165225 10/29/2008 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
CHICAGO IL 60673 CHECK NUMBER: 165225
CHECK DATE: 10/29/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUN DESCRIPTION
i 1160 43 810BCV00.057 323.75 AUTOMOBILE LEASE
;1160 R4352600 18026 81OBCV00057 225.25 AUTO LEASE
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GOVERNOR /MAYOR LEASE VEHICLE PRG INVOICE: 81OBCV00057
PLANT ID NO: U1QHA INVOICE DATE: 2008/10/08
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
U.S.A. BILLING CONTACT: ALICIA PATTERSON
PHONE: 615 315 -6677
THIS -INVOICE -IS -FOR VEHICLE/VEHICLES
LEASED FOR SEPTEMBER 2008, SEE LISTING BELOW:
VIN IN SVC OUTSVC MTHLY DAILY DAY
NUMBR DATE DATE RATE RATE SVC AMOUNT
7KJ17070 102806 549.00 18.04 30 549.00
PURCHASE ORDER NO: 073R524
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 r"t L v 4
MTHLY RATE MONTHLY RATE
DAY SVC DAYS IN SERVICE
i
TOTAL AMOUNT: 549.00
U.S. DOLLAR
PAGE 1
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1prescribed b'r State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
610/27/08 CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
w hom, 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))
10/8/08 81OBCV00057 Vehicle lease payment for Mayor September 2008 $549.00
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.
10 27/08 ALLOWED 20
Ford Motor Company IN SUM OF
P. 0. Box 70548
Chicago IL 60673
549.00
ON ACCOUNT OF APPROPRIATION FOR
1160 Mayor R4352600 4352600
Auto Lease
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
18026 81OBCV00057 R4352600 $225.2 5 bill(s) is (are) true and correct and that the
81OBCV00057 4352600 $323.75 materials or services itemized thereon for
which charge is made were ordered and
received except
20
Sign re
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund