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188089 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 363282 Page 1 of 1 ONE CIVIC SQUARE TRUCK SERVICE INC 0 CHECK AMOUNT: $91.92 CARMEL, INDIANA 46032 ATTN: AIR 3140 W MORRIS STREET CHECK NUMBER: 188089 INDIANAPOLIS IN 46241 CHECK DATE: 7/21/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4237000 54015 91.92 REPAIR PARTS TRUCK t,,ERVICE INC. TRUCK S E R V I C E INC INVOICE DATE 07/09/2010 03 :49P q BLVD INVOICE NO. PAGE F CLEVELAND SPRING SERVICE El INDIANAPOLIS SPRING 14700 p f t�1 7 E R R T 1 M A N N 5 40 1 5 1 TRUCK SERVICE NOBLESVILLE El E.A.B. TRUCK SERVICE N O B L E S V I L L E I 460 CUSTOMER NO. BRANCH WARNER SPRING F1 MORTON TRUCK SERVICE 3 17 776 64 64 1287 N trksvc.com SOLD CARMEL FIRE DEPT SHIP CARMEL FIRE DEPT. TO TO 2 CAR.MEL CIVIC SQUARE 2 CARMEL CIVIC SQUARE CARMEL ICI 46032 CARMEL IN 46032 REMIT TO: AIR, 3140 W. Dorris St. Indianapolis, IN 46241 CUSTOMER P.O. R/S ORDER NO. 812215 FRI (317) 571 -2600 EB 000/0'0 000 OTY PART NO. DESCRIPTION LIST PRICEMER EXTENSION *PICKED UP BY CUSTOMER* 4 NS C0110S N'UTE.COV'ER..TRP 34.47 22.98EA 91.92 ttftf.P fflttftt NEW PAYMENT ADDRESS tffttttt44t4; 314'0 W. MORRIS ST., INDIANAPOLIS, IN 46241 I k A rt �t t ski r C A �OR 6jG N 2 Y RECEIVED BY FREIGHT SUB TOTAL TAX STATUWSTATE SALES TAX PLEASE PAY 91.92 EXEMPT IN Y E a: 0.00 91.92 RETIGHTEN U -BOLTS AFTER TERMS: NET 1DTH PROX. Invoices not paid by the 10th of the month following the month of the Invoice date will be considered 10 DAYS OR 600 MILES past due. A late Charge of 1 12% per month will be assessed on all amounts not paid by the end of the month following the invoice date. (Annual Interest rate of 18 STORAGE CHARGE OF $10.00 PER DAY MAY APPLY FOR VEHICLES NOT INVOICE PICKED UP 30 DAYS AFTER COMPLETION OF WORK. VOUCHER NO. WARRANT NO. ALLOWED 20 Truck Service, Inc. IN SUM OF 3 W. Morris Street Indianapolis, IN 48241 $91.92 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1120 54015 42- 370.00 $91.92 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 JUL 1 9 2010 R 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)) 54015 E41 $91.92 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 2a Clerk- Treasurer