155706 01/23/2008 CITY OF CARMEL, INDIANA VENDOR! 00350527 Page 1 of 1
ONE CIVIC SQUARE DON'S AUTO TRIM
CARMEL, INDIANA 46032 5397 ROCKVILLE ROAD CHECK AMOUNT: $147.50
INDIANAPOLIS IN 46224 CHECK NUMBER: 155706
CHECK DATE: 112312008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 86053 147.50 AUTO REPAIR MAINTEN
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5397 Rockville Road Indianapolis, IN 46224
(317) 227 -0988 Office (317) 227 -0977 Fax
Customer's 13 C
Order No. Date :20 o
M
Address
City State
SOLD BY CASH C.O.D. CHARGE ON ACCT. MDSE. RETD.. PAID OUT.
QUAN. DESCRIPTION PRICE AMOUNT
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ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BY THIS BILL
Received By
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 207 (Rev. 7995)
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))
G 06 Y Qw� 14 50
Total
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.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
�,D�
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I 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
,JAN 1- 7.[lQ� 20
Si ture
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund