191293 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 355635 Page 1 of 1
4 ONE CIVIC SQUARE MIKE'S EXPRESS CAR WASH CHECK AMOUNT: $192,00
CARMEL, INDIANA 46032 10251 HAGUE ROAD
INDIANAPOLIS IN 46256 CHECK NUMBER: 191293
CHECK DATE: 10/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 5304 192.00 AUTO REPAIR MAINTEN
r Mike's Carwash,lnc.
IN VOI CE
10251 N.Hague Road
Indianapolis, IN 46256 INVOICE DATE
Phone: (317) 572 -9250
T
Fax: (317) 572 -9251 102/2010
5 INVOICE NUMBER
Email Address: mcw @mail.fwi.com Web Site: http: \www.mikescarwash.com 005304
CUSTOMER NUMBER
City of Carmel Police Dept. C-; i�-' C E iZ) it G i CSI CARPD01
Teresa Anderson TERMS
3 Civic Square
Net 30
Carmel, IN 46032
Description QTY UNIT PRICE AMOUNT i
Choice Books 4.00 48.00 192.00 I
1 1516 7,
1
XEIVED h,
OCT�
CARMEL ti
.ITY ENGINEER ti'
.e
Make Checks Payable to: Mike Car Wash
Attn: Accounts Receivable
10251 N. Haque Road
for 1 Indianapolis, IN 46256
TotalDue 192.00
�f
Rvo%st er Forrr,
date:
9/q)
Billing Address
/Location
Name 1 �l C97' yyl p r �V�G I6I_ hone ���1 5� 1
Street 1 Ca uGt V4_9
City Ca State Zip
Mailing Address
Name
Street
City State Zip
Packaging Type Qty Serial Numbers Price Total
Gift Sox Express Books
Choice Books qS(M 1
Leatherette Works Books
Tire Shine Books
None Silver Books
Gold Books
Platinum Books
Ex ress Single
Choice Single
Works Single
Tire Shine Singles
Payment Details $5 off Works
Sorry Free Tickets
Direct Bill Old Rewash
El Donation
Gift Cards
Check other
Credit Card Discount
Type (CC): ❑AM ❑VS El MC [Ell DC Subtotal
SIH
Number AL
Expires (CC)
Signs Xre
Notes
U
ia 10
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
Mike's Express Car Wash
Purchase Order No.
10251 N. Hauge Road
Terms
Indianapolis, IN 46256
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
07/11/09 005304 Car Wash Coupons for Department Vehicles $192.00
Total
I 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
Mike's Express Car Wash IN SUM OF
10251 N. Hauge Road
Indianapolis, IN 46
$192.00
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
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
5304 EfJG 4351000
materials or services itemized thereon for
which charge is made were ordered and
received except
2� o 20
C` W
Signatur
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund