196741 04/26/2011 CITY OF CARMEL, INDIANA VENDOR: 00353385 Page 1 of 1
ONE CIVIC SQUARE CAR X
CARMEL, INDIANA 46032 1436 KEYSTONE WAY CHECK AMOUNT: $89.95
CARMEL IN 46032
CHECK NUMBER: 196741
CHECK DATE: 4/26/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4351000 236686 89.95 AUTO REPAIR MAINTEN
Ica CAR- -X TIRE R C PLETE AUTO SERVICE
1436 KEYSTONE W Y app
CARMEL, 1"1 46, 32 D 3
Auto Service APR 14 2011
BY:
I N V O I C E
I N V O I C E 02:18 PM INVOIC°: 0236686 ESTIMATE# 8965
S CARMEL, CLAY PARKS* KSIIZ141 04/08/11
C) RECREATION +9PHNGEc 18221 LICENSE# 73TRI
L 1411 E 116TH ST 2 007 DODGE CARAVAN M03
CARMEL..., IN MAKV N#
T 46032 THORNE 10
O 317- 571 -4144 REP:
OTY. PART DESCRIPTION PRICE AMOUNT
i c B R A KE I NI SPECi t M LA IZA I> C R
1 GRIND
1 ZX856B QuickStop Brake Pad 39.95 39,95
1 200 FRONT LABOR 50.00 50.00
2 206 MACHINE ROTORS Disc 40.00 20.00 OfCHR
Id LPG LIFE PLUS GUARANTEE 17.99 DECLINED
BRPKES SUBTOTAL. 89.95MECH# 917 PRESTON IIZI
1 d SS SHOP SUP'P'LIES 7.20 DECLINED
SHOP SUPPLIES SUBTOTAL: .00MECH# 917 PRESTON 10
2d 40528 28" WIPER BLADE 33.98 DECLINED
1 d 40516 16" WI'P'ER BLADE 9.99 DECLINED
SUBTOTAL: .00MECH# 917 PRESTON 10
Purchase Y�
Descnption
P.O. Par F
G.L_ #�4y�r S DI- ib-
SUBT 89.95 Budg
TOTA TAX) 00 CTRL CODE a 77 Line Destx p
Pa i J by CHARGE 89.95 Purchaser
APproval
c' PXY`THIS AMOUNT
CAR -X FULL WARRANTIES For the location of the nearest GAR -X Muffler Shop, consult your Yellow Pages
or contact CAR -X Associates Corp. 8750 W. Bryn Mawr Ave. Suite 410,
U.S. and Foreign Car Mufflers /Shocks /Springs /Brakes —See Warranty Certificate. Chicago IL. 60631.
U.S. and Foreign Car Pipes— YOUR'CAR -X PIPE IS UNDER WARRANTY for
one year from date of installation. Should it wear out or rust out during that This warranty is made by CAR -X Associates Corp. and gives you specific legal
period, simply present this sales invoice or other evidence of date of installa- rights. You may have other rights which vary from state to state. CAR -X is a
tion and your car with the defective pipe to any CAR -X Muffler Shop. A new federally registered trademark of CAR -X Associates Corp. Seller is a licensee
pipe will be installed at NO CHARGE for the pipe or for its installation. of CAR -X Associates Corp.
I hereby authorize the above repair work to be done along with the necessary material, and hereby grant
you and/or your employees permission to operate the car or truck herein described on streets, highways -4236
or elsewhere for the purpose of testing and/or inspection.,
`CU'STO IGNATURE
CAR -X pipes are under warranty for one year from date of original installation.
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
00353385 Car -X Terms
1436 Keystone Way Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
418111 236686 Brake repairs to M03 mini van 89.95
To 89.95
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
Voucher No. Warrant No.
00353385 Car -X Allowed 20
1436 Keystone Way
Carmel, IN 46032
In Sum of
89.95
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 236686 4351000 89.95
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
21 -Apr 2011
&Amy
Signature
89.95 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund