HomeMy WebLinkAbout167069 12/17/2008 CITY OF CARMEL, INDIANA VENDOR: 00351592 Page 1 of 1
ONE CIVIC SQUARE FORD MOTOR COMPANY CHECK AMOUNT: $549.00
CARMEL, INDIANA 46032 PO BOX 70548
v ory CHICAGO IL 60673 CHECK NUMBER: 167069
CHECK DATE: 12/17/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
All 1160 4352600 8123CV00055 549.00 AUTOMOBILE LEASE
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GOVERNOR /MAYOR LEASE VEHICLE PRG INVOICE: 812BCV00055
PLANT ID NO: U1QHA INVOICEDATE: 2008/12/07
1350 I STREET NW 10TH FLOOR CUSTOMER REF: BATCH
WASHINGTON,DC 20005 PO/ICBA: 073R524
U.S.A.
SOLD TO: CUSTOMER ID NO: BKKMA
REMIT TO: FORD MOTOR COMPANY
P.O. BOX 70548
CITY OF CARMEL CHICAGO, IL 60673
OFFICE OF THE MAYOR
ONE CIVIC SQUARE
CARMEL,IN 46032 3C'UrIN'
U.S.A. BILLING CONTACT: ALICIA PATTERSON
PHONE: 615 315 -6677
THIS INVOICE IS FOR VEHICLE /VEHICLES
LEASED FOR NOVEMBER 2008, SEE LISTING BELOW:
VIN IN SVC OUTSVC MTHLY DAILY DAY
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NUMBR DATE DATE RATE RATE SVC AMOUNT a
7KJ17070 102806 549.00 18.04 30 549.00
PURCHASE ORDER NO: 0738524
RETURN A COPY OF INVOICE WITH YOUR REMITTANCE
VIN NUMBR VEHICLE IDENTIFICATION NUMBER
IN SVC DATE IN SERVICE DATE
OUTSVC DATE OUT OF SERVICE DATE
MTHLY RATE MONTHLY RATE
DAY SVC DAYS IN SERVICE
TOTAL AMOUNT: 549.00
U.S. DOLLAR
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PrescribEk by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
12/15/08 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
Ford Motor Company Purchase Order No.
P. 0. Box 70548 Terms
Chicago IL 60673 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1 117118 111BCV100 Mayor auto lease November 2008 $549.00
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Total $549.00
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
VOUCHER NO. WARRANT NO.
12/15/08
ALLOWED 20
x Ford Motor Company IN SUM OF
P. 0. Box 70548
Chicago IL 60673
549.00
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayor 4352600
Auto Lease
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
812BCV00055 4352600 $549.00 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
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2 4
Signature
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund