161794 07/23/2008 CITY OF CARMEL, INDIANA VENDOR: 00350431 Page 1 of 1
ONE CIVIC SQUARE DICKINSON FLEET SERVICES, LLC
CHECK AMOUNT: $25.00
CARMEL, INDIANA 46032 PO BOX 66724
INDIANAPOLIS IN 46266 CHECK NUMBER: 161794
CHECK DATE: 7/2312008
DEPART ACCOUNT PO NUMBER I NVOICE NUMBER AM DESCRIPTION
2201 4351000 573073 25.00 AUTO REPAIR &.MAINTEN
I
i
Dickinson Fleet Services, LLC
14693 5 7 3 0 7 3 DICKINSON Indianapolis Service Center (Main Office)
UNIT# MISC 4709 West 96th Street
INVOICE Indianapolis, IN 46268
CARMEL STREET DEPT FLEET (317) 872-4542
3400 W 131ST ST SERVICES Fax (317) 872-7624
WESTFIELD IN 46074 PAGE 1
HOME:317-733-2001 BUS:317-733-2005
SERVICE ADVISOR: 115 SANDBLASTING
UNIT� NO,.:�::x:� :�:�i��]:��ii:�:���MILEAGE.,IN/.:O.UT;*
E/MO DEL_
YEAR.
08 MISCELLANEOUS MISCEL CITYOFCARMELMISC. MISCF 1 1
1 1. 11.1. 1. I :��i':':DATE
�::PAYMENT INV�
P
�O NO
IS I 23:00 02JUL08 CHG 11JUL08
R.O. OPENED. COMPLETED -1 COMMENTS:
06:54 02JUL08 12:26 11JUL08
LINE OPCODE TECH TYPE HOURS LIST NET TOTAL
A SANDBLAST OIL PAN
68 DETAIL, CLEAN-UP
1999CSAND 25.00 25.00
PARTS: 0.00 LABOR: 25.00 OTHER: 0.00 TOTAL LINE A: 25.00
EST: 25.00 02JUL08 06:54 SA: 115
PLEIASE REMIT TO: DICKINSON FLEET SERVICES, LLC STA'rENIENT OF DISCLAINIER DESCRIPTION :TOTALS
P.O. BOX 66724 ANY WARRANTIES ON THE, PARTS AND LABOR AMOUNT 25.00
ACCESSORIES SOLD HEREBY ARE MADE BY
F PARTS AMOUNT
INDIANAPOLIS, IN 46266-6724 THE MANU R. DICKINSON FLEET 0. 00
SERVICES, LLC MAKES NO WARRAN 01:
ANY KIND, EXPRESS OR IMPLIED, AND GAS, OIL, LURE 0.00
DISCLAIMS ALL WARRANTIES of: SUBLET AMOUNT 0 00
CUSTOMER ACKNOWLEDGMENT MERCHANTABILITY OR FITNESS FOR A
PARTICULAR PURPOSE, 'A'11'11 REGARDS TO MISC. CHARGES 0.00
CUSTOMER ACKNOWLEDGES THAT HE HAS INSPECTED THE THE SERVICE. PARTS. LABOR. AND/OR
REPAIRS TO THE VEHICLE ON THIS INVOICE AND THE REPAIRS ACCESSORIES PURCHASED AND THAT IN No TOTAL CHARGES 25 00
MEET 'IT CUS'T'OMERS TOMERS REQUIREMENTS AND EXPECTATIONS. S ERVICE S
U iWENT SHALL FLEET SE
'I_C BE A FOR INCIDENTAL 6R
CUSTOM LESS
LR FURTHER AGREES To PAY THE INVOICE IN F L.L. 0.00
CONSEQUEN DA MAGE S OR COMME
AS SHOWN. WITHOUT DEDUCTION OR SET OFF. LOSS A R IS[ N(; Our Of SUCH PURCHASE. SALES TAX 0. 00
PLEASE PAY
CUSTOMER SIGNATURE THIS AMOUNT 2 5 QO
CUSTOMER COPY
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
07/02/08 573073 $25.00
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.
ALLOWED 20
Dickinson Fleet Services
IN SUM OF
4 6th Street
India 46268
$25.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
2201 573073 43- 510.00 $25.00 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
Thursday, July 17, 2008
Street &mm issioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund