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