183777 03/29/2010 CITY OF CARMEL, INDIANA VENDOR: 00350527 Page 1 of 1
ONE CIVIC SQUARE DON'S AUTO TRIM
CARMEL, INDIANA 46032 5397 ROCKVILLE ROAD CHECK AMOUNT: $540.00
INDIANAPOLIS IN 46224 CHECK NUMBER: 183777
CHECK DATE: 3/29/2010
DE PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 511988 93660 540.00 REPAIR SEATS
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T4 VCA& eV;-et! N° 93660
5397 Rockville Road Indianapolis, IN 46224
(317) 227 -0988 Office (317) 227 -0977 Fax
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Order No. Date 20
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City State
SOLD BY CASH C.O.D. CHARGE N ACCT. MDSE. RE7D. PAID OUT.
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QUAN. DESCRIPTION PRICE AMOUNT
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ALL CLAIMS AND RE URNED GOODS MUST BE ACCOMPANIED BY THIS BILL
Received By
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��OUCHER 105123 WARRANT ALLOWED
T1014 IN SUM OF
DON'S AUTO TRIM
5397 ROCKVILLE ROAD
INDIANAPOLIS, IN 46224
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
93660 01- 7502 -06 $540.00
Voucher Total $540.00
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
T1014
DON'S AUTO TRIM Purchase Order No.
5397 ROCKVILLE ROAD Terms
INDIANAPOLIS, IN 46224 Due Date 3/22/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/22/2010 93660 $540.00
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
Date Officer