HomeMy WebLinkAbout331179 10/17/18 J
/'�,q,,f� CITY OF CARMEL, INDIANA VENDOR: 365262
.� •`l ONE CIVIC SQUARE GRAY'S AUTOMOTIVE SERVICES CHECK AMOUNT: $********64.48*
q; ��; CARMEL, INDIANA 46032 924 3RD AVENUE SW CHECK NUMBER: 331 179
M��iori'�O' CARMEL IN 46032 CHECK DATE: 10/17/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4351000 014422 64.48 AUTO REPAIR & MAINTEN
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 365262 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
GRAY'S AUTOMOTIVE SERVICES IN SUM OF$ CITY OF CARMEL
924 3RD AVENUE SW An invoice orbill to be properly itemized mustshow:kind ofservice,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
$64.48
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
014422 43-510.00 $64.48 1 hereby certify that the attached invoice(s),or 10/8/18 014422 Oil Change for Blanchard#1 $64.48
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
Tuesday, October 16,2018
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 AMT GR,AWS AUTOMOTIVE SERVI ESE INC. 014422
924 3rd Avemle S.W.
CARMEL, IN 46032
(317)571-0944 C
NAM Er ,a CUST.ORDER NO. DATE
ADDRESS ' WHEN PROMISED RITy
CITY j MILEAGE
YEAR,MAKE CCAR�/M�ODEL SERIAL NO./VINH LIC NSE
/ 1141a--J MOTOR NO.
DESCRIPTION OF WORK
LUBRICATION BIi CHANGE OIL 'lL]' OIL FILTER TUNE UP ❑
TRANSMISSION'' ❑ DIFFERENTIAL ❑ WASH ❑ WAx ❑
SEE BACK FOR T TOTAL PARTS G/
ADDITIONAL PARTS
ACCESSORIES-TIRES AND TUBES
GALS.OF GAS LABOR d
QTS.OF OILj PARTS
LBS.OF GREASE ACCESSORIES
MISC.MERCHANDISE
TOTAL GAS,OIL&GREASE GA 1L&GREASE
THEREBY AUTHORIZE THE ABOVE REPAIR WORK TO BE DONE.ALONG WITH NECESSARY MATERIALS.YOU
TOTAL ACCESSORIES 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
STORAGE.SALE,REPAIR OR WHILE ROAD TESTING. ("^� �'�C/ •-�
ESTIMATED COSTS TAX
PARTS LABOR TOTAL
AUTHORIZED BY TOTAL �Q
THANK YOU! AMo N'T INA