158331 04/15/2008 CITY OF CARMEL, INDIANA VENDOR: 057000 Page 1 of 1
a ONE CIVIC SQUARE CHARLIES RADIATOR SERVICE INC CHECK AMOUNT: $176.00
CARMEL, INDIANA 46032 740 EAST 106TH ST.
w INDIANAPOLIS IN 46280 CHECK NUMBER: 158331
CHECK DATE: 4/15/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 280 176.00 TRANSPORTATION EXPENS
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1' ASS• ..v'ni'
AUTO REP I_R- ORDE-R
NAME f
ADDRESS
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CITY, CITY, STATE
1 40 E. 106th' 37UEET
i LA ;1f.: LIS, ItiBL,NA =0
t' 537
MER'S INFORMATION
DATE CUSTOMER'S ORDER NO. WHEN PROMISED PH NE
Y A A M EL SERIAL
A, NO.
MOTOR
J N
LICENSE NO. ODOMETER WRfTTEN BY
�i
OIL FLUSH FLUSH
CHANGE
LUKE ❑TRANS. DiFR WASH POLISH
l
LABOR ONLY
GALS. GAS I PARTS
i TOTAL PARTS_ OTS. 011 JACCESSORIES
LBS. GREASE GAS, OIL, GREASE
TOTAL GAS MISC. MERCHANDISE
OILS
GREASE SUBLET REPAIRS
s'
FIR ETAIN PARTS
DESTROY PARTS CCE TAX
.ACCESSORIES
AUTRORI BY.
ESTIMATE AMOUNT PARTS LABOR TOTAL
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4z 4k±fk 'A�
I HEREBY AUTHORIZE THE ABOVE REPAIR WORK TO BE DONE ALONG WITH THE YOU ARE ENTITLED TO A PRICE ESTIMATE FO E REPAIRS YOU HAVE AUTHORIZED. THE REPAI t request en estimate in wtlting 6ofore yw Cegin repairs
NECESSARY MATERIAL, AND HEREBY GRANT YOU ANDIOR YOUR EMPLOYEES PER PRICE MAY BE LESS THAN THE ESTIMATE, BUT WILL NOT EXCEED THE ESTIMATE WITHOUT YOU
MISSION TO OPERATE THE CAP, TRUCK OR VEHICLE HEAEIN.DESCRIBED ON PERMISSION. YOUR SIGNATURE WILL INDICATE YOUR ESTIMATE SELECTION. 2. Please proceetl with repairs, but wu me hefrre mrninuing it the price: _•eed 5
STREETS, HIGHWAYS OR ELSEWHERE FOR THE PURPOSE OF TESTING ANDIOR
INSPECTION. AN EXPRESS MECHANIC'S LIEN IS HEREBY ACKNOWLEDGED ON TEARDOWN ESTIMATE I UNDERSTAND THAT MY CAR WILL BE REASSEMBLED WITHIN _DAYS
ABOVE CAR, TRUCK OR VEHICLE TO SECURE THE AMOUNT OF REPAIRS THERETO. OF THE DATE SHOWN IF I CHOOSE NOT TO AUTHORIZE THE SERVICES RECOMMENDED. 3. I Bo nml want an estimate.
_GT3870 AUTO REPAIR ORDER
VOUCHER 081404 WARRANT ALLOWED
'57000 IN SUM OF
CHARLIES RADIATOR SERV
740 EAST 106TH ST. 1 r
INDIANAPOLIS, IN 46280
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
280 01- 6500 -04 $176.00
r
Voucher Total $176.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
G'
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
57000
CHARLIES RADIATOR SERVICE Purchase Order No.
740 EAST 106TH ST. Terms
INDIANAPOLIS, IN 46280 Due Date 4/7/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/7/2008 280 $176.00
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
/V/'&' G n^ c
Date Officer