183230 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: T359841 Page 1 of 1
ONE CIVIC SQUARE CARMEL CYCLERY
CARMEL, INDIANA 46032 200 CITY CENTER DR SUITE C CHECK AMOUNT: $82.98
CARMEL IN 46032
CHECK NUMBER: 183230
CHECK DATE: 3/1612010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 5662 82.98 AUTO REPAIR MAINTEN
Carmel Cyclery LLC
260 W Carmel Drive
Carmel; IN 46032
}17- 575 -8588
Workorder #5662 Invoice
(RIOT A RECEIPT)
02/26/2010 04:59 :52 PM
Workorder: 5662
Employee: Yves
Customer: Mike Pitman
Work: 317 571 -2511
Mobile: 317- 409 -5866
Item Price
Work order #5662, Item: Police Bikes White /Blk
Raleigh Police white #1
comp ys
Kick stand on Rear 1 $0.00
new shifter 1 $0.00
Kickstand Greenfield Rear Chainstay Mount Black 1 $19.99 T
Shifter Altus 3x7Spd Rapid. Fire Set y 1 $34.99 T
Labor Adjust Derailleur 2 R6.83
Subtotal
Tax
Total
www.carmelcyclery.corrVgoto/privacy_return_policy
I hereby authorize the repair work hereinafter set forth to be done along with the necessary material and agree that you are not
responsible for loss or damage to vehicle or articles left in/on vehicle in case of fire, theft or any other cause beyond your control or
for any delays caused by unavailability of parts or delays in parts shipments by supplier or transporter. I hereby grant you and /or
your employees permission to operate the vehicle herein described on the streets or elsewhere for the purpose of testing and/or
inspection. An express mechanic's lien is hereby acknowledged on above vehicle to secure the amount of the repair thereto.
Signature:
Mike Pitman
Thank You Mike Pitman!
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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
Carmel Cyclery LLC Purchase Order No.
260 W. Carmel Drive Terms
Carmel, IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5662 L payment for repairs to polfre bike 82
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
Cierk- Treasurer
VOUrHER NO._, WARRANT NO.
ALLOWED 20
C armel Cyclery LLC IN SUM OF
260 W. Carmel Drive
Carmel, IN ::46032
82.98
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 5662 510 82.98 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
March 10 20 10
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund