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Home My WebLink About167401 12/23/2008 CITY OF CARMEL, INDIANA VENDOR: 355635 Page 1 of 1 1 ONE CIVIC SQUARE MIKE'S EXPRESS CAR WASH CARMEL, INDIANA 46032 10251 HAGUE ROAD CHECK AMOUNT: $750.00 INDIANAPOLIS IN 46256 CHECK NUMBER: 167401 CHECK DATE: 12/23/2008 DEPARTMENT ACCOUNT PO NUMBER INVOI NUMBER AMOUNT DESCRIPTION 1110 4351100 18992 750.00 EXPRESS CAR WASH TICK p fie® a d e l l y W is R t' Mike's Carwash, Inc. 10251 Hague Road Indianapolis, IN 46256 (317) 572 -9250 fax (317) 572 -9251 INVOICE Customer Name City of Carmel Police Department Date 12/15/2008 Address 3 Civic Square Order No. City Carmel State IN ZIP 46032 Rep Phone 317 571 -2559 FOB Qty Description Unit Price TOTAL 25 Express Books $30.00 $750.00 SubTotal $750.00 Payment Details Shipping Handling O Cash Taxes State $0.00 QQ Check Q Credit Card TOTAL $750.00 Name CC Office Use Only Expires Payment is due upon receipt INDIANA RETAIL TAX EXEMPT PAGE .I' s l CERTIFICATE NO. 003120155 002 0 1 of i City li c 1� arm PURCHASE ORDER NUMBER 't Police Deparfameait FEDERAL EXCISE TAX EXEMPT 35- 60000972 18992 HP- NURCIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION December 10, 2008 car gash tickets VENDOR Mike's Carwash, Inc SHIP City of Carmel Police Department 10251 N. Hagge Road TO 3 Civic Sgasee Indianapolis, IN 46256 Carmel, IN 46032 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 25 books Express car wash ticketws 30.00 750.00 s V s� Cat r• p I City of Carmel Pow Send Invoice To:m ATTN: Teresa Anders 3 Civic Square' Carmel, IN 46032 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1110 511 car clastAgg PAYMENT A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 2 CLERK-TREASURER DOCUMENT CONTROL NO A. A. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO.._-------- WARRANT NO,. ALLOWED 20 IN THE SUM OF ON ACCOUNT OF APPROPRIATION FOR �i Board Members PO# or PT. INVOICE NO. ACCT #/TITLE AMOUNT 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 20 Signature Title Cost distribution ledger classification if claim. paid motor vehicle highway fund 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 Mike's Carwash Inc. Purchase Order No. 18992F 10251 hague ^Road Terms Indianapolis, IN 46256 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 12/15/08 payment for car wash tickets 750.00 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 M ike's Car wash, Inc. IN SUM OF 10251 Hague Road Indianapoiis, IN 46ZJ6 750.00 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 18992F 511 750.00 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 December 16 20 08 Signature Chief of POlice Cost distribution ledger classification if Title claim paid motor vehicle highway fund