HomeMy WebLinkAbout204792 12/20/2011 CITY OF CARMEL, INDIANA VENDOR: 00351592 Page 1 of 1
ONE CIVIC SQUARE FORD MOTOR COMPANY
CARMEL, INDIANA 46032 PO BOX 70548 CHECK AMOUNT: $549.00
CHICAGO IL 60673
CHECK NUMBER: 204792
CHECK DATE: 12120/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4352600 112BCV00042 549.00 AUTOMOBILE LEASE
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INVOICE: 11213CV00042
INVOICE DATE: 2011/12/08
SUPPLIER ID NO: U1QHA
GOVERNOPJMAYOR LEASE VEHICLE PRG CUSTOMER REF: BATCH
13501 STREET NW 10TH FLOOR
POIICBA: 073R524
WASHINGTON,DC 20005
U.S.A.
SOLD TO: CUSTOMER ID NO: BKKMA REMIT TO:
FORD MOTOR COMPANY
P.O. BOX 70548
CHICAGO, IL 60673
CITY OF CARMEL
OFFICE OF THE MAYOR
ONE CIVIC "SQLiARE BILLING- CONTACT'--- AL-TC- In-P2. TTEPSOIII
CARMEL,IN 46032 PHONE: 615- 315 -6677
U.S.A.
THIS INVOICE IS FOR VEHICLE /VEHICLES
LEASED FOR NOVEM 20 1L SEE LISTING BELOW:
VIN IN SVC OUTSVC MTHLY DAILY DAY
NUMBR DATE DATE RATE RATE SVC AMOUNT
7KJ17070 102806 549.00 18.04 30 549.00
PURCHASE ORDER NO: 073R524
RETURN A COPY OF INVOICE WITH YOUR REMITTANCE
VIN NUMBR VEHICLE IDENTIFICATION NUMBER
IN SVC DATE IN SERVICE DATE
OUTSVC DATE OUT OF SERVICE DATE
MTHLY RATE MONTHLY RATE
DAY SVC DAYS IN SERVICE
INVOICE AMOUNT: 549.00
U.S. DOLLAR
PAGE 1
P1 SG0000100005
100010 02/02 00000- 1SG000OI00005
VOUCHER NO. WARRANT NO.
Ford Motor Company ALLOWED 20
IN SUM OF
P. O. Box 70548
Chicago, IL 60673
$549.00
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1160 1 112BCV00042 43- 526.00 $549.00 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
Friday, December 16, 2011
ayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by Slate 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))
12/08/11 112BCV00042 $549.00
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