162302 08/07/2008 CITY OF CARMEL, INDIANA VENDOR: 357695 Page 1 of 1
ONE CIVIC SQUARE COMDATA
CARMEL, INDIANA 46032 PO Box 500544 CHECK AMOUNT: $73.77
�2 ST LOUIS MO 63150 -0544
CHECK NUMBER: 162302
CHECK DATE: 8/7/2008
DEPARTMENT ACCOUNT PO NUMBER IN VOICE NUMBER AMOUNT DESCRIPTION
1192 4351000 545817 73.77 AUTO REPAIR MAINTEN
J317231 Comdata Corporation 07/01/08 09:51 1 of 3
CCM DATA CORPORATION
OCtTFD INVOICE
ACTIVITY FOR 06/01/08 THROUGH 06/30/08 PAM 1
CITY OF CARMEL INVOICE DATE: 07/01/08
1 CIVIC SUMRFTDOC S ACCCL]NT Cam: C7273
CARMEL, IN 46032 DUE DATE: 07/30/08
TOTAL DUE: $73.77 U.S.
PRODUCTS CUSTID cusTaER NAME REFERENCE AM OW CtF02 Y
Camdata Direct 66979 CITY OF CARMM M81839802 $73.77 U.S.
TOTAL CHARGES $73.77 U.S.
AMXW CURREWY
PREVIOUS BALANCE $566.40 U.S.
PASd+fl? M /Affi[1SIMENM $566.40- U.S.
NEW ACTIVITY $73.77 U.S.
BALANCE $73.77 U.S.
CREDIT LIM: $3,000.00 A VAIIAEM LIMIT $2,926.23
LATE FEE WILL BE ASSESSED IF PAVMFATf' IS NOT RECEIVED ON OR BEFORE THE DUE DATE.
CANADIAN CL2RFNC:Y CHARGES MOST BE PAID IN CAbWIAN FUNLIS.
MAKE PAVMRTTI!c PA)MME TO OaCATA CCRPORATICN:
CHECK PAYMENTS TO: CCM ATA TUTAL DUE: $73.77 U.S. =PAY THIS AM7<JNP
P. 0. BOAC 500544
ST. LCUIS MO 63150 -0544
WIRE PAYH= T0: REGIONS BANK,
ROUTING 062000019,
8DOM AL 35244
FOR PAST DUE INs7 ftiES: C ALT. 800 226 -3866
FAX 615 -370 -7562
E-MAn credmll @amtdata. mm
FOR ALL CAfM INgJl= CALL 800 741 -2777
IF PAYING BY a=, PLEASE RErM THIS COPY WITH YOLR PAYMENT.
IF PAYING ELFCnUiIC ALLY, FAX DETAII TO 615 370 -7373 OR EMAIL DE AII. TO c- ashappkardata. acm
INDICATE ANY ALIRFSS CHANGES ABOVE.
I
_[31723] Comdata Corporation 07/01/08 09:51 2 of 3
CXIIM26 COMDATA CORPORATION PAGE: 01
Comdata Direct Mmva t Report AS OF DATE: 07/01/08
AOCT CODE CZ273
CITY OF aullm
1 CIVIC SQUARE -DOGS
CARMEL, IN 46032
PURCH INVOICE UNIT PURCHASED AT- FUEL CASH MM GST INV
CARD DY TIME NUMBER HUB NL14EER NAME CITY ST ¢FAN PRICE TOTAL DISC ADV PORCH WT FEE TOTAL
ACT. FOR ACCT CZ273 CITY OF CARMEL
1584343158 26 1125 114489 5 M IDAS #27 CAWEL MZ 0.00 .000 S 0.00 0.00 0.00 0.00 0.00 73.77
9 73.77
CARD 1584343158 TOTAL 1 TEWEACTION(S) U.S. DOLLARS 0.00 .000 0.00 0.00 0.00 73.77 0.00 0.00 73.77
TOTAL CUSTID 66979
1 TEWSACT'ION(S) U.S. DOLLARS 0.00 .000 0.00 0.00 0.00 73.77 0.00 0.00 73.77
TOTAL AL'OCUNT CZ273
1 TEWEA TION(S) U.S. DOLLARS 0.00 .000 0.00 0.00 0.00 73.77 0.00 0.00 73.77
TRANS O 0d= FUEL QTY PPG FUEL OIL CASH PRTS/ MFR TIRES ADTV 011iER GST FEE INV TOTAL DISC
U.S. 1 0.00 .000 0.00 0.00 0.00 0.00 0.00 0.00 73.77 0.00 0.00 73.77 0.00
OTHER P RZHA.S. LEgM: 9 MISC. EXPENSE
d
[31723] Comdata Corporation 07/01/08 09:51 3 of 3
aaaB323aMU04 COMDATA CORPORATION PACE: 1
PSY6380 JSY0030 *C EDIT/PAYMRNT/NII -Al S BI ING T.T.ST DATE 07/01/08
Y
ACC CUNT CCLE: CZ273
EESC3= REF# ITEM DATE f=W. DATE AMXNT LUU IITY
PAM ON /ADJLURM T 06/20/08 06/30/08 566.40- U
TOTAL: 1 AM3W: 566.40-
1
07/30/2008 15:10 8195013 CARMEL MIDAS PAGE 01/01
MIDAS AUTO SERVICE EXPERTS INVOICE REPRINT
570 S. RANGELINE RD. #545817 Pagel of 1
CARMEL, IN 46032 06/26/2008,12:26 pm.
(317) 848 -2888
CITY OF CARMEL HOME: 317 571 -2450 2008 FORD ESCAPE
1 CIVIC SQUARE DOC$ WORK: 317 -571 -2400 74792 (IN)
CARMEL, IN 46032 ACCOUNT 1759 ODOM IN /OUT: 4417 1 7417
1 FMCU591-168K645501
2.3L L4 Cyl.
73.77 Charge Fleet 1759 Sales Person- 500-Pedro M
Tech:540:Moore Danny R
Qty 1. Item Number I Loa Description ST I Each Labor I Mise I Extended
LUSEIOIUFILTER
5 5W20M 5W20 MOBIL 1 SYNTHETIC R 8.00 45.00
1 PCB9841 I OIL FILTER IRO 1 15.96 12.81 1 28.77
540 Sub -Total LUBE/OIUFILTER: 60.96 12.81 0.00 73.77
Parts 60.96
Labor 12.81
Sub -Total 73.77
STATE Tax 0.00
Grand Total 73.77
WARNING !l M If we removed your wheels then the following
applies. The wheels on your vehicle have been torqued to manufacturer's
suggested specifications. For safety reasons please stop back after 25 miles to
have your wheels retorqued. We are not responsible for aftermarket
wheel torque specifications,
WARRANTY INFORMATION
Midas International Corporation issues written warranties on mufflers, catalytic converters, shock absorbers, strut asse'mbiles, strut cartridges, brake shoes and
brake pads and variable rate springs. The warranty terms for these products are stated on separate printed certificates Issued to you, together with the Invoice,
upon purchase of the'appropriate warranted product. The terms of all warranties are In the Midas Warranty INnder on display In each Midas Auto Service Experts.
THIS WARRANTY GIVES YOU SPECIFIC LEGAL RIGHTS; YOU MAY ALSO HAVE OTHER LEGAL RIGHTS WHICH VARY FROM STATE TO STATE. All other products
and workmanship are warranted for ninety (90) days from the date of installation. There are no other warranties Issued by Midas International Corporation.
Warranty work will be performed at ANY Midas Shop in the USA or Canada offering the warranted product or service. For the address of the nearest Midas Shop,
see the Yellow Pages of the local telephone directory or write Midas Consumer Relations, 225 North Michigan Avenue, Chicago; IL 60601. COMMENT LINE IS
1 -800- 659 -4686 LOCAL Pedro Montoya 317 848 -2888
Visit Our Website at www.r>r>lidasteam.c ®m
Customer Signatue:
06/26/2008
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
r
OL.- Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6 7 3,7
Total 13,
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
so 0 Y�
x O 6,3150 -0
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
I
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
/742 0Oe
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund