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177132 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 355810 Page 1 of 1 ONE CIVIC SQUARE CARMEL AUTO TRUCK SERV. 0 CHECK AMOUNT: $849.21 CARMEL, INDIANA 46032 310 CRADLE DRIVE CARMEL IN 46032 CHECK NUMBER: 17713.2 CHECK DATE: 9/15/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER J AMOUNT DESCRIPTION 1120 4351000 12163 777.04 AUTO REPAIR MAINTEN 1192 4351000 12216 72.17 AUTO REPAIR MAINTEN i CARMEL AUTO TRUCK SERV. 310 GRADLE DRIVE Invoice CARMEL IN 46032 (317) 846 -1171 Number: 12216 Date: September 11, 2009 BILL TO VEHICLE CITY OF CARMEL 2006 FORD ESCAPE CARMEL, IN 46032 HYBRID CONTACT P.O.# MILEAGE UNIT# 94 16511 PARTS SERVICES Tax 1 Amount SERVICE L.O.F 14.00 ROTATE TIRES 16.00 CC -2 WIPER BLADES ANC 24 22.34 S -1 OIL FILTER WIX 7.93 S -5 QTS OIL QUAKER STATE 11.90 Sub -Total $72.17 State Tax 7.00% on 0.00 0.00 Total $72.17 VOUCHER NO. WARRANT NO. ALLOWED 20 Carmel Auto Truck Service IN SUM OF 310 Gradle Drive Carmel, IN 46032 $72.17 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1192 12216 43- 510.00 $72.17 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 Monday, September 14, 2009 C v i irector, DOCS 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)) 09/11/09 12216 Oil change Unit 94 $72.17 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 CARMEL AUTO TRUCK SERV. 1 310 GRADLE DRIVE Invoice CARMEL IN 46032 (317) 846 -1171 Number: 12163 Date: August 28, 2009 BILL TO VEHICLE CARMEL FIRE DEPT CHEVROLET CARMEL, IN 46032 PICKUP VIN# CONTACT P.O.# MILEAGE 91592 PARTS SERVICES Tax 1 Amount INSTALL NEW GRILL MARKER LAMPS, DRILL FOR E- LIGHTS 76.00 SERVICE L.O.F 14.00 ROTATE BALACE TIRES 16.00 EVACUATE RECHARGE A/C SYSTEM 59.95 S -1 OIL FITLER AC DELCO PF61 7.93 S -6 QTS OIL 14.28 KEYS -1 GRILULAMP SET 148.73 INSTALL FRONT BRAKE PADS NEW ROTORS 226.00 TBA -1 FRONT BRAKE PADS SET D60 17D370CH 79.95 TBA -2 FRONT BRAKE ROTORS RAS SB56242 134.20 Sub -Total $777.04 State Tax 6.00% on 0.00 0.00 Total $777.04 VOUCHER NO. WARRANT NO. Camel Auto Truck ALLOWED 20 IN SUM OF 310 Gradle Drive Carmel, IN 46032 $777.04 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 12163 43- 510.00 $777.04 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 SEP 14 2009 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)) 12163 $777.04 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