189663 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 364678 Page 1 of 1
ONE CIVIC SQUARE ACCURATE DRIVELINE MACHINE
0 CHECK AMOUNT: $466.29
CARMEL, INDIANA 46032 8360 WEST WASHINGTON
o� co INDIANAPOLIS IN 46231 CHECK NUMBER: 189663
CHECK DATE: 9/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 0007397 466.29 TRANSPORTATION EXPENS
Repair Order 0007397
8360 W. Washington St. Date Printed: 8123110
Indianapolis, IN 46231 Page: 1
ACCURATE DRIVELINE MACHINE 317- 481 -0495 Center:
4y
Customer: CITY; OF CARMEL Vehicle: 19
Address: ONE CIVIC SQUARE Licenser
City: CARMEL, IN 46032- VIN:
Phone 1: 317 733 -2853 Ext. JIM Engine: Trans:
Phone 2: 317 716 -3939 Ext. CELL Mileage:
Parts Labor
Quan Part Number Description Price Op Tech Description Time Charge
3.00 5 -799X UNIVERSAL JOINT 101.1 ST 02 67 MACHINE AND WELD ONE. 44.5
1.00 210088 -1X CARRIER BEARING 61.8 ST 01 67 INSTALL THREE UNIVERSAL JOINTS. 50.7
1.00 3 -54 -611 CARRIER STUB 52.6 ST 05 67 REMOVE AND INSTALL CARRIER BEARING. 17.1
1.00 3- 4- 178 -1X END YOKE 47.01 ST 05 66 BALANCE TWO PIECE STEEL DRIVESHAFT. 61.7
1.00 3 70 28X STRAP KITS 7.2
Vo v
OK Bad Recommendation OK Bad Recommendation OK Bad Recommendation
A
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I hereby authorize the repair work to be done along with the necessary parts and materials and tabor: $174.2
269.8
hereby grant you and/or your employees permission to operate the vehicle herein described on Parts:
streets, highways or elsewhere, at your discretion, for the purpose of testing and/or inspection. Sublet: $0.0
An express mechanics lien is hereby acknowledged on the above vehicle to secure the amount Other Fees: $0.0
of repairs thereto. ADDITIONALLY, I AGREE TO PAY ALL COSTS OF COLLECTION, Shop Supply: $22.2
INCLUDING REASONABLE ATTORNEY FEES, SHOULD I FAIL TO PROMPTLY PAY THE Subtotal: $4662
BALANCE DUE ON THIS INVOICE. NOT RESPONSIBLE FOR DAMAGE OR ARTICLES Sales Tax: $0.0
LEFT IN CAR IN CASE OF FIRE, THEFT OR ANY OTHER CAUSE BEYOND OUR CON- Paid By:
TROL. Shop supply charges include hazardous waste removal and recycling. Total: $466.2
Pay Ref: Paid: $0.0
X� Due: $466.2
AMERICAN I
EXPRESS
VOUCHER 102756 WARRANT ALLOWED
TAW IN SUM OF
ACCURATE DRIVEI_INE MACHINE
8360 W WASHINGTON ST
INDIANAPOLIS, IN 46231
a.
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
0007397 01- 6500 -04 6466.29
Voucher Total $466.29
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
TADM
ACCURATE DRIVELINE MACHINE Purchase Order No.
8360 W WASHINGTON ST Terms
INDIANAPOLIS, IN 46231 Due Date 9/10/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/10/2010 0007397 $466.29
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
Date off ic r