155297 01/10/2008 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: 155297
CHECK DATE: 1/10/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 R4352600 18026 712BCV00046 549.00 AUTO LEASE
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GOVERNOR /MAYOR LEASE VEHICLE PRG INVOICE: 712BCV00046
PLANT ID NO: U1QHA INVOICE DATE: 2007/12/10
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
-T-HIS-- INVOICE IS FOR VEHICLE,'- 'JEH3CLES
LEASED FOR NOVEMBER 2007, 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
MTHLY RATE MONTHLY RATE
DAY SVC DAYS IN SERVICE
TOTAL AMOUNT: 549.00
U.S. DOLLAR
PAGE 1
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
7. 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.
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Payee
r� A M CA Or C M Purchase Order No.
f? O 13 nx 705q'T(' Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Jo 6 i. c� occq 6 c)
Total 5-
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.
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i n ALLOWED 20
Q� IN SUM OF
Ica go, 3
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ON ACCOUNT OF APPROPRIATION FOR
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Board Members
PO# r INVOICE NO. ACCT #/TITLE AMOUNT
1 hereby certify that the attached invoice(s), or
c \16cc 4G '5 (�0 0 Sy .Ott 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
s
20
Signat e
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund