334201 1/4/2019 �% p''E. CITY OF CARMEL, INDIANA VENDOR: 372124
v; '= CHECK AMOUNT: $*****1,620.00*
�= ® ONE CIVIC SQUARE LEGENDS BODY SHOP
:� �_� CARMEL, INDIANA 46032 1535 W.216TH STREET CHECK NUMBER: 334201
vy`roN% SHERIDAN IN 46069 CHECK DATE: 01/04/19
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 R4351000 102368 192 1,620.00 VEHICLE BODY REPAIRS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 372124
LEGENDS BODY SHOP IN SUM OF$ CITY OF CARMEL
1535 W. 216TH 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.
SHERIDAN, IN 46069
Payee
$1,620.00
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire 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
102368 192 43-510.00 $1,620.00 1 hereby certify that the attached invoice(s),or 12/21/18 192 VIN 9074 $1,620.00
1120 Encumbered 101 Prior Year 1120 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, January 3,2019
David Haboush
Fire 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
120—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Legends Body Shop Invoice
1535 W.216th Street
Bill To
CARMEL FIRE DEPARTMENT
P.O.#102368
Date Invoice No. P.O. Number ' Terms Project
12/21/18 192
Item Description Quantity Rate Amount
AUTO INFO 2/11 FORD EXPEDITION 0.00 0.00
VIN#1 FMJU1 J56BEF29074 CODE Z1
REPAIR HOOD (CORROSION)W/DENT 5.5 45.00 247.50
REPAIR HOOD FRT JAM (CORROSION) 3.5 45.00 157.50
REFINISH HOOD 3.5 45.00 157.50
REFINISH HOOD JAM 1 45.00 45.00
R&I HOOD(FOR REPAIR) 1 45.00 45.00
REPAIR LT FRT FENDER(SCRATCHES/DINGS) 1.5 45.00 67.50
REFINISH LT FRT FENDER 2 45.00 90.00
REPAIR REAR HATCH 5 45.00 225.00
REFINISH REAR HATCH 3 45.00 135.00
REPAIR REAR HATCH JAM 2 45.00 90.00
REFINISH REAR HATCH JAM 1 45.00 45.00
MATERIALS MATERIALS.. PAINT, SUPPLIES,WASTE 10.5 30.00 315.00
REMOVAL,ETC..
Subtotal $1,620.00
Sales Tax(0.0%) $0.00
Total. $1,620.00