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HomeMy WebLinkAbout190528 09/29/2010 =c. CITY OF CARMEL, INDIANA VENDOR: 353827 Page 1 of 1 ONE CIVIC SQUARE ZIEBART OF INDIANAPOLIS CARMEL, INDIANA 46032 6155 E 86TH ST CHECK AMOUNT: $247.20 INDIANAPOLIS IN 46250 CHECK NUMBER: 190528 CHECK DATE: 9/29/2010 DEPARTMENT ACCOUNT PO N INVOICE NUMBER AMOUNT DES 1120 4351000 349575 247.20 AUTO REPAIR MAINTEN 09/21/2010 22:40 3178410426 ZIEBART IN37 PAGE 01 CUSTOMER COPY INVOICE bate O rder n 07/31/10 349575 Auto- x -10'd, Inc. /IN37 REPR 6155 E 86th St. Suite C Sales ID: CW Indianapolis, IN 46250 Phone #:317- 577 -9192 Fax#:317- 841 -0426 Email: I N37 @Ziebartl .com CUSTOMER OF: C Carmel Fire Dept None ILI 10701 N. College Ave S T Carmel, IN 46032 Phone None o Customer Phonet 3178183400 M E R CUSTOMER TYPE: Associate BRANCH CUST. AR# CARMEL P.O. BOB FLEET MASTER BILLING NO. BATCH DELIVER TO: MFGR ODOMETER VEHICLE I.D. /SERIAL NO. AFC18038 UNIT STOCK NO. DATE READING YEAR 2010 MAKE, MODEL COLOR Ford F -150 White Qty. Description Part Warranty Amount UC UNDERCOATING *UNDERCOAT 150.00 SG SPLASH GUARDS 'SPLASH GDS 90.00 Z1 Environmental Impact Surcharge "EPA COMP 7.20 I S 247.20 Diamond Gloss is now on sale ask about our RHINO LININGS sale call 317 577 -9192 Total 247.20 CASH ON ACCOUNT CHECK BANKCARD REM CARD I HEREBY AUTHORIZE THE WORK SHOWN TO BE DOIIE ALONG with THE NECESSARY MATERIALS AND AGREE THAT YOU ARE NOT RESPONS15LE .«.w.. FOR LOSS OR DAMAGE TO VEHICLE OR ARTICLES LEFT IN CASE OF FIRE, THEFT OR ANT OTHER CAUSE BEYOND YQUR CONTROL. AN EXPRESS MECHANICS LIFN HEREBY ACKNDWLEDGED DN THE ASdVE VEHICLE TO SECURE THE AMOUNT 09 SERVICE HERETO. VOUCHER NO. WARRANT NO. ALLOWED 20 Zieb?rt IN SUM OF 6155 E. 86th Street #C Indianapolis, IN 46250 $247.20 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1120 349575 43- 510.00 $247.20 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 BCD s1' -�1 MID �P 2 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)) 349575 $247.20 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