191176 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 00350431 Page 1 of 1
0 *f ONE CIVIC SQUARE DICKINSON FLEET SERVICES, LLC
CARMEL, INDIANA 46032 16389 COLLECTIONS CENTER DRIVE CHECK AMOUNT: $580.88
CHICAGO IL 60693 CHECK NUMBER: 191176
CHECK DATE: 10/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 1806069 580.88 AUTO REPAIR MAINTEN
-Dickinson Fleet Services, LLC Invoice #1806066
16389 COLLECTIONS CENTER DRIVE Date 10/15/10
CHICAGO, IL 60693 Page: 1
Phone: 317.872.4542 Fax: 317.872.7624
Center 2
INDIANAPOLIS, IN 317- 872 -4542
Customer: CARMEL STREET DEPT Vehicle: 2000 OIL OIL PAN
Address 3400 W 131ST ST Unit OIL PAN
City: WESTFIELD, IN 46074- VIN: CCCCCCCCCCCOILPAN
Phone 1 317 733 -2001 Ext Engine: Trans
Phone 2 317 733 -2005 Ext Mileage 0
Op Tech Description Labor Parts Subtotal
Quan Part Number Part Description Reason for Replacement Price
0020 SANDBLAST 6 OIL PANS AND ONE TRANSMISSION PAN 487.50 75.00 562.50
Technicians: 2007, 2625
1.00 MATERIALS BLAST MATERIALS 75.00
OK Bad Recommendation OK Bad Recommendation OK Bad Recommendation
PAYMENT TERMS: NET30 REMIT: 16389 COLLECTIONS CENTER DRIVE, CHICAGO, IL 60693 Labor: $487.50
CUSTOMER ACKNOWLEDGES THAT HE HAS INSPECTED THE REPAIRS TO THE VEHICLE ON THIS Parts $75.00
INVOICE AND THE REPAIRS MEET THE CUSTOMERS REQUIREMENTS AND EXPECTATIONS. Sublet: $0.00
CUSTOMER FURTHER AGREES TO PAY THE INVOICE IN FULL, AS SHOWN, WITHOUT Other Fees: $0.00
DEDUCTION OR SET OFF. ANY WARRANTIES ON THE PARTS AND ACCESSORIES SOLD HEREBY Mis /FuellEPA $18.38
ARE MADE BY THE MANUFACTURER. DICKINSON FLEET SERVICES, LLC MAKES NO Subtotal: $580.88
WARRANTIES OF ANY KIND, EXPRESS OR IMPLIED, AND DISCLAIMS ALL WARRANTIES OF Sales Tax: $0.00
MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, WITH REGARDS TO THE
SERVICE, PARTS, LABOR, AND /OR ACCESSORIES PURCHASED AND THAT IN NO EVENT SHALL Paid By Total: $580.88
DICKINSON FLEET SERVICES, LLC BE LIABLE FOR INCIDENTAL OR CONSEQUENTIAL On Account
Pay Ref Paid $0.00
DAMAGES OR COMMERCIAL LOSS ARISING OUT OF SUCH PURCHASES. Due: $580.88
X
VOUCHER NO. WARR NO.
ALLOWED 20
Dickinson Fleet Services
IN SUM OF
Y
16389 Collections Center Drive
Chicago, IL 60693
$580.88
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
2201 1806069 43- 510.00 $580.88 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
n Thursday,,O6tober 21,2010
u wc,dl
X 4 -1
Street Commissi ner
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))
10/15/10 1806069 $580.88
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