160484 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: 00352663 Page 1 of 1
0 ONE CIVIC SQUARE MIKAR INC CHECK AMOUNT: $61.99
CARMEL, INDIANA 46032 1201STAVE SW
CARMEL IN 46032 CHECK NUMBER: 160484
CHECK DATE: 6110/2008
DEPARTMENT ACCOUNT PO NUMBE IN VOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 0017995 61.99 AUTO REPAIR MAINTEN
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MIKAR, INC. Repair Order #0017995
120 1 ST AVE. S.W. Date Printed 6/3/08
CARMEL, IN 46032 Page 1
(317) 575 -8282 Center
"WHERE YOUR CAR IS TREATED LIKE MY CAR."
Customer: CITY OF CARMEL, VEHICLE: 2003 CHEV IMPALA
Address 760 3RD AVE SW #110 LICENSE CFD 2190
City CARMEL, IN 46032- VIN 2G1WF55K339230795
Phone 1 317) 571 -2669 Ext ENGINE: TRANS:
Phone 2: 317) Ext MILEAGE: 74565
Parts Labor
Quan Part Number Description Price Op Tech Description Time Charqe
AL 59 01 ALIGNMENT 61.99
OK Bad Recommendation OK Bad Recommendation OK Bad Recommendation
I hereby authorize the repair work to be done along with the necessary parts Labor: $61.99
and materials and hereby grant you and /or your employees permission to operate Parts: $0.00
the vehicle herein described on streets, highways or elsewhere, at your dis- Sublet: $0.00
cretion, for the purpose of testing and /or inspection. An express mechanics Other Fees: $0.00
lien is hereby acknowledged on the above vehicle to secure the amount of re- SUPPLIES $0.00
pairs thereto. I understand that dealer /owner is not responsible for delay or Subtotal: $61.99
other consequence due to the unavailability of parts shipments beyond their Sales Tax: $0.00
control. NOT RESPONSIBLE FOR DAMAGE OR ARTICLES LEFT IN CAR IN CASE OF FIRE,
Paid By Total $61.99
THEFT OR ANY OTHER CAUSE BEYOND OUR CONTROL.
Pay Ref Paid $0.00
Due: $6,1.99
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VOUCHER NO. WARRANT N
ALLOWED 20
Mikar, Inc.
IN SUM OF
120 1st Avenue S.W.
Carmel, IN 46032
$61.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 0017995 43- 510.00 $61.99 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
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
06/03/08 0017995 Alignment 0795 $61.99
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