173752 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 355810 Page 1 of 1
ONE CIVIC SQUARE CARMEL AUTO TRUCK SERV.
CHECK AMOUNT: $97.76
CARMEL, INDIANA 46032 310 GRADLE DRIVE
CARMEL IN 46032 CHECK NUMBER: 173752
CHECK DATE: 6/24/2009
DEPARTMENT AC COUNT PO NUMBER INVOICE NUMBER AMOUNT DESCR IPTION
1192 4351000 11515 63.93 AUTO REPAIR MAINTEN
1192 4351000 11526 33.83 AUTO REPAIR MAINTEN
CARMEL AUTO TRUCK SERV.
310 GRADLE DRIVE
Invoice
CARMEL IN 46032
(317) 846 -1171 Number: 11526
Date: June 11, 2009
BILL TO VEHICLE
CITY OF CARMEL 2006 TOYOTA
CARMEL, IN 46032 PRIUS
UNIT# 1
VIN
CONTACT P.O.# MILEAGE
UNIT# 01 3921
PARTS SERVICES Tax 1 Amount
SERVICEHL.O.F 14.00
S -5 QTS OIL QUAKER STATE 11.90
S -1 OIL FITLER AC DELCO PF61 7.93
Sub -Total $33.83
State Tax 7.00% on 0.00 0.00
Total $33.83
a
CARMEL AUTO TRUCK SERV.
310 GRADLE DRIVE
Invoice
CARMEL IN 46032
(317) 846 -1171 Number: 11515
Date: June 10, 2009
BILL TO VEHICLE
CITY OF CARMEL 2006 FORD
CARMEL, IN 46032 ESCAPE
UNIT# 90
VIN 6KA26086
CONTACT P.O.# MILEAGE
UNIT# 90 54168
PARTS 8; SERVICES Tax 1 Amount
SERVICE L.O.F 14.00
S -1 OIL FILTER WIX 7.93
S -5 QTS OIL QUAKER STATE 11.90
REPAIR TIRE REBALANCE 26.00
S -STEM 4.10
Sub -Total $63.93
State Tax 7.00% on 0.00 0.00
Total $63.93
VOUCHER NO. WARRANT NO.
ALLOWED 20
Carmel Auto Truck Service
IN SUM OF
310 Gradle Drive
Carmel, IN 46032
$97.76
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1192 11515 43- 510.00 $63.93 I hereby certify that the attached invoice(s), or
1192 11526 43- 510.00 $33.83
bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, June 22, 2009
Di VQ or, C
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))
06/10/09 11515 Oil change Tire Rebalance Unit #90 $63.93
06/11/09 11526 Oil Change- Unit 1 Prius $33.83
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