193055 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: 355810 Page 1 of 1
ONE CIVIC SQUARE CARMEL AUTO TRUCK SERV. CHECK AMOUNT: $361.79
CARMEL, INDIANA 46032 310 GRADLE DRIVE
CARMEL IN 46032 CHECK NUMBER: 193055
CHECK DATE: 12/22/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4351000 01268D 57.09 AUTO REPAIR MAINTEN
1192 4351000 01269D 304.70 AUTO REPAIR MAINTEN
r CARMEL AUTO TRUCK SERV.
310 GRADLE DRIVE Invoice
CARMEL IN 46032
(317) 846 -1171 Number: 01268D
Date: December 08, 2010
BILL TO VEHICLE
1
CITY OF CARMEL 2008 FORD F -450
CARMEL, IN 46032 CHIPPER TRUCK
VIN
CONTACT P.O.# MILEAGE
CHIPPER TRUCK 3113
PARTS SERVICES Tax 1 Amount
SERVICE L.O.F 18.00
S -1 OIL FITLER MOTOCRAFT 14.53
S -8 QTS OIL 5W20 24.56
Sub -Total $57.09
State Tax 7.00% on 0.00 0.00
Total $57.09.
CARMEL AUTO TRUCK SERV.
310 GRADLE DRIVE Invoice
CARMEL IN 46032
(317) 846 -1171 Number: 01269D
Dater December 08, 2010
BILL TO VEHICLE
CITY OF CARMEL 2005 VERMEER
CARMEL, IN 46032 CHIPPER
VIN 1VRU1614861003122
CONTACT P.O.# i MILEAGE
CHIPPER 265 HRS 1
PARTS SERVICES 1 Tax 1 Amount
SERVICE L.O.F 1/ INSTALL FUEL FILTER, AIR FILTER, TIGHTEN BELTS, CHECK 98.00
LIGHTING--
NA-1 FUEL FILTER 3547 44.30
NA -1 AIR FITLER 2330 I 107.23
BA -1 OIL FITLER 1459 21.37
S -9 QTS ROTELLA 15W40 33.80
Sub -Total $304.70
State Tax 7.00% on 0.00 0.00
Total $304.701
VOUCHER NO. WARRANT NO.
ALLOWED 20
Carmel Auto Truck Service.
IN SUM OF
310 Gradle Drive
Carmel, IN 46032
$361.79
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1192 01269D 43- 510.00 $304.70 1 hereby certify that the attached invoice(s), or
1192 01268D 43- 510.00 $57.09 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
Monday, December 20, 2010
irector, OCS
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 invoices) or bill(s))
12/08/10 01269D Oil change, plus filters chipper $304.70
12/08/10 01268D Oil change plus filter Chipper truck $57.09
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