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155556 01/10/2008
CITY OF CARMEL, INDIANA VENDOR: 360694 Page 1 of 1 ONE CIVIC SQUARE WESTFIELD AUTOMOTIVE LLC CARMEL INDIANA 46032 17534 WESTFIELD PARK ROAD CHECK AMOUNT: $479.10 IANA ',r•. WESTFIELD IN 46074 CHECK NUMBER: 155556 CHECK DATE: 1/10/2008 DE PARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 120 4351000 479.10 AUTO REPAIR MAINTEN I I j Westfield Automotive LLC 17534 Westfield Park Road Westfield, IN 46074 Phone: 317 867 -5500 Fax: 317- 867 -1588 R.O. #33913 of Estimate #35527 12/28/2007 Page I Customer: CARMEL FIRE DEPARTMENT Vehicle: 2002 PONTIAC BONNEVILLE Address: 2 CIVIC SQUARE License: 1264 CARMEL, IN. 46032 Current Mileage: 75300 In: 0 Home Phone: V.I.N.: Work Phone: 571 -2600 Engine: Cellular Phone: Prod. Date: Service Writer: VIC Color: BLUE Next Service: 3/27/2008, Mileage: 78300 LABOR COMPLETED DESCRIPTION TECH. TOTAL REPLACE R/F WINDOW MOTOR NEAL 102.70 REPL BLOWER MOTOR. NEAL 118.50 PARTS ISSUED QTY. PART NUMBER DESCRIPTION EACH TOTAL 1 15 -81094 BLOWER MOTOR 132.66 132.66 I 19152005 R/F WINDOW MOTOR 111.97 111.97 Recommendations: THANK -YOU Pay Type: TOTAL Labor 221.20 Amount S: TOTAL Parts 244.63 Employee: TOTAL Shop Fees 13.27 SUBTOTAL 479.10 TAX 14 TOTAL DUE $493.78 SIGNATURE ACKNOWLEDGES RECEIPT OF VEHICLE: X M4 Parts and labor are warrantied for 190 DAYS OR 4000 MILES Prescribed by State Board of Accounts t 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)) ©a 0 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. s ALLOWED 20 IN SUM OF UP— 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 Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund