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HomeMy WebLinkAbout197254 05/11/2011 CITY OF CARMEL, INDIANA VENDOR: 163775 Page 1 of 1 ONE CIVIC SQUARE INTEGRITY AUTOMOTIVE INC CHECK AMOUNT: $55.91 CARMEL, INDIANA 46032 40 S RANGELINE ROAD CARMEL IN 46032 CHECK NUMBER: 197254 CHECK DATE: 5/11/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4351000 37905 55.91 AUTO REPAIR MAINTEN INTEGRITY AUTOMOTIVE, INC. Repair Order #0037905 40 S. RANGELINE RD. Date Printed 4115111 CARMEL, INDIANA 46032 Page: 1 (317) 573 -0107 Center 1 WWW.INTEGRITYAUTOMOTIVE.NET Customer: CARMEL CLAY PARKS VEHICLE: 2005 DODG CARAVAN Address 1411 E. 116TH ST. LICENSE 67392 COLR WHITE City: CARMEL, IN 46032- V.I.N.: 1 D4GP25RX5B168644 Phone 1 317) 571 -4144 Ext O ENGINE: 3.3 TRANS AUTO Phone 2 317) 710 -5671 Ext TODD MILEAGE: 24610 MISC 04 -04 Parts Labor Quan Part Number Description Price Op Tech Description Time Charge 2.00 L MINI BULB STOCK MINI BULB Decline A 0 2 NL -NOISE INSPECTION 52.25 CLUNKING NOISE FOUND REAR SEAT NOT SECURED ALL THE WAY CAUSING RATTLE /KNOCKING NOISE. SECURED REAR BENCH SEAT, DROVE AGAIN, NOISE IS GONE. EL 006 2 REPLACE HIGH MOUNT BRAKE BULBS Declined e Purchase Description. P.O. Q (.r P or F GG.L. A �.0 11 Line Bu dget Y lu- 1,�S, BY:....... Purchaser Date Approval Date OK Bad Recommendation OK Bad Recommendation OK Bad Recommendation X BRAKE /TAIL LTS HI MOUHT BRAKE LIG WASHER FLUID OF BATTERY OF TURN /SIDE MARL OK TRANS TPLUID OK BELTS OK HEADLIGHTS Of: PS FLU::D Of; EXHAUST OK HORN OF; BRAKE ]?LUID 0�" TIRE PSI /WEAR OF WIPER BLADES OF AF LEVPIL /Ph 04; STEERING /SUSP OK ENGINE OIL OK BODY GLASS OK I hereby authorize the repair work to be done along vi.th the necessary parts Labor: $152.25 and materials and hereby grant you and /or your employees permission to operate Parts: $0.00 the vehicle herein described on streets, highways or elsewhere, at your dis- Sublet: $0.00 cretion, for the purpose of testing and /or inspection. An express mechanics Other Fees $0.00 iien is hereby acknowledged on the above vehicle to �7.ecure the amount of re SUPPLY CHG: $166 pairs thereto. I understand that dealer /owner is not responsible for delay or Subtotal: $55.91 other consequence due to the unavailability of parts shipments beyond their Sales Tax: $0.00 control. NOT RESPONSIBLE FOR DAMAGE OR ARTICLES LEFT IN CAR IN CASE OF FIRE, Paid By: Total $55.91 Pa THEFT OR ANY OTHER CAUSE BEYOND OUR CONTROL. WARRANTY 12 MONTHS 12,000 MILES Account Pay Ref Paid $0.00 Due $55.91 X 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. 163775 Integrity Automotive, Inc. Terms 40 S. Rangeline Rd Carmel, IN 46032 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 4/15111 37905 Repairs to ESE mini van 55.91 Total 55.91 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. 163775 Integrity Automotive, Inc. Allowed 20 40 S. Rangeline Rd Carmel, IN 46032 In Sum of 55.91 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 37905 4351000 55.91 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 4 -May 2011 Signature 55.91 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund