156526 02/21/2008 ft
CITY OF CARMEL, INDIANA VENDOR: 355810 Page 1 of 1
ONE CIVIC SQUARE CARMEL AUTO TRUCK SERV.
i4 CARMEL, INDIANA 46032 310 GRADLE DRIVE CHECK AMOUNT: $651.60
CARMEL IN 46032 CHECK NUMBER: 156526
CHECK DATE: 2/21/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 4699 651.60 AUTO REPAIR MAINTEN
I
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I
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o CARMEL AUTO TRUCK SERV.
310 GRADLE DRIVE Invoice
CARMEL IN 46032
(317) 846 -1171 Number: 4699
Date: January 31, 2008
BILL TO VEHICLE
CARMEL FIRE DEPT 1997 FORD ECONOLINE
CARMEL, IN 46032 AMBULANCE
CONTACT P.O.# MILEAGE
VIN B82852 RESERVE AMBULANCE 86244
PARTS SERVICES Tax 1 Amount
INSTALL RADIATOR, REFILL W /ANTIFREEZE 188.50
KEYS -1 RADIATOR MOTOCRAFT F2TE- 9048A -AA 416.80
S- ANTIFREEZE 46.30
Sub -Total $651.60
State Tax 6.00% on 0.00 0.00
Total $651.60
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Pre':fltsed 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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) orbill
f
Total
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
IN SUM OF
\lr>S \.C>a
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I 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
200
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund