HomeMy WebLinkAbout189888 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 359067 Page 1 of 1
0 ONE CIVIC SQUARE LINE X OF INDY
,ra CARMEL, INDIANA 46032 7.258 86TH'S -REM CHECK AMOUNT: $120.00
IN S4N -ae2so CHECK NUMBER: 189888
Ito 01 u Y�'f r loll c CHECK DATE: 9/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 16276 120.00 AUTO REPAIR MAINTEN
O f I Invoice
srnwr -ax rxue�c aeor.ixerrs
72.58 E 86th Street Date Invoice
Indianapolis, fN 46250
Phone 317 -585 -0123 WWW.line -x.com 8/25/2010 16276
Fax 317 536 -3310
Billing Customer
City of Carmel
Street Dept,
3400 W. 131st
Westfield, In 46074
Year/ Make/ Model Color Vin PO
Quantity Item Code Description Amount
I E- Cuslorn Work Truck Fenders 120.00T
G-
A
Keep invoice -work ILL proof of purchase. Warranty is void without proof of purchase. Sales TeX (7.
Send Payment To:
1601 Country Club Rd
Indianapolis IN 46234 Total
VOUCHER NO. WARRANT NO.
ALLOWED 20
Line -X of Indy
IN SUM OF
1601 Country Club Road
Indianapolis, IN 46234
$120.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #JTiTLE AMOUNT
Board Member:
2201 16276 43- 510.00 $120.00 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
y �/7 Thu'sday„ september 09, 2010
Street Commissioner
v�i. v�Jl l.il l.JJ1 VllCi!
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))
08/25/10 16276 $120.00
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
Cferk- Treasurer