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190273 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 362830 Page 1 of 1 ONE CIVIC SQUARE GIBBS AUTO INTERIORS, LLC CARMEL, INDIANA 46032 18318 US HIGHWAY 31 NORTH CHECK AMOUNT: $135.00 WESTFIELD IN 46074 CHECK NUMBER: 190273 CHECK DATE: 9/29/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4351000 643 85.00 AUTO REPAIR MAINTEN 1120 4351000 674 50.00 AUTO REPAIR MAINTEN Gibbs Interiors .�15 Invo 18318 US Hwy 31 N Westfield, IN 46074 Date Invoice 9/23/2010 674 Bill To Ship To CARMEL FIRE DEPT 2 CIVIC SQUARE CARMEL, IN 46032 P.O. Number Terms Rep Ship Via E.O.B. Project 9/23/2010 Quantity Item Code Description Price Each Amount I SEATS LABOR SEAT REPAIR- GRAY BUCKET 50.00 50.00 7.00% 0.00 Total $50.00 Gibbs Interiors Invoice 18318 US Hwy 31 N Westfield, IN 46074 Date Invoice 9/10/2010 643 Bill To Ship To CA.RMEL EIRE DEP "r 2 CIVIC SQUARE CARMEL, IN 46032 P umb Terms Rep Ship Via F.O.B. Project E40 9/10/2010 Quantit Item Code Description Price Each Amount I SEATS LABOR BLACK BUCKET SEAT REPAIR TRUCK E40 85.00 85.00 7.00% 0.00 r _,f A Total i 585.00 VOUCHER NO, WARRANT NO. Gibbs Auto Interiors ALLOWED 20 IN SUM OF 7201 E. 86th Street Indianapolis, IN 46250 $135.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO Dept. INVOICE NO. ACCT #fTITLE AMOUNT Board Members 1120 674 43- 510.00 $50.00 1 hereby certify that the attached invoice(s), or 1120 643 43- 510.00 $85.00 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 C ty 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)) 674 HM45 $50.00 643 $85.00 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