155728 01/23/2008 CITY OF CARMEL, INDIANA VENDOR: 00351592 Page 1 of 1
ONE CIVIC SQUARE FORD MOTOR COMPANY
CARMEL, INDIANA 46032 PO BOX 70548 CHECK AMOUNT: $549.00
CHICAGO IL 60673 CHECK NUMBER: 155728
F.
CHECK DATE: 1/23/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 R4352600 18026 801BCV00047 549.00 AUTO LEASE
i
y
I
t
GOVERNOR /MAYOR LEASE VEHICLE PRG INVOICE: 801BCV00047
PLANT ID NO: U1QHA INVOICEDATE: 2008/01 /09
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 .TEHICLE /VEIiICL
LEASED FOR DECEMBER 2007, SEE LISTING BELOW:
VIN IN SVC OUTSVC MTHLY DAILY DAY
NUMBR DATE DATE RATE RATE SVC AMOUNT
7KJ17070 102806 549.00 18.04 31 549.00
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
MTHLY RATE MONTHLY RATE
DAY SVC DAYS IN SERVICE
TOTAL AMOUNT: 549.00
U.S. DOLLAR
PAGE 1
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
17f M -t Cc)nn'on.n.� Purchase Order No.
u AGx 7D5 I O Terms
C k
Jn r lPUlo Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
9 1 dR �0► de' 1 151i l am
i
Total 3 5' 0, Cc)
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.
1- ALLOWED 20
Ford Roi Corn u
IN SUM OF
7D5 `1'
0 s L- (D 0LQ 7
519 (DO
p ON ACCOUNT OF APPROPRIATION FOR
l\ko 0 S DO 1\ t)7-6 W
6
Board Members
Po# INVOICE NO. ACCT #!TITLE AMOUNT 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
20
r.
Signat re
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund