192269 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 354836 Page 1 of 1
D ONE CIVIC SQUARE TOUCH 'N GO COLLISION CENTERS INC
CHECK INDIANA 46032 902 3RD AVE SW
CHECK AMOUNT: $100.00
CARMEL IN 46032
CHECK NUMBER: 192269
CHECK DATE: 11/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 104485 100.00 AUTO REPAIR MAINTEN
1
TOUCH N GO COLLISION CENTERS INC t Q
902 THIRD AVE S.W.
CARMEL, IN 46032
Phone: 317 846 -6718
Fax: 317 846 -6719
License touchngo.biz
11/10/2010
CITY OF CARMEL C OTY
3400 WEST 131 ST
WESTFIELD .IN 46074
Insurance Co:
Claim
Repair Order 104485
Re: 1998, CHEV C1500 4X2 FLEETSIDE
Dear CITY OF CARMEL:
Enclosed is the documentation for the repair work performed on your vehicle.
The following is a breakdown of the billing and payments received:
Repair Order Amount: 100,00
Supplement Amount' (1): 0.00
Supplement Amount' (2): 0.00
Supplement Amount' (3): 0.00
Total Amount: 100.00
Less Payment Received: 0.00
Current Balance Owed: 100.00
Please review your records and issue payment for the current balance due. Thank you for your prompt
attention to this matter.
Sincerely,
KEVIN SMITH
OPERATIONS MANAGER
'Refers to costs for repairs not identitied in the original estimate.
VOUCHER NO. WAR NO.
ALLOWED 20
Touch "N Go Collision Center Inc
IN SUM OF
902 3rd Ave. S. W.
Carmel, IN 46032
$100.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. I ACCT #!TITLE AMOUNT Board Members
2201 104485 43- 510.00 $100.00 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
T hursAy(NoAe tuber 18, 2010
fi 1�
Street Commissioner
titeppf
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board or 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))
11/10110 104485 $100.00
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