162433 08/07/2008 CITY OF CARMEL, INDIANA VENDOR: 355635 Page 1 of 1
f ONE CIVIC SQUARE MIKE'S EXPRESS CAR WASH
CARMEL, INDIANA 46032 10251 HAGUE ROAD CHECK AMOUNT: $2,500.00
INDIANAPOLIS IN 46256 CHECK NUMBER: 162433
CHECK DATE: 8/7/2008
DEP A CCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 2,500.00 AUTO REPAIR MAINTEN
Fleet Account
Invoke
Indiana
10251 Hague Rd.
Indianapolis, IN 46256
Billing Address
Company CARMEL FIRE DEPT. Contact Name RANDY
Phone Phone
Street 2 Civic Square
City CARMEL State Indiana Zip 46032
Mailing Address
Company SAME
Street
City State Zip
Express
Number of Fleet Num. of Price Per Total
Passes Washes Wash Cost
50 $6.25 $312.50
100 $6.00 $600
250 $5.50 $1,375 Emaii �S�yo�c��
X 500 plus $5.00 $2,500
Credit Card
Works Exp.
Number of Fleet Num. of Price Per Total
Passes Washes Wash Cost
50 $11.25 $562.50 Check
100 $11 $1,100
250 $10.50 $2,625
500 plus $10 $5,000
Date 7/24/2008
I
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))
Carwashes for Staff $2,500.00
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
Mike's Car Wash
IN SUM OF
10251 Hague Road
,Indianapolis, IN 46256
$2,500.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 43- 510.00 $2,500.00 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
e t
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund