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155858 01/23/2008 )CITY OF CARMEL, INDIANA VENDOR: 00352792 Page 1 of 1 ONE CIVIC SQUARE PENSKE CHEVROLET CARMEL, INDIANA 46032 3210 E 96TH ST CHECK AMOUNT: $1,676.77 PO BOX 40319 CHECK NUMBER: 155858 INDIANAPOLIS IN 46240 -0319 CHECK DATE: 1/23/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 366101 1,046.38 REPAIR PARTS 2201 4237000 366176 -2 116.65 REPAIR PARTS 6 5023990 366547 5.27 TRANSPORTATION EXPENS 651 5023990 366611 13.91 TRANSPORTATION EXPENS 2201 4237000' 367181 146.00 REPAIR PARTS 601 5023990 367314 25.11 TRANSPORTATION EXPENS 2201 4237000 367319 22.65 REPAIR PARTS 1110 4237000 367593 158.37 REPAIR PARTS j 651 5023990 367608 42.32 TRANSPORTATION EXPENS 1110 4237000 368258 100.11 REPAIR PARTS .321 E 96TH ST 9 R.O. 41 CHEVR INDIANAPOLIS, INDIANA 46240-0319 Direct (317) 846-2564 Indiana (POO) 692-6370 Nati onal :11 ..1 CUST OMER ADDR PENSK'E CHEVROLET DISCLAIMER O THANK YOU F OR r so CHEV here purpose, PARTS HOURS 8:00AM TO 5,-30PM expressly disclaims all warra6ties, either expressed or implied, including any implied warranty,of merchantability or fitness for MONDAY THRU FRIDAY a particular assumes nor authorizes any other person to assume for it any iability in connection with the sale of .fi,. 5 1.7, M ;k t T i� y F r f k ,y J 1 AN .3� CUSTOMER NO <r TAXEXEMPTNUMBER:.: Y ,CUST P.O: NO ,SHIP VIA:�PAY a H SOLD BYr-� -,dot 'VOICEDATE "INVOICE NO 9471 0031Z01550020 STOCK CHARGE BOB CONNOR 01/10/08 367593 cytj L :.4 CIVIC SQUARE I r 4 6032 P ''.:t. Clr •�KYr ��Cl h PART NUMBER /DESCRIPTION BIN LIST NET AMOUNT SHIP4;' BOA �.s S 4 a Ir4 K'7.r Ir4 Y, K'7.t 15306302 CONNECTOR 4.710 8 896 72 33 'LY t t,t L'Y L �,t r •ct z t cvr r •I,KVr I K 1.12346653 PAINT 6=800 Yr'4 K� 7. 'Yr'4. �K' 7. Ir'4 ..�C:.K� r' I('t. :K •c z�.`•ct w err,-:^ i. r;,I rvr, n•, t�:_ r JA'f1 1•f11:'• f► t 'J 1 1'f:l• :1 r? F 3:.y�:.ett 7.11 "k A c yct !►•f:f! ',y'•[p;- 4`•l•, �•fy i r 'YF'4 •�G K' 7. p' I!'4.lC :K' SPECIAL ORDER OR FACTORY ORDERED ITEMS NOT NOT r. p 15% HANDLING CHARGE RETURNED ITEMS :I V r;' WE ARE NOT RESPONSIBLE FOR ANY LABOR ON PARTS NOT INSTALLED BY OUR SHOP. ;r RETURNED PARTS MUST BE IN ORIGINAL AND UNDAMAGED CONTAINER. ALL EXCHANGES AND REFUND CLAIMS MUST BE ACCOMPANIED BY THIS INVOICE WITHIN 10 DAYS. -7 A •�G'.:K�•7:'yF`4;;1G .tR `i i► `I A c, k Y.: RECEIVED BY: F Ae 'qhank You" !0:0591'2 1201 OF' 1 `..ct Wl. 14•;.'1 ...atT W� 14 1 3210 E. 96TH ST. P.O. BOX 40319 Chevrolet Parts INDIANAPOLIS, INDIANA 46240-0319 Direct (317) 846-2564 CHEVROLET (317) 846-6666 Indiana (800) 692-6370 Nati onal :11 ..1 CUST OMER DD' DISCLAIMER O F p Any warranty on the hereby are those made by t the manufa6turer. The Seller PENSKE CHEVRO ex pressed expressly disclaims all warranties, either including any implied warranty of merchantability or fitness for a particular 1 pur pose auth orizes assumes nor person to assume fo aid prod L TOMtNO n i v r .•tTAX-EXEMPT NUMBER.. PO NO SHIP VIA r ,r PAYk•t` s SOLD BY` x I NVOICE D CUS ER INVOICE!NO. i'. e :•`•'M+ T A.�.��:C i ri.: f .'Y b.. ,:5- Ct ,j e 71 00312 01550020 L 1 06 IMPALA RH NO DEF. 11 RMEL, IN 46032 2008D s: -i: sx „F `i r` 1 t {t'' a w!.� k 45 d.. Z�?, f ,.;.ray a x ?x,,;�-Vi• a_`� ::•:�Cti�:�: •i %�c. 4 4 OUANATITY fi.3r.�., s.. .rs� n tc,, u iz ..;g PART: NUMBER DESCRIPTION'�txt`� i BIN F `LIST NET. •['��:E7± A? cc ,'y i 7 s- a..�im.. b. S'f >3.3+.n.*�', 3_�.• �.R`��. 25835974 MIRROR 10. 185 err vrYl s�. 1 j ti�..� :tic v,y4�,�' 'c�;•;,:;�?��iK A fyj r cA ►c, Et+ ti cA• t r `pct 'f K Y Wf� r •j cLM-' ;j„ is Syr i 1 j 11 �A'fy! 1 h•f:i +cil it 1 r 1 i• Ktll`` 2'1, �F j.ttf! Z. !A �E:1! tS l •�.A -f:13 `j'cA;; •`il ?A Ey Y .i ii► fi iT WA r('�. i,�G K' H .�t t ray. k_:.K� }.�yr j Si 3C' j Sl rr V I rr 1 1. Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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 Pe nske Chevrolet Purchase Order No. 3210 East 96th Street Terms Indianaoplis, In 46240 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 1/14/08 368258 payment for mirror 100.11 1/10/08 367593 paMent for repair parts 158.37 Total 258.48 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 Penske Chevrolet IN SUM OF 3210 East 96th Street Indianaoplis, IN 46240 258.48 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 3 67593 370 158.37 bill(s) is (are) true and correct and that the 36 8258 370 100.11 materials or services itemized thereon for which charge is made were ordered and received except .Taniiary 1 A 20 oA Signature CHief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund 3210 E. 96TH ST. P.O. BOX 40319 INDIANAPOLIS, INDIANA 46240 -0319 (317) 846 -6666 Chevrolet Parts Direct (317) 846 -2564 Indiana (800) 692 -6370 National Wats (800) 533 -6602 PENSKE CHEVROLET THANK YOU FOR YOUR BUSINESS!! PARTS HOURS 8:OOAM TO 5:30PM MONDAY THRU FRIDAY 5082 0031201550020 LARRY CHARGE ELZA MCSCHOOLER 01/10/08 367608 CVW 317 571 -2442 B CARMEL UTILITIES S I PO BOX 109 H L CARMEL, IN 46082 -0109 P T T O O PART NUMBER 1 0 15708080 BEZEL 16.345 847F 16.03 12.02 12.02 1 0 15708044 HANDLE 16.345 846H 40.40 30.30 30.30 W op O 2 N W K DISCLAIMER OF WARRANTIES SUBTOTAL 42.32 O Any w' anties on the produds soM hereby are (hose mace by the manufacturer. The Seller, Penske Chevrolet, hereby expressty tlisclaims all warranties, W either e,phossedl or implied, indading any implied warranty of merchantability or Illness for a particular purpose, end Penske Chevrolet, nenhor assumes nor lY authorizes any other person to assume torn any liability in connection with the sale of said onAocts. U D- SPECIAL ORDER OR FACTORY ORDERED ITEMS NOT RETURNABLE. ELECTRICAL PARTS NOT RETURNABLE. TAX 0.00 18% HANDLING CHARGE FOR RETURNED ITEMS. n WE ARE NOT RESPONSIBLE FOR ANY LABOR ON PARTS NOT INSTALLED BY OUR SHOP. a RETURNED PARTS MUST BE IN ORIGINAL AND UNDAMAGED CONTAINER. .m ALL EXCHANGES AND REFUND CLAIMS MUST BE ACCOMPANIED BY THIS INVOICE WITHIN 10 DAYS. a RECEIVED BY: NO REFUNDS WITHOUT FREIGHT 0.00 m Q THIS INVOICE 42.32 PAY THIS AMOUNT PSK -2 20= WWW.penskechevy.com PAGE 1 OF 1 3210 E. 96TH ST. P.O. BOX 40319 INDIANAPOLIS, INDIANA 46240 -0319 (317) 846 -6666 CHEVROLET Chevrolet Parts Direct (317) 846 -2564 Indiana (800) 692 -6370 National Wats (800) 533 -6602 PENSKE CHEVROLET THANK YOU FOR YOUR BUSINESS!! PARTS HOURS 8:OOAM TO 5:30PM MONDAY THRU FRIDAY s o e 376010003120155 002 JOE FAUCETT CHARGE JAMES COOPER 01/08/08 366611 CVR 317 571 -2645 B CARMEL WASTEWATER DIVISION S 760 3RD AVE S W H L SUITE 110 P T CARMEL, IN 46032 T e 1 0 24506671! HARNESS 3.120 NEWSET 18.53 13.91 13.91 w V J REC' JAN 0 8 2008 44 do b U Z N W U .91 DISCLAIMER OF WARRANTIES SUBTOTAL O Any warranties on the products sold hereby are those made by the m,n,t,ctu,e,. The Seller, Penske Chevrolet, hereby expressly disclaims all warranties, 13 3 W either ¢,pressed or implied, including any implied warranty of merchantability or fitness for a particular purpose, and Penske Chevrolet, neither assumes nor K 1,anzes any other person to assume for it any tiabitity in connection with the sale of said products. U_ 2 SPECIAL ORDER OR FACTORY ORDERED ITEMS NOT RETURNABLE. ELECTRICAL PARTS NOT RETURNABLE. TAX 0.00 0 18% HANDLING CHARGE FOR RETURNED ITEMS. WE ARE NOT RESPONSIBLE FOR ANY LABOR ON PARTS NOT INSTALLED BY OUR SHOP. RETURNED PARTS MUST BE IN ORIGINAL AND UNDAMAGED CONTAINER. ALL EXCHANGES AND REFUND CLAIMS MUST BE ACCOMPANIED BY THIS INVOICE WITHIN 10 DAYS. c RECEIVED BY: NO REFUNDS WITHOUT FREIGHT 0.00 m S Q THIS INVOICE 13.91 PAY THIS AMOUNT PSK www.penskechevy.com PAGE 1 OF 1 3210 E. 96TH ST e P.O. BOX 40319 IN D I ANAPO LIS, 1 1 46240-0 846- CHEV 846 In (800) 692-6370 Nati 1 II 533 -660 2 CUST DISCLAIMER O Any warranty on the products sold hereby are those made by the manufacturer. The Seller, PENSKE CHEV inclu expressly disclaims all warranties, either expressed or implied, implie purpose and PENSKE CHEVRO assumes authorizes any other pe rson liability in connection with the sEil e of said products ts„3 o *,v 'Y`.`O z CUS70MERN0 �TAXfXEMPTE•NUMBER ;..CUSTPO.NO s SHIP VIA :PAY s SOLDB INVOI Y r -^INVOICEDATE C�NO`� t 0 0-R1201,550 0 20 CH CVW C IN I. =s*• m .,i,� a r a. vl a.....:•; %C�. ...4 .a x nu v.• f t cv 4 c ::p a r M• 4 e t t 4 x PART NUMBER %.DESCRIPTION a. >3•�� BIN` NETu "`''AMOUNT •►.J�7::�'a� •►�!i Yr 7:. v i'st- '�vv.4s 73 4,�,r ¢azw .-s ..',Vd. z.' r,. a'�.n .I,.,.,� 1 `s,.. I':- ;'+4•a'''E.a t '`.'"r. `f� :Y: %A 'f X _A,v 1% ;r. Ott 1'l Mi VI Y rl►; :il'.�11•f;l?.;V'cR;' Y(•'t:Y. K� •Yit r('x. 1G'. :K� .,Y J A E I± ti cX y� JA fy ti.CA K Yy I 4f.} F V`: alt K 'y t} F WAIL `i k K At `f I 'r I c r` 4 i t r 'C 4 •cy Vi 1, i r J t-;, �i J A fy ti fir, J A fy 1 �i.JM Ey 1 �A f7J Y•�IIC'•`ie�A•EXr'i c11;.`.•e.�A 4 ('4' .Y• K"! 1o,rt I('4 :K Y. E;Y 1 J A E:1± •1 c�, fl+ :I.�A, `f4 �A j S y� I Si}i KZ •1 1~cLt f 1 J~M 1 VOUCHER 077084 WARRANT ALLOWED 72600 IN SUM OF PENSKE CHEVROLET '3210 E. 96th Street dianapolis, IN 46240 -0319 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 366547 01- 7502 -06 $5.27 3661( DI -15�� Db 13,91 5b 42 32 b 3.y o Voucher Total ,t, Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) I 1 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL i An invoice or bill to be properly itemized must show, kind of service, where s performed, dates of service rendered, by whom, rates per day, number of units, i price per unit, etc. i Payee 72600 PENSKE CHEVROLET Purchase Order No. 3210 E. 96th Street Terms Indianapolis, IN 46240 -0319 Due Date 1/9/2008 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/9/2008 366547 $5.27 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 f Date Officer 3210 E. 96TH ST. P.O. BOX 40319 INDIANAPOLIS, INDIANA 46240 -0319 (317) 846 -6666 Chevrolet Parts Direct (317) 846 -2564 Indiana (800) 692 -6370 National Wats (800) 533 -6602 PENSKE CHEVROLET THANK YOU FOR YOUR BUSINESS!! PARTS HOURS 8:OOAM TO 5:30PM MONDAY THRU FRIDAY 5082 0031201550020 TRK 5 CHARGE RANDY BALL 01/09/08 367314 cvw 317- 571 -2442 B CARMEL UTILITIES s L PO BOX 109 L CARMEL, IN 46082 -0109 P T T O O 1 0 77 15708043 HANDLE 16.345 846G 33.48 25.11 25.11 W 0 U Z_ W U K DISCLAIMER OF WARRANTIES SUBTOTAL 25.11 0 Any w anties on the products sold hereby are those mad, by the manufacturer. The Seller, Penske Chevrolet, hereby expressly disclaims all warranties, U either expressed or implied, including any implied warranty of merchantability or fitness for a particular purpose, and Penske Chevrolet, neither assumes nor lY authorizes any other person to assume for it any liability in connection with the sale of said products. U_ 2 Q. SPECIAL ORDER OR FACTORY ORDERED ITEMS NOT RETURNABLE. ELECTRICAL PARTS NOT RETURNABLE. TAX 0.00 18% HANDLING CHARGE FOR RETURNED ITEMS. c WE ARE NOT RESPONSIBLE FOR ANY LABOR ON PARTS NOT INSTALLED BY OUR SHOP. RETURNED PARTS MUST BE IN ORIGINAL AND UNDAMAGED CONTAINER. ALL EXCHANGES AND REFUND CLAIMS MUST BE ACCOMPANIED BY THIS INVOICE WITHIN 10 DAYS. a RECEIVED BY: NO REFUNDS WITHOUT FREIGHT 0.00 m Q THIS INVOICE 25.11 PAY THIS AMOUNT L CUSTOMER COPY PSK -z PAGC� 1 OF 1 www.penskechevy.com VOUCHER 074394 WARRANT ALLOWED 72600 IN SUM OF PENSKE :3210 E. 96th Street `ndianapolis, IN 46240 -0319 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 367314 01- 6500 -05 $25.11 F` Voucher Total $25.11 Cost distribution ledger classification if claim paid under vehicle highway fund t 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 J performed, dates of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 72600 PENSKE Purchase Order No. 3210 E. 96th Street Terms Indianapolis, IN 46240 -0319 Due Date 1/14/2008 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 1/14/2008 367314 $25.11 4: r 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 55- 11- 10 -1.6 Date Officer 3210 E. 96TH ST. P.O. BOX 40319 INDIANAPOLIS, INDIANA 46240 -0319 (317) 846 -6666 CHE VROFLEEV Chevrolet Parts Direct (317) 846 -2564 Indiana (800) 692 -6370 National Wats (800) 533 -6602 PENSKE CHEVROLET THANK YOU FOR YOUR BUSINESS!! PARTS HOURS 8:OOAM TO 5:30PM MONDAY THRU FRIDAY o s s o 3082 0031201550020 TRK 200 W/C CHARGE MIKE ROSEBOOM 01/03/08 366101 CVW 317 733 -2001 B CARMEL STREET DEPT S 3400 WEST 131 ST ST H Y3524631 L WESTFIELD, IN 46074 P THANKS MIKE T T MR -BIN O O 1 0 15687405 GEAR ASM- 6.508 SP -ORD 1168.84' 993.52 993.52 1'_ 0 15679479 HOSE 6.671 SP -ORD 70.47 52.86 52.86 w So o o ch o U z N w U DISCLAIMER OF WARRANTIES SUBTOTAL O Any warranties on the products sold hereby are those roads by the manufacturer. The Seller, Penske Chevrolet, hereby expressly disclaims all warranties, 1046.38 w N either expressed or implied, including any implied warranty of merchantability or fitness for a particular purpose end Penske Chevrolet, neither assumes X authorizes any other person to assume for it any liability in connection with the sale of said products. U S Q. SPECIAL ORDER OR FACTORY ORDERED ITEMS NOT RETURNABLE. ELECTRICAL PARTS NOT RETURNABLE. TAX O.�Q 18% HANDLING CHARGE FOR RETURNED ITEMS. n WE ARE NOT RESPONSIBLE FOR ANY LABOR ON PARTS NOT INSTALLED BY OUR SHOP. RETURNED PARTS MUST BE IN ORIGINAL AND UNDAMAGED CONTAINER. ALL EXCHANGES AND REFUND CLAIMS MUST BE ACCOMPANIED BY THIS INVOICE WITHIN 10 DAYS. to a RECEIVED BY: NO REFUNDS WITHOUT FREIGHT 0.00 r Q THIS INVOICE 1046.38 PAY THIS AMOUNT PSK -2 2 www.penskechevy.com PAGE 1 OF 1 JK 3210 E. Chevrolet Parts. INDIANAPOLIS, INDIANA 46240-0319 Direct (317) 846-2564 C H E VRO LET I In diana 1 1 692-637 Nati onal :11 ..1 CUST OMER ADDR DISCLAIMER O p Any warranty on the hereby are those made b CHEV the manufacturer. The Seller, PENSKE expressly disclaims all warranties either expressed implied including any im plied warranty of merchantability or fitness for particular pur pose CHEV assumes n6r authorizes any oiher person to assume for it any liability in c onnection will the.sale of said "''a fir, P-•` Lr'. CUSTOMER NO '3 TAX,EXEMPT NUMBER ^_GUST P O. NO SHIP VIA >PAY SOLD BY 'iINVOICEfDATE 3 INVOICEtNO; y 6031201-50020 MIKE CHARGE MICHAEL HOFMANN 01/ 366176-2 tcvw t at j its° a „4 rt z p Syr iJCVr �s'i •r�. xQUANATITY ,:xtsa� NET x ,"'AMOUNT. J 4 E�i. it J� f7!•:r'rn mil, A O R BIN y $FIIP "`t� r� v as rr r e -:t r!'4 K'_l.j r! K'ti. 'Y w .a l•� ksf. ,X -e ,,er j `i SY!5` A%,`f jY i( I A% 1 e l ~y- ,M z.. u f t a 1 f a i t 61.7120 46.2' 11' f7 ti;« H:!+ -fry; i► dM 'r.c A 7� ti E7 ti•sA :M 0 SUBJOTA�, `c Ali, r `f, X A�, a•r j� d Y� l� r c�. cyr i i KYr i ••Cy `i j• `I, At `G�, ir'� '�`t, A� `.I A a? ti `ia�� f7 ti e� `e► .h -c, 1r;• k, At'� `i X �ti. A� y r: s; ►'.1:X.•%1' JA Ell Y fill..µ J+ fY •t•ct;. `i Sr `t Ai `i k Y� r TAX FREIGHT 0. 00 11 Mill :1 il I ��:f73 1 •uJ� E7.• s PEA 321 0 E 96TH P BOX 40319 Chevro FS J rE INDIANAPOLIS 46240-0319 :4 In diana CHEVROLET (317) 846-6666 :11 692-6370 Nati onal :11 .•1 CUST OMER ADDR PENSKE CHEVR O F Y O U s o l d the manufacturer. The Seller-PENSKE CHEV hereb ex pressly PARTS H pur pose a particular PENSKE CHEVRO assumes nor authorizes any o�f�er person to assume for it any liability in connection with the sale of d pro ducts. e e CUSTOh1ER NO "!•x TAX- EXE1APT NUh1BER I ,':GUST P.O.,NO I "SHIP VIA I `_PAY I SOLD BY INVOICE'DATE INVOICE.NO ,t 0031291550 r CVW 'THANKS KEVIN L 4400 WEST 131ST ST I' C QUANATITY. 4 fir" s ra c,' s r Zvi cf v �•4KVr L PART NUMBER /.DESCRIPTION BIN LIST NET AMOUNT I SHIP` "I. B O r `;r' •P .w 'c SITS( `I. At X S(�'t. AC .i rf i 4 fie ti cA e►.�� fi 1 3. S 4 4tyy' 3.� YfV S'7.�Yf S SUB-T OTAL' li� .7 �itsi `i SIB `t, Al. X •f. Ac :1 r l I 'r 1 1 1 fi! ti c� c•.�A f� ti c� it r r �I. yfY;� +Y s r 3210 E. 96TH ST. P.O. BOX 40319 Chevrolet Parts A PE Aff AK AF INDIAN INDIANA 462 40-0319 :4 CHEVR Indiana (800) 692-6370 Nati onal 11 •.1 CUST OMER ADDR PENSKE CHEVROLET DISCLAIMER on prod P ARTS i r liability in connection with the sale of said products. CUST061ER N0 3 TAXiEXE11PT NU(7BER °s` r GUST P O, NO I SHIP VIA, PAY $OLD BY INVOICE DATE INVOICE N0 w s y 1 4082 0 I H K �V �LIN OUANATITY a a 'C r $Y �i o. r t s .a nc f t` �,f` ca Gyj"' ��'tv� `z PART NUMBER /`DESCRIPTIONF' F r�BIN RWST� NET SHIP B 0 Y. y� 74668673 SWITCH 4�4 9 OLD P/N 93801762 �F,_ sa 2 ,_r e `c 7►' `t, AC `i X 5(�`t. Aa t K i J i PAY THIS AMOUNTM,i ;.ct.�•`�{ t;.::•c •K... -tea.. Y�V r z� =y�l� r SSE 7 /r K /rte, sY' :K i �1 /r 1 a vi •-yi :r 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 dV L7_" Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 1 co Total 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. 1 ALLOWED 20 IN SUM OF ON ACCOUNT OF APPROPRIATION FOR 6�� Board Members Po# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 6 V 1 nl ,j I o 1.0110, 3a bill(s) is (are) true and correct and that the 3e� 11 3'1 rD i I LP6 materials or services itemized thereon for 31o'1 1 I 3 1 0 lo, CD which charge is made were ordered and LP `3 received except 20 1 Si6 ature rr 05- Cost distribution ledger classification if Title claim paid motor vehicle highway fund