HomeMy WebLinkAbout202787 10/11/2011 CITY OF CARMEL, INDIANA VENDOR: 363282 Page 1 of 1
ONE CIVIC SQUARE TRUCK SERVICE INC CHECK AMOUNT: $2,412.08
CARMEL, INDIANA 46032 ATTN: A/R
3140 W MORRIS STREET CHECK NUMBER: 202787
INDIANAPOLIS IN 46241
CHECK DATE: 10/11/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 56997 1,376.31 AUTO REPAIR MAINTEN
1120 4237000 57003 130.46 REPAIR PARTS
2201 4351000 57011 781.83 AUTO REPAIR MAINTEN
1120 4237000 57031 123.48 REPAIR PARTS
I
TRUCK SERVICE INC- T R U C K SERVICE, INC. INVOICE DATE
09/28/2011 03:26P4
p p 1.1 INVOICE NO. PAGE
CLEVELAND SPRING SERVICE INDIANAPOLIS SPRING 14700 7� 1 3 7 E R R 1 A N BLVD N 5 6 9 9 7 1
TRUCK SERVICE NOBLESVILLE El EAB. TRUCK SERVICE N O B L E S V I L L E IN 46060 CUSTOMER NO. BRANCH
WARNER SPRING HORTON TRUCK SERVICE 3 1 '7 7 7 6 6 4 6 4 12854 N
trksmcom J 1 1 V `I J `4
SOLD CARMEL STREET DEPARTMEN SHIP CARMEL STREET DEPARTMEN
TO TO
3400 W 131ST STREET 3400 W 131ST STREET
WESTFIELD IN 46074 WESTFIELD IN 46074
Tax id: 0 0 312 015 5 0 0 2 0 REMIT TO: A/R, 3140 W. Morris St. Indianapolis, IN 46241
CUSTOMER P.O. R/S ORDER NO.
006045 (317) 733 --2001 DS 000/000
OTY PART NO. DESCRIPTION LIST PRICEfPER EXTENSION
COMPLETION.DATE: 05/28/2011
UNIT: 203 YEAR: 2003 MAKE /MODEL: C8500
SERIAL: 1GTD8E4C53F520067 MILEAGE: 33257•
JOB #01 00 009 95 --TEST DRIVE VEHICLE
PARTS SUBTOTAL 0.00
LABOR SUBTOTAL 0.00
JOB SUBTOTAL 0.00
JOB #02 23 100 00 INSPECT F/E SUSPENSION (CURSORY INSPECTION)
f
'PA SUBTOTAL 0,00
is L SUB�1OTA U 0.00
J09 T0 AL 0.00
JOB #03 41 400 nn 'COMPUITCRI ED f AK. SVS3TEC�1— ANALYSIS
SGIAL DIS *OUN� L -ABOR 25.n0—
J MISG 1 lT[ 25.00—
P=ARTS §'U"B'T0TA,L a., 0.00
LABO, U�BTOTAI 25.00
y m. JOB SUB TO AL 0. 0o.
J08#04. 41 510 00 INSPECT AIR BRAKE }S.Y -S (CURSORY INSPECTION)
STROKE TRAVEL FRT AXLE DRIVP #1 DRIVE #2
DRIVER SIDE
PASS SIDE
PARTS SUBTOTAL 0.00
LABOR SUBTOTAL 21.43
Y
S RECEIVED BY FREIGHT SUBTOTAL TAX STATUSWATE SALES TAX PLEASE PAY
Y
f
R
*CONTINUED`
RETIGHTEN U -BOLTS AFTER TERMS: NET 10TH PROX. Invoices not paid by the lglh of the month following the month of the Invoice date will be considered
10 DAYS OR 500 MILES past due. A late charge of 1 112% per month will be assessed on all amounts not paid by the and of the month following the
Invoice date. (Annual Interest rate of 16
STORAGE CHARGE OF $10.00 PER DAY MAY APPLY FOR VEHICLES NOT INVOICE
PICKED UP 30 DAYS AFTER COMPLETION OF WORK.
i
TRUCK SERVICE INC- TRUCK SERVICE, INC INVOICE DATE
09/28/2011 03:26P
INVOICE NO. �ry PAGE
C1 CLEVELAND SPRING SERVICE El INDIANAPOLIS SPRING 14700 H E R R I M A N B L V D N 5 6 9 9 7 2
F1 TRUCK SERVICE NOBLESVILLE El EAB. TRUCK SERVICE N O B L E S V I L L E IN 46060 CUSTOMER NO. BRANCH
F1 WARNER SPRING F1 HORTON TRUCK SERVICE 317 776 6464 V 12854 N
trksmcom
SOLD CARMEL STREET DEPARTMEN SHIP CARMEL STREET DEPARTMEN
TO TO
3400 W 131ST STREET 3400 W 131ST STREET
WESTFIELD IN 46074 WESTFIELD IN 46074
Tax i d 003120155 REMIT TO: A/R, 31 40 W. Morris Ste Indianapolis, IN 46241
CUSTOMER P.O. R/S ORDER NO.
00604.5 (317) 733 -2001 DS 000 /000
CITY PART NO. DESCRIPTION LIST PRICE/PER EXTENSION
JOB SUBTOTAL 21.43
JOB #05 00 009 98 TEST DRIVE AFTER COMPLETION TO CONFIRM REPAIR
PARTS SUBTOTAL 0.00
LABOR SUBTOTAL 0.00
JOB SUBTOTAL 0.00
JOB #06 45 562 08 AIR BRAKES HEAVY DUTY PER AXLE
CHECK RIGHT REAR SLACK REPLACE IF NEEDED OR ADVISE CUST
OF REPAIR NEEDED
2 DP SB23M470,,7Q LI_ D BRAKE SQiflE KIT $151.25 99.00EA* 198.00
2 DP HD1 �HE.AVY DUTY `BIR "AKA D'RU 37 88 155.97EA* 311.94
1 CR 47691 1 SE- $120. 4 64.99EA 64.99
r PARTS SUB'T0 574.93
k last L E.
Lit 6-0 S U.B T -o T, A L.
257.19
/I `SHOP SUPPLIES" s 4 24.95
J 0 6 SU60T TA 85.7.07
JOB #07 61 900 00 GENERAL SHOP LABOR,
WE FOUND BENT S -CAM TUBE AND SHAF!T� PA- R.7S�f�ND� ABQR-
TO REPLACE S -CAM TUBE,SHAFT,AND B'-U- SHINGS
1 NS E -3993B CAM K.IT..MWB $23.43 BIL 13.02EA* 13.02
1 NS E -9661 CAMSHAFT..MWB $64.71 BIL 35.95EA* 35.95
1 NS 329P6256 CAMBARC..MWB $199.26 BIL 110.70EA* 110.70
FREIGHT 56.00
MISC SUBTOTAL 0.00
PARTS SUBTOTAL 159.67
r
LABOR SUBTOTAL 257.19
E RECEIVED BY FREIGHT SUB TOTAL TAX STATUSMATE SALES TAX PLEASE PAY
t
S
*CONTINUED*
RETIGHTEN U -BOLTS AFTER TERMS: NET 10TH PROX. Invoices not pald by the 10th of the month following the month of the Invoice dale will be considered
10 DAYS OR 500 MILES past due. A late charge of 1 It2% per month will be assessed on all amounts not paid by the end of the month following the
Invoice data. (Annual Interest rate of 18
STORAGE CHARGE OF $10.00 PER DAY MAY APPLY FOR VEHICLES NOT INVOICE
PICKED UP 30 DAYS AFTER COMPLETION OF WORK.
I
TRUCK SERVICE INC TRUCK SERVIC INC. INVOICE DATE
09/28/2011 03:26P
INVOICE NO. PAGE
CLEVELAND SPRING SERVICE INDIANAPOLIS SPRIkO 14700 H E R R I M A N N BL N 5 6 9 9 7 3
F1 TRUCK SERVICE NOBLESVILLE E.A.B. TRUCK SERVICE N O B L E S V L L E IN 4 6060 CUSTOMER NO. BRANCH
WARNER SPRING HORTON TRUCK SERVICE 317-776-6464 1 2 8 5 4 N*
trksvc.com
SOLD CARMEL STREET DEPARTMEN SHIP CARMEL STREET DEPARTMEN
TO TO
3400 W 131ST STREET 3400 W 131ST STREET
WESTFIELD IN 46074 WESTFIELD IN 46074
Tax i d 0031201550-020 REMIT TO: A/R, 3140 W. Mo St. Indianapolis, pH 46241
CUSTOMER P.O. RIS ORDER NO.
006045 (317) 733 -2001 DS 000/000
GTY PART NO. DESCRIPTION LIST PRICEMER EXTENSION
SHOP SUPPLIES 24.95
FREIGHT 56.00
JOB SUBTOTAL 497.81
*TOTAL PARTS: 734.60
*TOTAL LABOR: 560.81
*TOTAL OTHER: 25.00
"TOT A.L SHOP SUPPLIES: 49.90
'T ^OT "AL FREIGHT: 56.00
*COMtiLET SPR�I SH P 5E`(2V'IC�
*REPAIR /REP /;B;UI-LD °UP J OEl 'LEAF SPRINGS'
90 DAY 'W A RRA'NTY'-O -N-'P -ARTS; AND LAB0R I
I L lm-
t
e
E RECEIVED BY FREIGHT SUB TOTAL TAX STATUStSTATE SALES TAX PLEASE PAY
Y
C
E
T
y 56.00 1320.31 EXEMPT IN 0.00 1376.31
RETIGHTEN U -BOLTS AFTER TERMS: NET 10TH PROX. Invoices not paid by the 10th of the month following the month of the Involde date will be considered
10 DAYS OR 500 MILES past due. A late charge of 1 112% per month will be assessed on all amounts not paid by the end of the month following the
Invoice date. (Annual interest rate of 18
STORAGE CHARGE OF $10.00 PER DAY MAY APPLY FOR VEHICLES NOT INVOICE
PICKED UP 30 DAYS AFTER COMPLETION OF WORK.
I
TRUCK SERVICE INC. TRUCK SERVICE, INC. INVOICE DATE
09/30/2011 02:14P
q -7 pp p INVOICE NO. PAGE
F 14 7 0 0 CLEVELAND SPRING SERVICE INDIANAPOLIS SPRING H E R B I M A M B L V D N 5 7 011 1
TRUCK SERVICE NOBLESVILLE E.A.B. TRUCK SERVICE N O B L E S V I L L E IN 46060 CUSTOME NO. BRANCH
WARNER SPRING HORTON TRUCK SERVICE 3 17 776 6464 1 2 8 5 4 k N A
t11CSVC.00f11
SOLD CARMEL STREET DEPARTMEN SHIP CARMEL STREET DEPARTMEN
TO TO
3400 W 131ST STREET 3400 W 131ST STREET
WESTFIELD IN 46074 WESTFIELD IN 46074
Tax i d 0031201550-020 REMIT TO: A/R, 3140 W Morris St. Indianapola5, IN 46241
CUSTOMER P.O. R/S ORDER NO.
006179 (317) 733 -2001 DS 000/000
QTY PART NO. DESCRIPTION LIST I PRICEIPER EXTENSION
COMPLETION DATE: 09/30/2011
UNIT: 400 YEAR: 2004 MAKE /MODEL: IHC 4300 BOOM TRK
SERIAL: 1HTMMAAN95H678103 MILEAGE: 37558
JO$ #01 00 009 95 TEST DRIVE VEHICLE
PARTS SUBTOTAL 0.00
LABOR SUBTOTAL 0.00
JOB SUBTOTAL 0.00
JOB #02 23 100 00 INSPECT F/E SUSP.E.N.,SION (CURSORY INSPECTION)
PARTS SUB 0.00
�fi I9 LABOR UB.fb7fA 0.00
1 fJ�SUBTO T A, 0.00
-Lj J O B #03 41 400 00 C.O ffER� E� 'B k AKE SY-S f~E "M —ANAL YSI S
E TA DISCOU4T LABOR- 25.00
M MTaC�SI�BTOT ?TN 25.00-
P"A R f S S:U. T 0 T R" 1 0.00
L "ABO c�UBT;;OI7A aka: 25.00
�O��.I a 0.00
j JOtB "SUB10T_AL_
J08 #04 41 510 00 INSPECT AIR BRAKE SYS (CURSORY INSPECTION)
STROKE TRAVEL FRT KLE DRIV #1 DRIVE #2
DRIVER SIDE
PASS SIDE V -4
N PARTS SUBTOTAL 0.00
z LABOR SUBTOTAL 21.43
Y
S RECEIVED BY FREIGHT SUB TOTAL TAX STATUS/STATE SALES TAX PLEASE PAY
x
f
T
*CONTINUED*
RETIGHTEN U -BOLTS AFTER TERMS= NET 10TH PROX. Invoices not paid by the 10th of the month following the month of the invoice date will be considered
10 DAYS OR 500 MILES pest due. A late charge of 1 1/2% per month will be assessed on all amounts not paid by the and of the month following the
Invoice date. (Annual interest rate of 18
STORAGE CHARGE OF $10.00 PER DAY MAY APPLY FOR VEHICLES NOT INVOICE
PICKED UP 30 DAYS AFTER COMPLETION OF WORK.
i
TRUCK SERVICE INC_ TRUCK SERVICE INC INVOICE DATE
m i 4 1 R "#Tlel ff 0 09/30/2011 02:14P
INVOICE NO. PAGE
CLEVELAND SPRING SERVICE INDIANAPOLIS SPRING 14700 H E R R I M A N BLVD N 5 7 011 2
TRUCK SERVICE NOBLESVILLE EA.B. TRUCK SERVICE N O B L E S V I L L E I N� 4606 CUSTOMER NO. BRANCH
WARNER SPRING NORTON TRUCK SERVICE 317-776-6464 1 2 8 5 4 N
trksmeom
SOLD CARMEL STREET DEPARTMEN SHIP CARMEL STREET DEPAP.TMEN
TO TO
3400 W 131ST STREET 3400 W 131ST STREET
WESTFIELD IN 46074 WESTFIELD IN 46074
Tax i d 0031201550-020 GEC MIT TO: A/R, 3140 We Morris St. Indianap opus, ON 46241
CUSTOMER P.O. RIS ORDER NO.
006179 (317) 733 -2001 DS 000 /000
OTY PART NO. DESCRIPTION I LIST PRICEIPER EXTENSION
JOB SUBTOTAL 21.43
JOB #05. 00 009 98 TEST DRIVE AFTER COMPLETION TO CONFIRM REPAIR
PARTS SUBTOTAL 0.00
LABOR SUBTOTAL 0.00
JOB SUBTOTAL 0.00
JOB #06 45 561 08 FRONT AIR BRAKES HEAVY DUTY TRUCK
CHECK FRONT BRAKES AND ADVISE
W E F 0 U N D F. R 0 -N T —S -H.O E S— C -R.A.0 K E.D� A -N.D D R_U M S_ HE-AT CRACKED
PARTS AND LABOR TO REPLACE DRUMS AND SHOES
2. NS X61223 DRUMS ��..MWB $299.24 B'IL 166.63EA* 333.26
2 NS SB4702EXS =HO =SKIT. �MWB $1:30.50 BEIL 72.50EA* 145.00
_P-A� R T S —S -U -B T OT A L 478.26
ELAB0 SUBT'OT'k TM 257.19
S PS -U P- P L I± E S r 24.95
JOB=S-UBTOTAL 760.40
*T0[7AL PARTS: 478.26
*TOTAL LABOR: 303.62
*TOTAL OTHER: 25.00-
*TOTAL SHOP SUPPLIES: 24.95
*COMPLETE SPRING SHOP SERVICE
*REPAIR /REPLACE /BUILD -UP OF LEAF SPRINGS
T 90 DAY WARRANTY ON PARTS AND LABOR
Y
E RECEIVED BY FREIGHT SUB TOTAL TAX STATUS/STATE SALES TAX PLEASE PAY
x
Y
f
x
*CONTINUED*
RETIGHTEN U -BOLTS AFTER TERMS: NET 10TH PROX. Invoices not paid by the 10th of the month following the month of the Invoice date will be considered
10 DAYS OR 500 MILES past due. A late charge of 1 12% per month will be assessed on all amounts not paid by the end of the month following the
Invoice date. (Annual Interest rate of 181
STORAGE CHARGE OF $10.00 PER DAY MAY APPLY FOR VEHICLES NOT INVOICE
PICKED UP 30 DAYS AFTER COMPLETION OF WORK.
I
TRUCK SERVICE INC_ TRUCK S E R V I C E IN C. INVOICE DATE
CEMM EEMM M 09/30/2011 02:14P
p '7 L� p� A h� p INVOICE N O PAGE
CLEVELAND SPRING SERVICE INDIANAPOLIS SPRING 14 7 0 0 H E R R I M A IN V L VD N 5 7 V 1 1 3
E3 TRUCK SERVICE NOBLESVILLE El EJLB. TRUCK SERVICE N O B L E S V I L L E I f Y 46060 CUSTOMER NO. BRANCH
WARNER SPRING r NORTON TRUCK SERVICE 317 776 1 28 5 4 N�
trksmcom
SOLD CARMEL STREET DEPAP.TMEN SHIP CARMEL STREET DEPARTMEN
TO TO
3400 W 131ST STREET 3400 W 131ST STREET
WESTP'I.ELD IN 46074 WESTFIELD IN 46074
Tax i d 0031201550 REMIT TO: AIR, 3140 W. Morris St. Indianapolis, ON 46241
CUSTOMER P.O. RIS ORDER NO.
006179 (317) 733 -2001 DS 000/000
OTY PART NO. DESCRIPTION LIST PRICE/PER EXTENSION
A
2
F RECEIVED BY FREIGHT SUB TOTAL TAX STATUS/STATE SALES TAX PLEASE PAY
Y
i
E
x
EXEM IN 0.00 781.83
RETIGHTEN U -BOLTS AFTER TERMS: NET 10TH PROX. Invoices not paid by the 10th of the month following the month of the Invoice date will be considered
10 DAYS OR 500 MILES past due. A late charge of 1 112% per month will be assessed on all amounts not paid by the end of the month following the
Invoice date. (Annual Interest rate of 18
STORAGE CHARGE OF $10.00 PER DAY MAY APPLY FOR VEHICLES NOT INVOICE
PICKED UP 30 DAYS AFTER COMPLETION OF WORK.
VOUCHER NO. WARRANT NO.
T ALLOWED 20
Truck Service
IN SUM OF
3140 W. Morris Street
Indianapolis, IN 46241
$2,158.14
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# 1 Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board MemberE
2201 56997 43- 510.00 $1,376.31 1 hereby certify that the attached invoice(s), or
2201 57011 43- 510.00 $781 -83 bili(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
r
Thursday, October 06, 2011
Street Commissio�ner
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))
09/28/11 56997 $1,376.31
09/30/11 57011 $781.83
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
TRUCK SERVICE INC TRUCK SERVICE INC INVOICE DATE
10/05/2011 01 :54P
INVOICE NO. PAGE
CLEVELAND SPRING SERVICE INDIANAPOLIS SPRING 14700 H E R R I M A N BLVD N 5 7 0 31 1
TRUCK SERVICE NOBLESVILLE E.A.B. TRUCK SERVICE N O B L E S V I L L E IN 46060 CUSTOMER NO. BRANCH
WARNER SPRING NORTON TRUCK SERVICE 317-776-6464 12873 N*
trksmcom
SOLD CARMEL FIRE DEPT SHIP CARMEL FIRE DEPT.
TO TO
2 CARMEL CIVIC SQUARE 2 CARMEL CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
REMIT T®: A/R, 3140 W. Morris St. Indianapolis, IN 46241
CUSTOMER P.O. R/S ORDER NO.
827632 WED (317) 571 -2600 DS 000 /00 000
OTY PART NO. DESCRIPTION LIST PRICE/PER EXTENSION
*PICKED UP BY CUSTOMER*
1 BW 286171 (NEW). E6 DUAL FOOT VA 178.21 116.76EA 116.76
2 SR A30 -32 AIR BRAKE ANTI FREEZE 6.72 3.36EA 6.72
DOT INSPECTIONS ARE YOU READY
f
TM
V1
Z
Y
RECEIVED BY FREIGHT SUB TOTAL TAX STATUSISTATE SALES TAX PLEASE PAY
Y
y 0 123.48
RETIGHTEN -BOLTS AFTER TERMS: NET 10TH PROX. Invoices not paid by the 10th of the month following the month of the invoice date will be considered
10 DAYS OR 500 MILES past due. A late charge of 1 12% per month will be assessed on all amounts not paid by the end of the month following the
Invoice date. (Annual Interest re ta of 18
STORAGE CHARGE OF $10.00 PER DAY MAY APPLY FOR VEHICLES NOT INVOICE
PICKED UP 30 DAYS AFTER COMPLETION OF WORK.
i
TRUCK SERVICE INC. TRUCK SERVICE INC INVOICE DATE
r •r• 09/29/2011 02:27P
1 �7 BLVD INVOICE NO. '7 �'y PAGE
LJ CLEVELAND SPRING SERVICE INDIANAPOLIS SPRING 1 4 7 7 0 0 H E R R I M A N N BLVD N 5! 0 0 3 1
Q TRUCK SERVICE NOBLESVILLE E.A.B. TRUCK SERVICE N O B L E S Y I L L E I N 46060 CUSTOMER NO. BRANCH
WARNER SPRING NORTON TRUCK SERVICE 317-776-6464 12873 N
trksvc.com
SOLD CARMEL FIRE DEPT. SHIP CARMEL EIRE DEPT.
TO TO
2 CARMEL CIVIC SQUARE 2 CARMEL CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032.
REMIT TO: A/R, 3140 We Morris St. Indianapolis, ON 46241
CUSTOMER P.O. RS ORDER NO.
827456 THU (317) 571 -2600 EB 000 /00 000
GTY PART NO. DESCRIPTION LIST PRICFJPER EXTENSION
*PICKED UP BY CUSTOMER*
3 NS 54325000050 IN LINE FILTER..MWB 64.44 39.05EA 117.15
UPS CHARGE y 13.31
DOT INSPECTIONS ARE Y0U READY
.mot
®$T 4V3
t r
n
i A�L
4
r
1: RECEIVED BY FREIGHT SUB TOTAL TAX STATUSSTATE SALES TAX PLEASE PAY
T
E
x
13, 31 5 EXEMPT IN 0.00 130.46
RETIGHTEN U -BOLTS AFTER TERMS: NET 1 OTH PROX. Invoices not paid by the 10th of the month following the month of the Invoice date will be considered
10 DAYS OR 500 MILES past due. A late charge of 1 112% per month will he assessed on all amounts not paid by the end of the month following the
Invoice date. (Annual interest rate of 18
STORAGE CHARGE OF $10.00 PER DAY MAY APPLY FOR VEHICLES NOT INVOICE
PICKED UP 30 DAYS AFTER COMPLETION OF WORK.
ilt !ri OV I MAMIARAP ln
r1f r I J V QU tl.: N
q.
1 7 Y 1 i
�i
.i r j r i 2 ti CO }r
VOUCHER NO. WARRANT N
ALLOWED 20
Truck Service, Inc.
IN SUM OF
3140 W. Morris Street
Indianapolis, IN 46241
$253.94
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
1120 57003 42- 370.00 $130.46 1 hereby certify that the attached invoice(s), or
1120 57031 42- 370.00 $123.48 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
OCT 10 2011
Fire Chief
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))
57003 L41 $130.46
57031 L41 $123.48
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