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HomeMy WebLinkAbout157010 03/05/2008 CITY OF CARMEL, INDIANA VENDOR: 057000 Page 1 of 1 0 ONE CIVIC SQUARE CHARLIES RADIATOR SERVICE INC CHECK AMOUNT: $192.00 CARMEL, INDIANA 46032 740 EAST 406TH ST. INDIANAPOLIS IN 46280 CHECK NUMBER: 157010 CHECK DATE: 3/512008 DEPARTMENT ACC PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION x1110 4351000 17370 192.00 HEATER CORE t i I 740 East 106th Street Indianapolis. Indiana 46280 844.9452 [)ATE YOUR N R ORDER O. SHIP VIA TERMS H E T 30 DAYS 0..s o +y C7 L d. r ✓A f- At 7- "KE f ►�ooEt LJ f GUARANTEE v THIS RADIATOR JOB iy0.. WAS PLUGGED C) ESC RI TI AMOUti .v E• CLE AND REPAIR R.,D' RECORE RADIATOR C], n &7 TT ROC OUT RADIATOR C --EAN, AND REPAIR GAS TANK REMOVE AND REPLACE WATER PUMP RECORE HE Ng CJr ,'PL'ETE NEW HEATER I REM AND R RADIATOR COSCOUNT THERMOS AND GASKET PARTS AND MATERIALS COMPLETE NEW RADIATOR REMOVE S REPLACE GAS TANK ANTIFREEZE ?.E!AC AND REPAIR THERMOSTAT F TAX STATE TAX MATERIAL TOTAL TOTAL INDIANA RETAIL TAX EXEMPT PAGE City of. Carmel CERTIFICATE NO. 003124155 402 0 PURCHASE ORDER IMBER Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 '7370 3 LQUE CIVIC SQUARE FTHIS UMBER MUST APPEAR ON INVOICES, AIP CARMEL, INDIANA 46432 -2584 ER, DELIVERY MEMO, PACKING SLIPS, NG LABELS AND ANY CORRESPONDENCE. F09M APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO, VENDOR NO. DESCRIPTION 'Po 19 9 homvpv- Coro VENDOR Charlie's Radiator Service SHIP City of Carmel Police Department 740 E. 106th Street TO 3 Civic Square Indianapolis, IN 46280 Carmel, IN 46032 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION --UNIT PRICE EXTENSION replace heater core on car 103 SWAT 192.00 a �In I r r Send Invoice To: PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1110 510 auto repairs and maintem>ance PAYMENT A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND J ORDERED ��VOUCHERHASTHEPROPERSWORNAFFIDAVITATTACHED. SHIPPING INSTRUCTIONS V I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL i a SHIPPING LABELS. Y THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police ,AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER DOCUMENT CONTROL NO 17 3 7AD.v. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NQ WARRANT NO. ALLOWED 2© IN THE SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #{TITLE AMOUNT DEPT. 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 a _Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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 Charlie'j's Radiator Service Purchase Order No. 17370F 740 E. 106th Street Terms Indianapolis, IN 46280 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 2/5/08 a ment for heater core replacement for car 103 192.00 Total 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. ALLOWED 20 Chi- rlie's Radiator Servide IN SUM OF 740 F. 106th Street Indianapolis, IN 46280 192.00 ON ACCOUNT OF APPROPRIATION FOR p olice general fund Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 17370F 510 192.00 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 February 28 2008 Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund