HomeMy WebLinkAbout193481 01/05/2011 CITY OF CARMEL, INDIANA VENDOR: 355635 Page 1 of 1
s 0 ONE CIVIC SQUARE MIKE'S EXPRESS CAR WASH
CARMEL, INDIANA 46032 10251 HAGUE ROAD CHECK AMOUNT: $600.00
INDIANAPOLIS IN 46256
CHECK NUMBER: 193481
CHECK DATE: 1/5/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 R4351100 27222 53938714683 600.00 CARWASH TICKETS
1510:3;,_ ind �cnr'a
y.25'Nr g Road c
,,17 -572 -9250
9990ueryCashier, 12/29/10, 09:42 AM
Shift 1, Empl 3070, Sale #53938714683
,h
DUPL .R
-r
20 oEXP, }BK:,IN 64( 00
1 Book D)�scount 40.00
Subtotal 600.00
Sales Tax 0.00
Total 600.00
House Acct #1100 600.00
(AR)
Thank you for your Mike's Carwash
purchase!
mikescarwash.com
P
CCustomer Name:
Manager Name:
i *Employee{ Book Discount On] y n ,dp�l
0
Associate
Number:
INDIANA RETAIL TAX EXEMPT PAGE
C ity -of C rme i CERTIFICATE NO.0031 201 55 002 0 Y lys �i PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 27
3 gBACIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A(P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
3 URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO, DESCRIPTION
December 21, 2010 car washh tickets
VENDOR Mihhs' Caruash I mco SHIP
To City of Carmel Police Department
10251 N. Hague Road 3 Civic Square
Indianapolis, IN 46258 Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
20 books Express carwash tickets 30000 600°00
Ufa
y ;+r
11
I
t�
T
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
1110 511 car cleaning
PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY T HERE IS AN UNOBLU TEP,BALANCE IN
SHIP REPAID. THIS APPRO S FFICIENTTO P QR ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. 11
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Asstibant Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. 272 22 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.--
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. 9 I 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_
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 207 (Rev. 1995)
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
Mikes Car Wash Purchase Order No.
10251 N Hague Rd
Terms
Indpls, IN 46258
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/29/10 53938714683 carwash tickets 600.00
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
UCHER NO. WARRANT NO.
ALLOWED 20
Ac es Car Was
10251 N Hague Rd
IN SUM OF
Indpls, IN 46258
600.00
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
27222F 53938714683 511 600.00 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
December 29, 20 10
Ass l� e of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund