172770 05/27/2009 CITY OF CARMEL, INDIANA VENDOR: 355810 Page 1 of 1
ONE CIVIC SQUARE CARMEL AUTO TRUCK SERV. CHECK AMOUNT: $714.68
CARMEL, INDIANA 46032 310 GRADLE DRIVE
o„ `o CARMEL IN 46032 CHECK NUMBER: 172770
.CHECK DATE: 5/27/2009
DE PARTM ENT ACC PO NU INVOICE NUMBER AMOU D ESCRIP TI ON
1192 4351000 11250 714.68 AUTO REPAIR MAINTEN
CARMEL AUTO TRUCK SERV.
310 GRADLE DRIVE
CARMEL IN 46032
(317) 846 -1171 Number: 11250
Date: April 01, 2009
BILL TO VEHICLE
CITY OF CARMEL 2006 FORD
CARMEL, IN 46032 ESCAPE HYBRID
UNIT# 93
VIN
CONTACT P.O.# MILEAGE
UNIT# 93 BRIAN 828 -1052 52686
PARTS SERVICES Tax 1 Amount
INSTALL FRONT BRAKE PADS NEW ROTORS 136.00
INSTALL REAR BRAKE PADS NEW ROTORS 136.00
SERVICEHL.O.F 14.00
S -1 OIL FILTER WIX 7.93
S -6 QTS OIL 14.28
CC -1 FRONT BRAKE PADS SET MONR DX1047 83.12
CC -1 REAR BRAKE PADS SET MONR DCX1055 79.95
TBA -2 FRONT ROTORS RAS SB680272 98.40
TBA -2 REAR BRAKE ROTORS RAS SB680271 106.20
REPAIR RIGHT REAR TIRE, ROTATE 16.00
INSTALL BULBS IN REAR 16.00
S -2 BULBS WGL 3156 6.80
Sub -Total $714.68
State Tax 7.00% on 0.00 0.00
Total $714.68
P� PM 1
�`ti ms
o RECEIVED
MAY 11 2009
DOCS
VOUCHER NO. WARRANT NO.
Carmel Auto Truck Service ALLOWED 20
IN SUM OF
310 Gradle Drive
Carmel, IN 46032
$714.68
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1192 11250 43- 510.00 $714.68 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
Frida May 2 2009
7)/
D ctor, 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))
04/01/09 11250 Repairs Unit 93 $714.68
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