HomeMy WebLinkAbout157941 04/01/2008 CITY OF CARMEL, INDIANA VENDOR: 355621 Page 1 of 1
ONE CIVIC SQUARE GREENFIELD MOTOR SPORTS
4 CARMEL, INDIANA 46032 4606 S COUNTY ROAD 100 E CHECK AMOUNT: $390.16
GREENFIELD IN 46140 CHECK NUMBER: 157941
CHECK DATE: 41112008
DEPARTMENT ACCOUNT PO NUMBER IN VOICE NUMBER AMO UNT DESC
1205 4350400 1330 365.17 GROUNDS MAINTENANCE
1205 .4350400 4016 24.99 GROUNDS MAINTENANCE
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G E E NFIELD MOTOR SIPOWrS
www.greenfleldmoorspeft.com
4606 S. 100 E.
GREENFIELD, IN 46140
317 -462 -2262 Fax 317 -457 -4214
CUSTOMER'S ORDER NO. PHONE DATE
NAME
ADDRESS •iJ� I
c,?- 1 J� "11 6 t.
SOLD BY CASH C.O.D. CHAFfGE ON ACCT. MDSE. RET'D. PAID OUT
CITY DESCRIPTION PRICE AMO
C�
%v/ 1aX,,9, 21x.1
t
rr 20% !fie- Stocking Fee On Special Orders
No Returns After 30 Days or without receipt
Electrical Parts NOT Returnable
RECEIVED BY TOTAL
L
All claims and returned goods r
MUST be Th ank by this bill. Th ak Youl
4 016
PRODUCT 2531
GREE GREEN pp n g� 1 3 a s t PART NO AND DESCRIPTION i r y s e r ij
F11 E8 tl'�YflOTOR SPO t y t: p 4 "O V r a ,£(All parts new unless othe wise sped ied) a AMOUNT a x' /s,q� 4{606 --J` 100- t 1 DATE IN q,M, DATE PROMISED AM. 'J`S' U`£���lV�fL ®t "I�:4140 nd P.M. P.M. (317) 462 1>" i4 if_7 214 CUSTOMER'S ORDER N0. ORD WRITTEN B f t
NAME 1 BUS. PHON r EXT. I
ADDRES HOM HO E 7163 f`
.STATE L ZIP CAL WITH ST. ❑YES NO CALL WHEN READY I
IF OVERS YES NO :1
YEJ MAKE AND MOqf.L N '1 LICENSE NO.. 1y11LEA E a l i I
SERIALNO. .LN. j I r/� -NtUHAN_ IC/TECHNICIAN I I
SERVICES.REOUESTED/DESCRIRTION OF:WORK�" AMOUNT'
by 1-4
tn�"ld ,MI
F^ AA JIS LIJ J 7a�"ur
L A0 f
I I I
l lvr�l�� 4(c.n an rk eat
I I I
c b n C le e.(� b e( c a PAID BY TOTAL PARTS v�
CASH CHECKI [:]CREDIT CARD
j TOTAL LABOR 1 5 0!:
MC VISA AMEX OTHER
TOTAL SUBLET
CC NO. EXP.
s P a l GAS, OIL
ACCT. TERMS AND GREASE
�t 5 SHOP SUPPLIES s
I hereby authorize the above repair work to be done along
4 l S with the necessary materials. You and your employees may. EPA /WASTE
e operate vehicle for purposes of testing, inspection, or delivery DISPOSAL
at my risk. An express mechanics lien is acknowledged on
t� I above vehicle to secure the amount of repairs thereto. It is
understood that you will not be held responsible for loss or
win T nfmctod Am S damage to vehicle or articles left in vehicle in case of fire,
theft or any other cause beyond your control.
I SIGNATURE SAVE OLD PARTS
AX
TOTAL LABOR YES
S 0 b No QTgL
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
Greenfield Motor Sp orts
Purchase Order No.
Terms
r
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
01/16/08 1330 Battery, testing, etc;
02/25/08 4016 Oil Change Kit $365.17
Total
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.
03/31/0&
ALLOWED 20
Greenfield Motor Sports
IN SUM OF
4606 S. 100 E.
Greenfield, IN 46140
$390.16
ON ACCOUNT OF APPROPRIATION FOR
GENERAL FUND
1205 Administration
Board Members
PO# or D 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
120 17 materials or services itemized thereon for
which charge is made were ordered and
1205 4016 504 $24.99 received except
2 20
Si ature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund