182936 03/03/2010 CITY OF CARMEL, INDIANA VENDOR: 355635 Page 1 of 1
ONE CIVIC SQUARE MIKE'S EXPRESS CAR WASH
i CHECK AMOUNT: $146.00
CARMEL, INDIANA 46032 10251 HAGUE ROAD
INDIANAPOLIS IN 46256 CHECK NUMBER: 182936
CHECK DATE: 3/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4351000 71999373371 146.00 AUTO REPAIR MAINTEN
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Date:
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Billie g Addss /Locati
y re on
Name ��'1 r Phone
Street cA o C <�t lrA Y P
city ��m�J� State Zip t
Mailing'Address.
.Name
Street r o
City State Zip
Postage Type Qty Serial Numbers Price Total
Books Cost Gift Card
1 $.63 Express Book
2 $.87 Choice Book
3 $1.35 Work Books I
4 $1,59 Weekly Wash
Platinum Book
5 $1.84 Gold Book
Orders over $200 Express Single
will be current Choice Single
UPS rate Works Single
Payment Details—, Wheel Bright
Clear Coat
Direct Bill Sorry Works
—EaSh Sorry Free
Old Rewash
Check New Rewash
Credit Card Other
Discount
Type (CC): ❑AM ❑VS MC [I DC Subtotal C
SIH'
Number TOTAL
Expires (CC)
Signature
u
Notes
Prescribed by State Board of Accounts City Form No. 261 (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
Mike's Express Car Wash
Purchase Order No.
10251 N. Hauge Road
Terms
Indianapolis, IN 46256
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
07/11/09 7199937K71 Car Wash Coupons for Department Vehicles $146.00
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mike's Express Car Wash IN SUM OF
10251 N. Hauge Road
Indianapolis, IN 46256
$146.00
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT"
DEPT. I hereby certify that the attached invoice(s), or
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
20
Signature
LON E11) c?� V_�Q t V_
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund