160304 06/10/2008 CITY OF CARMEL, INDIANA VENDOR: 361393 Page 1 of 1
ONE CIVIC SQUARE CLASSICS CRASHES CHECK AMOUNT: $50.00
s CARMEL, INDIANA 46032 24525 COUNTY LINE RD
SHERIDAN IN 46069 CHECK NUMBER: 160304
CHECK DATE: 6/10/2008
DEPARTMENT ACCOUNT PO N UMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120' 4351000 1849 50.00 AUTO REPAIR MAINTEN
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_cLA SSICS CRASHES N 1849
24525 COUNTY _LINE —RD,__ YR. MAKE MODEL EST. TIME
SHERIDAN; IN A6069 /r DATE PM
PHONE (317) 966 8226 N
FAX (317) 758 -0269 DATE PROPOSED TRIM COLOR
NAME P WK. IN OUT
H LICENSE NO. ODOMETER DATE
ADDRESS N HOME LOSS
A l E INS. CO. FILE NO. CLAIM NO.
CITY h SP TIT ZIP ADJUSTER PHONE DEDUCTIBLE WRITTEN BY
PAIR R DETAILS OF REPAIR LINE
D PARTS LABOR PAINT SUBLET /MISC.
N NEW U =USED R REPAIR S STRAIGHTEN R/C ECYCLE RECHROME RECORE NO.
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I hereby authorize the above work and acknowledge receipt of copy. I I I I
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SIGNED X DATE PAINT HRS. I
LABOR HRS.
PRIOR DAMAGE PARTS
Areas marked by an "X" RIGHT
i represent prior dama PAINT /SUPPLIES
and are not included I
in this estimate.
SUBLET I
CURRENT ESTIMATE TOWING /STORAGE
ENVIRONMENTAL
CHARGES
SUB -TOTAL
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TAX I
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A -PDR
VOUCHER NO. WARRANT NO.
ALLOWED 20
Classics Crashes
IN SUM OF
24525 County Line Road
Sheridan, IN 46069
$50.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1120 1849 43- 510.00 $50.00 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
d
V
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))
1849 Buff Polish $50.00
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