184695 04/27/2010 CITY OF CARMEL, INDIANA VENDOR: 00353385 Page 1 of 1
ONE CIVIC SQUARE CAR X
CARMEL, INDIANA 46032 1436 KEYSTONE WAY CHECK AMOUNT: $18.95
CARMEL 46032
CHECK NUMBER: 184695
CHECK DATE: 4/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 R4351000 22293 227852 18.95 OIL CHANGES
0
caq CAR—X TIRE COMPLETE AUTO SERVICE
1436 KEYSTONE WAY
CARMEL, IN. 46032
(317) 846-4600
Auto ervice V
'y Via
I X APR 0 9 2010
I N V 0 1 C E -B -y'
08t56 AM INVOIC
I N V 0 1 C E EST IMATE# 9"715
S CARMEL, CLAY PARKS KS1041 IYIQA 0 4 IZI 55 1
11
P
:E<��? P.O..-
43 L ICENSE# 1
0 RECREATION G.: 9843 L
L 1411 E 116TH ST 2009 FORD F150 P10
D CARMEL, IN IVIAKEV:IN#
T 46032 THORNE 10
0 317-710-6146 REP:
QTY. PART CHELK HIR FILILN DESCRIPTION PRICE AMOUNT
EXHMUST SUBTOTAL: OOMECH# 906 THORNE 10
1 OLF4 OIL CHANGE SERVICE 18.95 18.95
5 SLJ PREMIUM OIL .00 I R/INC
1 PH820B OIL FILTER V-4651 .00 :'R/INC.
OLF SUBTOTAL: 18.95MECH# 906 THORNE 10
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SUB I) 18.95
TOT L TAX) .00 CTRL CODE: 56
Paid by: CHARGE 18.95
PAY THIS AM
18. 95
CAR-X FULL WARRANTIES For the location of the nearest CAR-X Muffler Shop, consult your Yellow Pages
or contact CAR-X Associates Corp. 8750 W. Bryn Mawr Ave. Suite 410,
U.S. and Foreign Car Mufflers/Shocks/Springs/Brakes—See Warranty Certificate. Chicago IL. 60631.
U.S- and Foreign Car Pipes—YOUR CAR-X PIPE IS UNDER WARRANTY for
one year from date of installation- Should it wear out or rust out during that This warranty is made by CAR-X Associates Corp. and gives you specific legal
period, simply present this sales invoice or other evidence of date of installa- rights- You may have other rights which vary from state to state. CAR-X is a
tion and your car with the defective pipe to any CAR-X Muffler Shop. A new federally registered trademark of CAR-X Associates Corp. Seller is a licensee
pipe will be installed at NO CHARGE for the pipe or for its installation. of CAR-X Associates Corp.
I hereby authorize the above repair work to be done along with the necessary material, and hereby grant
you and/or your employees permission to operate the car or truck herein described on streets, highways
or elsewhere fo the purpose of testing andlor inspection. 0228752
X
CUSTOMER SIGNATURE
Your CAR-X pi are under warranty for one year from date of original installation.
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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
00353385 Car -X
Date Due
1436 Keystone Way
Carmel, 1N 46032
Invoice Invoice Description PO Amount
Date Number (or note attached invoice(s) or bill(s))
22293 18.95
4/5110 228752 Oil Change P10
Total 18
I 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
Voucher No. Warrant No.
00353385 Car -X Allowed 20
1436 Keystone Way
Carmel, IN 46032
In Sum of$
18.95
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #fTITLE AMOUNT Board Members
Dept
22293 228752 4351000 18.95
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
22 -Apr 2010
Signature
18.95 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
i