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HomeMy WebLinkAbout184748 04/27/2010 CITY OF CARMEL, INDIANA VENDOR: 00351592 Page 1 of 1 ONE CIVIC SQUARE FORD MOTOR COMPANY CARMEL, INDIANA 46032 PO BOX 70548 CHECK AMOUNT: $549.00 CHICAGO IL 60673 CHECK NUMBER: 184748 .o CHECK DATE: 4/27/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1160 4352600 004BCV000043 549.00 AUTOMOBILE LEASE i GOVERNOR /MAYOR LEASE VEHICLE PRG INVOICE: 004BCV00043 PLANT ID NO: U1QHA INVOICE DATE: 2010/04/09 1350 I STREET NW 10TH FLOOR CUSTOMER REF: BATCH WASHINGTON,DC 20005 PO /ICBA: 073R524 U.S.A. SOLD TO: CUSTOMER ID NO: BKKMA REMIT TO: FORD MOTOR COMPANY P.O. BOX 70548 CITY OF CARMEL CHICAGO, IL 60673 OFFICE OF THE MAYOR ONE CIVIC SQUARE CARMEL,IN 46032 U.S.A. BILLING CONTACT: ALICIA PATTERSON PHONE: 615 -315 -6677 THIS INVOICE IS FOR VEHICLE /VEHICLES LEASED FOR MARCH 2010, SEE LISTING BELOW: VIN IN SVC OUTSVC MTHLY DAILY DAY NUMBR DATE DATE RATE RATE SVC AMOUNT 7KJ17070 102806 549.00 18.04 31 549.00 PURCHASE ORDER NO: 073R524 RETURN A COPY OF INVOICE WITH YOUR REMITTANCE VIN NUMBR VEHICLE IDENTIFICATION NUMBER IN SVC DATE IN SERVICE DATE OUTSVC DATE OUT OF SERVICE DATE MTHLY RATE MONTHLY RATE DAY SVC DAYS IN SERVICE TOTAL AMOUNT: 549.00 U.S. DOLLAR PAGE 1 Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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 2© 2 .Pfd iU 7 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) A 220 10 Q0q66V0001t3 UPN-t c i e L -04 -96� 9 r' 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 IN SUM OF ON ACCOUNT OF APPROPRIATION FOR rK 1,160 Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or I j 0 00 &,V 000 y 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 j� Sign ture Cost distribution ledger classification if Title claim paid motor vehicle highway fund