190736 10/13/2010 a CITY OF CARMEL, INDIANA VENDOR: 363939 Page 1 of 1
0 ONE CIVIC SQUARE ESLERS AUTO REPAIRS INC CHECK AMOUNT: $1,643.85
CARMEL, INDIANA 46032 350 PARKWAY CIRCLE
WESTFIELD IN 46074 CHECK NUMBER: 190736
CHECK DATE: 10/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION
1120 4351000 11658458 1,643.85 AUTO REPAIR MAINTEN
OUAN. PART NO. OR DESCRIPTION AMOUNT J
E sler, DATE
PCHARGE] ABOR
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LUBRICATION
L f 1 7 P 6 350 PARKWAY CIRCLE OILANGE El C' bQb"Yo� �3 WESTFIELD, INDIANA 46074 CHANGE OIL
317 896 -9060 FAX: 317 -$96 -5115 FILTERCART.
ROT A E BALANCE
NAME T
ADJUST a o c
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ADDRESS G Q WHEEL y
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PHONE YEA MAKE TYPE OR MODEL CUST. ORDER NO. a o m
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SPEEDOMETER LICENSE NO. SERIAL NO. SERVICE o y m
TI E
1 S S» 13 MOTOR NO. DISPOSAL El ro y
MNOH. REPAIR ORDER DESCRIPTION OF WORK N o
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I hereby uthorize the above repair work to be done along with necessary aterials. You rn 'd a
Y e may and our to o perate testin inspection or ins TOTAL LABOR w 3 .o
P Y Y P above vehicle for p urposes of 9 ai
i delivery at my risk. An express mechnic's lien is acknowledged on above vehicle to secure o y
the amount of repairs thereto. It is understood that this company assumes no TOTAL PARTS 70
responsibility for loss or damage by theft or fire to vehicles placed with them for storage, a E
TOTAL PARTS safe, rep it or while road testing. n a I
TIRE TAX `m H
HO IZED B r c a U y
INDIANA STATE TIRE TAX DATE L_ r r MERCHANDISE y a�
OUTSIDE SUBLET REPAIRS P.O. No. SUBLET REPAIRS m a 1 c
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SUB TOTAL T n y c
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TAX Ij it J m o
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GAS, OIL, GREASE
PAY THIS
TOTAL SUBLET REPAIRS AMOUNT I�
�'GK XJ Sold 3 .i 3
VOUCHER NO. WARRANT NO.
z.
ALLOWED 20
Eslers Auto Repair, Inc.
IN SUM OF
350 Parkway Circle
Westfield, IN 46074
$1,643.85
ON ACCOUNT OF APPROPRIATION FOR
Carmel 'Fire Department
PO# I Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 11658458 43- 510.00 $1,643.85 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
Eire 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))
11658458 0323 $1,643.85
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