192020 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 355810 Page 1 of 1
ONE CIVIC SQUARE CARMEL AUTO TRUCK SERV. CHECK AMOUNT: $296.47
CARMEL, INDIANA 46032 310 GRADLE DRIVE
CARMEL IN 46032 CHECK NUMBER: 192020
CHECK DATE: 11/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 01146D 296.47 AUTO REPAIR MAINTEN
CARMEL AUTO TRUCK SERV.
310 GRADLE DRIVE Invoice
CARMEL IN 46032
(317) 846 -1171 Number: 01146D
Date: November 03, 2010
BILL TO
CARMEL FIRE DEPT
CARMEL, IN 46032
CONTACT P.O.# MILEAGE
UNIT# 4508 124941
PARTS SERVICES Tax 1 Amount
SERVICE TRANSMISSION FLUSH SYSTEM, FILTER GASKET 89.95
TBA -1 FILTER KIT AC DELCO 41.12
TBA -1 FRICTION MODIFIER ATP -987 33.40
AA -12 QTS DEXTRON 6 132.00
Sub -Total $296.47
State Tax 6.00% on 0.00 0.00
Total $296.47
VOUCHER NO. WARRANT NO.
ALLOWED 20
Carmel Auto Truck
IN SUM OF
310 Gradle Drive
Carmel, IN 46032
$296.47
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
1120 01146D 43- 510.00 $296.47 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
NOV 2 2 1010
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))
01146D $296.47
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