181837 02/03/2010 CITY OF CARMEL, INDIANA VENDOR. 355810 Page 1 of 1
6 ONE CIVIC SQUARE CARMEL AUTO TRUCK SERV. CHECK AMOUNT: $804.80
CARMEL, INDIANA 46032 310 CRADLE DRIVE
l....zT�,� CARMEL IN 46032 CHECK NUMBER: 181837
CHECK DATE: 2/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4232000 12569 8.80 TIRES TUBES
1192 R4232000 20674 12569 440.00 AUTO REPAIRS
1192 R4351000 20674 12569 356.00 AUTO REPAIRS
CARMEL AUTO TRUCK SERV.
310 GRADLE DRIVE 1 vo i ce
CARMEL IN 46032
(317) 846 -1171 Number: 12569
Date: December 21, 2009
BILL TO VEHICLE
CITY OF CARMEL 2006 FORD ESCAPE
CARMEL, IN 46032 VIN#
CONTACT P.O.# MILEAGE
UNIT# 37109
PARTS SERVICES Tax 1 Amount
INSTALL FRONT CV SHAFT ASSEMBLY 156.00
MOUNT BALANCE 4 NEW TIRES 76.00
GY-4 TIRES GOODYEAR ASSURANCE P235/75R16 374.00
AA -1 SHAFT ASSEMBLY HYBRID 66 -2086 198.80
4
Sub -Total $804.80
State Tax 7.00% on 0.00 0.00
Total $804.80
VGUCHER NO. WARRANT NO.
ALLOWED 20
Carmel Auto Truck Service
IN SUM OF$
310 Gradle Drive 3 5 1°
Carmel, IN 46032
$804.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO# /Dept. INVOICE NO. ACC AMOUNT
Board Members
1192 12569 42- 320.00 $8.80 I hereby certify that the attached invoice(s), or
20674 12569 43-510.00 $356.00 bill(s) is (are) true and correct and that the
20674 12569 42- 320.00 $440.00
materials or services itemized thereon for
which charge is made were ordered and
received except
Frida Jan .ry• 2010
AIWA/
Di -ctor, DOGS
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/21/09 12569 $8.80
12/21/09 12569 CV Shaft assembly, etc. $356.00
12/21/09 12569 Tires $440.00
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
Clerk- Treasurer