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HomeMy WebLinkAbout200430 08/17/2011 Page 1 of 1 VENDOR: 00351592 Pa CITY OF CARMEL, INDIANA g ONE CIVIC SQUARE FORD MOTOR COMPANY CARMEL, INDIANA 46032 PO BOX 70548 CHECK AMOUNT: $549.00 CHICAGO IL 60673 CHECK NUMBER: 200430 CHECK DATE: 8/17/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1160 4352600 549.00 108BCV00034 s GOVERNOR /MAYOR LEASE VEHICLE PRG INVOICE: 108BCV00034 PLANT ID NO: UlQHA INVOICE DATE: 2011/08/07 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 JULY 2011 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 IDENTIFICA'T'ION 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 VOUCHER NO. WARR NO. ALLOWED 20 Ford Motor Company IN SUM OF P. O. Box 70548 Chicago, IL 60673 1 I $549.00 ON ACCOUNT OF APPROPRIATION FOR Mayor's Office PO# I Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1160 108BCV00034 43- 526.00 $549.00 1 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 Friday, August 12, 2011 Mayor 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 08/07/11 108BCV00034 $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