HomeMy WebLinkAbout186292 06/09/2010 a CITY OF CARMEL, INDIANA VENDOR: 363939 Page 1 of 1
ONE CIVIC SQUARE ESLERS AUTO REPAIRS INC
CHECK AMOUNT: $55.00
CARMEL, INDIANA 46032 350 PARKWAY CIRCLE
WESTFIELD IN 46074 CHECK NUMBER: 186292
CHECK DATE: 619/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 115030 55.00 AUTO REPAIR MAINTEN
QUAN. PART NO. OR DESCRIPTION AMOUNT 1 '15030\
E sler's DATE
LABOR
I CHARGE
p
LUBRICATION
I✓� Y CHANGE
a r/ 350 PARKWAY CIRCLE OIL
(1 WESTFIELD, INDIANA 46074 CHANGE OIL
�Q 317- 896 -9060 FAX: 317- 896 -5115 FILTER CART.
ROTATE BALANCE
BRAKES j] TIRES ADJUST
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2 WHEEL ®Q
ADDRESS
4 WHEEL T
ALIGNMENT LJ cc
PHONE YEARp MAKE TYPE OR MODEL COST. ORDER NO. d) 2 m
=✓/1 l HAZARDOUS E (D=
MATERIAL C E o
SPEEDOMETER LICENSE NO, SERIAL N �yvRbA L c' S R D CE E
MOTOR N E] DISPOSAL m N
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MECH. REPAIR ORDER DESCRI ON F WORK N 6
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I hereby authorize the above repair work to be done along with necessary materials. You TOTAL LABOR t N n
and your employees may operate above vehicle for purposes of testing, inspection or m aj •6
delivery at my risk. An express mechnic's lien is acknowledged on above vehicle to secure rn ru
the amount of repairs thereto. It is understood that this company assumes no TOTAL PARTS ca n
responsibility for loss or damage by theft or fire to vehicles placed with them for storage,
sale, r air or w le road testing. a d
TOTAL PARTS TIRE TAX
T RIZED B U w
INDIANA STATE TIRE TAX (t 3 i MISC. o r
DATE MERCHANDISE m N m t
a)
OUTSIDE SUBLET REPAIRS P.O. NO. SUBLET REPAIRS m
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3 a O U
ID
SUB TOTAL rn aD
TAX L 0
l GAS, OIL, GREASE
TOTAL SUBLET REPAIRS AMOUNT
VOUCHER NO. WARRANT NO.
ALLOWED 20
Eslers Auto Repair, Inc.
IN SUM OF w
350 Parkway Circle
Westfield, IN 46074
$55.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO, ACCT #/TITLE AMOUNT
Board Members
1120 115030 43- 510.00 $55.00 1 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
JUN 9 2010
I
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor 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 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
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
115030 $55.00
1 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