
DATE COMPLETED TOTAL MISCELLANEOUS
CUSTOMER
SUBTOTAL
APPROVAL SIGNATURE
.J
TAX
AUTHORIZED SIGNATURE GRAND TOTAL
box•
A-2817-3817/T-3866 10-11