190209 09/29/2010 +y CITY OF CARMEL, INDIANA VENDOR: 355810 Page 1 of 1
ONE CIVIC SQUARE CARMEL AUTO 8 TRUCK SERV.
CARMEL, INDIANA 46032 310 GRADLE DRIVE
CHECK AMOUNT: $160.28
CARMEL IN 46032
CHECK NUMBER: 190209
CHECK DATE: 9129/2010
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 0807D 160.28 AUTO REPAIR MAINTEN
CARMEL AUTO TRUCK SERV.
310 GRADLE DRIVE Invoice
CARMEL IN 46032
(317) 846 -1171 Number: 0807D
Date: August 06, 2010
BILL TO VEHICLE
CARMEL FIRE DEPT 1999 GMC
CARMEL, IN 46032 YUKON
VIN# XJ784787
PFT-
CONTACT P.O.# MILEAGE
89674
PARTS SERVICES Tax 1 Amount
TBA -1 POWER STEERING PRESSURE HOSE 76.28
INSTALL POWER STEERING PRESSURE HOSE 78.00
S -FLUID PS 6.00
Sub -Total $160.28
State Tax 7.00% on 0.00 0.00
Total $160.28
VOUCHER NO. WARRANT NO.
ALLOWED 20
Carmel Auto Truck
IN SUM OF
310 Gradle Drive
Carmel, IN 46032
$1
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# 1 Dept. INVOICE N0. ACCT #ITITLE AMOUNT Board Members
1120 E0807D 43- 510.00 $160.28 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
SEP 2 7 2010
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))
0807D C4507 0323 $160.28
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