175628 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 355810 Page 1 of 1
ONE CIVIC SQUARE CARMEL AUTO TRUCK SERV. CHECK AMOUNT: $468.87
CARMEL, INDIANA 46032 310 GRADLE DRIVE
'+e,�•�' CARMEL IN 46032 CHECK NUMBER: 175628
ti o �o
CHECK DATE: 816/2009
DEPARTM AC COUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4351000 11716 468.87 AUTO REPAIR MAINTEN
VIM% s t3
tS
R� CP
CARMEL AUTO TRUCK SERV.
310 GRADLE DRIVE I n vo I 2820, C
CARMEL Cp
7 84 IN 1 Number: 11716 CP
�v
Date: July 27, 2009 9
BILL TO VEHICLE
CITY OF CARMEL 1999 CHEVROLET
CARMEL, IN 46032 PICKUP
UNIT#
VIN 1GCGK24R1WZ271778
CONTACT P.O.# MILEAGE
49634
PARTS SERVICES Tax 1 Amount
INSTALL WATERPUMP ASSEMBLY, NEW ANTIFREEZE, THERMOSTAT SEAL 288.20
S- ANTIFREEZE 34.00
TBA -1 WATERPUMP AC DELCO D26 252 -711 129.44
S -1 THERMOSTAT SEAL 17.23
Sub -Total $468.87
State Tax 7.00% on 0.00 0.00
Total $468.87
CARMIEL AUTO TRUCK SERVICE
310 CRADLE DRIVE
CARMEL INDIANA, 46032
PRONE 317 846 -1171
FAX 317 -663 -0761
r
a 6ri (,l
P
�V ttD� (2
d1(/i b tl� ZSS 'Z o
SIGNATURE 11 DATE
VOUCHER NO. WARRANT NO.
ALLOWED 20
Carmel Auto Truck Service
IN SUM OF
310 Gradle Drive
Carmel, IN 46032
$46
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1192 11716 43- 510.00 $468.87 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
Thursday, July 30, 2009
irector, D S
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))
07/27/09 11716 water pump 1999 pickup $468.87
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