203421 11/09/2011 CITY OF CARMEL, INDIANA VENDOR: 00350527 Page 1 of 1
ONE CIVIC SQUARE DON'S AUTO TRIM
CARMEL, INDIANA 46032 5397 ROCKVILLE ROAD CHECK AMOUNT: $2,085.00
INDIANAPOLIS IN 46224 CHECK NUMBER: 203421
CHECK DATE: 11/9/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 99195 755.00 REPAIR PARTS
2201 4237000 99197 270.00 REPAIR PARTS
2201 4237000 99258 765.00 REPAIR PARTS
2201 4237000 99260 295.00 REPAIR PARTS
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TPA DIA&4 't e�aRce 1 N2 9919
5397 Rockville Road Y Indianapolis, IN 46224
(317) 227 -0988 Office o (317) 227 -0977 Fax
Customer's
Ord Date 10a7- 20
M c�r. �er�� sDAaT
Address
City State
SOLD BY CASH C.O.D. CHARGE ON ACCT. MDSE. RETD. PAID OUT
QUAN. DESCRIPTION PRICE AMOUNT
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ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BY THIS BILL
Received B Q
Y
N® 99195
5397 Rockville Road a Indianapolis, IN 46224
(317) 227 -0988 Office (317) 227 -0977 Fax
Customer's
Order No. Date /V -.?b -1/ 20
M �R m sreFey oen
Address
City State
SOLD BY CASH C.O.D. CHARGE ON ACCT. MDSE. REM. PAID OUT
QUAN. DESCRIPTION PRICE AMOUNT
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ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BY T IS BILL
1
Received By
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))
10/26/11 99195 $755.00
10/27/11 99197 $270.00
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
20
Clerk- Treasurer
VOUCHER NO. WAR NO.
ALLOWED 20
Don's Auto Trim
IN SUM OF
5397 Rockville Road
Indianapolis, IN 46224
$1,025.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 99195 42- 370.00 $755.00 1 hereby certify that the attached invoice(s), or
2201 99197 42- 370.00 $270.00
bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, November 03, 2011
r�
Y Street Commissioner
Street Corrmtiesioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund
mqt 71�m
j4C DCA&4'1 e4,-, 1 N° 99260
5397 Rockville Road o Indianapolis, IN 46224
(317) 227 -0988 Office (317) 227 -0977 Fax
Customer's
Orde� Date 'y•// 20
11/l7EL c�TRE� sd�T.
Address
City State
SOLD BY CASH C.O.D. CHARGE ON ACCT. MDSE. RETD. PAID OUT
QUAN. DESCRIPTION PRICE AMOUNT
199d' 9MC, asoo.
t7�1sBL� e-�G; /2r�L�
/t�la�f'• /�t'7diliR .�is�
JO 4 ,60 P D<
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ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BY THIS BILL
Received By -Z
TPe D't el° .gyp N® 99255
5397 Rockville Road a Indianapolis, IN 46224
(317) 227 -0988 Office (317) 227 -0977 Fax
Customer's
Order o. Date 3' 20
M Adis c�T2� =3,
Address
City State
SOLD BY CASH C.O.D. CHARGE ON ACCT. MDSE. RETD. PAID OUT
QUAN. DESCRIPTION PRICE AMOUNT
141 ,��&,r 0�&,4 s
Ifewr 9. C-�e cE
R&tAe -,10 E,v�o �2 vr7clf
01
ncKJ... s
✓uc. tin AX rvs
ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BY THIS BILL
Received By I 2,0
!J N
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))
11/03/11 99258 $765.00
11/06/11 99260 $295.00
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
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Don's Auto Trim
IN SUM OF
5397 Rockville Road
Indianapolis, IN 46224
$1,060.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 99258 42- 370.00 $765.00 1 hereby certify that the attached invoice(s), or
2201 99260 42- 370.00 $295.00
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
Mond y Noyf rker 07, 2011
Street Commis er
innQr
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund