182289 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: 355810 Page 1 of 1
ONE CIVIC SQUARE CARMEL AUTO TRUCK SERV.
CHECK AMOUNT: $368.40
CARMEL, INDIANA 46032 310 eFUOLE DRIVE
•,,pro aa� CARMEL IN 46032 CHECK NUMBER: 182289
CHECK DATE: 2/17/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4351000 0131D 368.40 AUTO REPAIR MAINTEN
CARMEL AUTO TRUCK SERV.
310 GRADLE DRIVE I nvoice
CARMEL IN 46032
(317) 846-1171 Number: 0131D
Date: February 04, 2010
BILL TO VEHICLE
CITY OF CARMEL 1999 CHEVROLET
CARMEL, IN 46032 VIN# WZ271778
CONTACT P,O.# MILEAGE
UNIT# 50732
PARTS SERVICES Tax 1 Amount
INSTALL WIPER MOTOR ASSEMBLY--- 116.00
TBA-1 WIPER MOTOR WIPULSE MODULE DOR 601-101 252.40
Sub-Total $368.40
State Tax 7.00% on 0.00 0.00
Total $368.40
VOUCHER NO. WARRANT NO.
Carmel -Auto Truck Service ALLOWED 20
j IN SUM OF
310 Gradle Drive 4�
Carmel, IN 46032
1
$368.40
ON ACCOUNT OF APPROPRIATION FOR
I
Carmel DOCS Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1192 0131D 43- 510.00 $368.40 1 hereby certify that the attached invoice(s), or
4
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
i
received except
Thursd February 11, 2010
I r
Director, CS
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I
i
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 invoices) or bill(s))
02/04/10 0131D Wiper repair Silverado $368.40
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and 1 have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer