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