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188555 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 354836 Page 1 of 1 ONE CIVIC SQUARE TOUCH 'N GO COLLISION CENTERS INC CHECK AMOUNT: $338.14 CARMEL, INDIANA 46032 902 3RD AVE SW CARMEL IN 46032 CHECK NUMBER: 188555 CHECK DATE: 8/3/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4351000 104247 338.14 AUTO REPAIR MAINTEN Touch'N Go Collision Center Inc. I 902 Third Ave. S.W. Carmel, IN 46032 Collisi 317.846.6718 Tom— www.touchngo.biz Customer: CITY OF CARMEL Repair Order: 104247 Address: STREET DEPARTMENT 3400 WEST 131ST STREET Drop Off Date: 7/19/2010 WESTFIELD, IN 46074 Completion Date: 7/19/2010 Phone Number: 317.733.2001 Dealer Account Account Number: CARSTDEPT Vehicle: 2003 GMC C2500 Original Estimate Total: $338.14 Supplement 1: $0.00 Supplement 2: $0.00 Supplement 2: $0.00 Total Insurance Amount. $338.14 Customer Deductable: $0.00 Customer Betterment: $0.00 Customer Self -Pay Amont: $0.00 k Customer Amount: $0 0 Customer Credit Received: Insurance Payment Received: 0 00 Supplement Payment Received: $0. 00 REPAIR TOTAL $338.14 Pending Insurance Payment: 50.00 e o e Thank You for choosing Touch `N Go Collision Center. We hope we have exceeded your expectations. As a small business, we take pride in our quality repairs and great customer service. Please email us your feedback: feedbacktng @yahoo.com VOUCHER NO. WARRANT NO. ALLOWED 20 Touch 'N Go Collision Center Inc IN SUM OF 902 3rd Ave. S. W. Carmel, IN 46032 $338.14 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 104247 43- 510.00 $33814 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 A Uel July 27, 2010 St% E 6 r m i ssicf e r 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)) 07/19/10 104247 $338.14 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