HomeMy WebLinkAbout196795 04/26/2011 CITY OF CARMEL, INDIANA VENDOR: 00351210 Page 1 of 1
s �l 0 ONE CIVIC SQUARE GLASS DOCTOR INDIANAPOLIS CHECK AMOUNT: $221.09
CARMEL, INDIANA 46032 PO BOX 55625
INDIANAPOLIS IN 46205 -3427 CHECK NUMBER: 196795
CHECK DATE: 4/26/2011
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 6623 221.09 OTHER EXPENSES
GLASS DOCTOR INDIANAPOLIS
7753 E 89TH ST.
INDIANAPOLIS IN 46256
(317)577 -5416 (317)636 -2006
Fax: (317)577 -5899 O
Tax# 26- 2969258 Invoice: 6623
Date:02 /04/2011
Insurance: Insured: Scheduled:02 /01 /2011 07:00
CARMEL UTILITIES CARMEL UTILITIES JEFF COOPER
760 THIRD AVE. SW 9609 HAZEL DELL PARKWAY
CARMEL IN 46032 INDIANAPOLIS IN 46280
Ph:(317)733 -2855 H (317)716 -5882 Fax:(317)571 -2636
Csr:CSR Tech:BOB PO Term 30 Bill -To TermsNET 3 0
Vehicle:2004 CHEVROLET SILVERADO C2500 HD 2 DOOR STANDARD CAB
VIN: IGCHC24U54E301570
Qty Part Description List Price Material Labor Item Total
1.0000 DWO1549GBY Windshield Green Tint/Blue Shade 191.55 86.14 120.00 206.14
(w /Molding attached)(Upper Moulding)(Solar)(W /Third
Visor Frit)
1.0000 HAH000004 Adhesive(Nags) (Urethane, Dam, Primer) 14.95 0.00 14.95
(2.00)
i
Notes: This is from 2/3/2011. Please remit payment at the address above. Thank you for your business. Karen
Unit #121 -work completed
Signature
Material Labor Tex Total Deductible Payments Balance
101.09 120.00 7 228.17 0.00 0.00 .17
vers:8.0.65 Page: I of I
VOUCHER 107561 WARRANT ALLOWED
00351210 IN SUM OF
GLASS DOCTOR
7753e 89th st
Indianapolis, IN 46256
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
6623 01- 7502 -06 $221.09
Voucher Total $221.09
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
00351210
GLASS DOCTOR Purchase Order No.
7753e 89th st Terms
Indianapolis, IN 46256 Due Date 4/21/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/21/2011 6623 $221.09
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
Date Officer