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190729 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 00352042 Page 1 of 1 ONE CIVIC SQUARE DON HINDS FORD 12610 FORD DRIVE CHECK AMOUNT: $1,209.00 CARMEL, INDIANA 46032 o� FISHERS IN 46038 CHECK NUMBER: 190729 CHECK DATE: 10/13/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4467099 21644 FT860 1,209.00 BEDLINER AND TOOLBOX md I NVOICE y,� 0 A- 3; <�*��f�'% •address f ,3 gel mom �p ,ae %n �i a ^,i.: Jcv'` s ae, N tx4� j :�a y ()at2�a �.F� rCarrnel��IN a� serial x".`.,.;� �k: ate, xu. p a c TM=.' =c' E WN Telepho P: F 1, ig w ta a 5712 44 m r s y Home°_ W ©rk s ,E� Y N .a ,Ww ,a',��� y F'15024x4 n gw Re White .�:S s R• .��"g ",�?M,�;'.:_a4.^��sia.:: m� 4 ,^'w v' and s '�&i?N� a MMM n :-5 -n SAM AM Xg ,.�C`97' �T�4.�, 4 4 s Ida 3 Perri a� i m Factory Installed Equipment Bedliner $189.00 Tool Box $510.00 Tool Box $510.00 �nSlfranGet;OI�at7 a� e s x PrICe Flee 7 ,7"7 Trade in Agent Phone r a Tradin 1,209.00 9 Difference Y Make �h Model�� Color eear� 7% Sales Tax •=k x 'v ,1 4 e� x, 2DR�4 DR� Tire Tax of tires 5 a elivery Most 'q Total Cash Difference 1,209.00 Balance Owed on Used Vehicle a Total Balance Due 1,209.00 x "P 5.`' l a ,.ax.fr.cc"x#�S Balance l eln� e�� Date Less Cash ReC Unpa 1 Owed e r� id Balance of Cash Price 209.00 JIM m�. a x�sc ate. s s2lan w ApCOV {a �a x Caitonl r 3 w"' ens» "a a s 3 k. W�" c >i. �4by°'�ba'C e,�,.� NAB .�.�w .^=a' DON HINDS FORD INC. 12610 Ford Drive Phone (317) 849 -9000 x1216 Fishers, IN 46038 Toll Free (800) 644 -4637 x1216 dmead@donhindsford.com Direct Phone Fax 317 -813 -3216 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)) Total 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 VOUCHER NO. WARRANT NO. ALLOWED 20 C) A) i�b5 Ad rA) IN SUM OF ryd ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I 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 20 Signa e /A0 10 Cost distribution ledger classification if Title claim paid motor vehicle highway fund