170768 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 355810 Page 1 of 1
ONE CIVIC SQUARE CARMEL AUTO TRUCK SERV. CHECK AMOUNT: $425.78
CARMEL, INDIANA 46032 310 GRADLE DRIVE
CARMEL IN 46032 CHECK NUMBER: 170768
CHECK DATE: 4/16/2009
D EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER A MOUNT DESCRIPTION
1192 4231500 11253 322.12 OIL
1192 4231500 11265 51.83 OIL
1192 4231500 11266 51.83 OIL
e
CARMEL AUTO TRUCK SERV. 310 GRADLE DRIVE
CARMEL IN 46032 In
(317) 846 -1171 Number: 11266
Date: April 03, 20
BILL TO VEHICLE Maw
CITY OF CARMEL 2008 FORD w �4�'i' r,
CARMEL, IN 46032 ESCAPE
UNIT# 05
VIN
CONTACT P.O.# MILEAGE
UNIT# 5 509 -8239 17028
PARTS SERVICES Tax 1 Amount
SERVICE /L.O. F 14.00
S -1 OIL FITLER MOTOCRAFT 9.93
S -5 QTS OIL QUAKER STATE 11.90
ROTATE TIRES 16.00
Sub -Total $51.83
State Tax 7.00% on 0.00 0.00
Total $51.83
CARMEL AUTO TRUCK SERV. Atm 310 GRADLE DRIVE I nvo i ce
CARMEL IN 46032
(317) 846 -1171 Number: 11265
Date: April 03, Z r'
BILL TO VEHICLE V
CITY OF CARMEL 2008 FORD
CARMEL, IN 46032 ESCAPE
UNIT# 04
VIN
CONTACT P.O.# MILEAGE
UNIT#4 509 -7614 WILLIAM BOLT 13321
PARTS SERVICES Tax 1 Amount
SERVICE L.O.F 14.00
ROTATE TIRES 16.00
S -1 OIL FITLER MOTOCRAFT 9.93
S -5 QTS OIL 11.90
Sub -Total $51.83
State Tax 7.00% on 0.00 0.00
Total $51.83
CARMEL AUTO TRUCK SERV.
r° 310 GRADLE DRIVE Invoice
CARMEL IN 46032
(317) 846 -1171 Number: 11253
Date: April 01, 2009
BILL TO VEHICLE
CITY OF CARMEL 2007 FORD
CARMEL, IN 46032 F -150
UNIT# 07
VIN
CONTACT P.O.# MILEAGE
UNIT# 07 4836
PARTS SERVICES Tax 1 Amount
MOUNT BALANCE ONE NEW TIRE H INSTALL NEW SENSOR, RECALIBRATE 56.00
D -1 SENSOR MOTOCRAFT 4C3Z- 9J460 -A 97.56
TR -1 TIRE P235/75R17 HK DYNAPRO AT 168.56
Sub -Total $322.12
State Tax 7.00% on 0.00 0.00
Total $322.12
VOL1 CHER NO. WARRANT NO.
ALLOWED 20
Carmel Auto Truck Service
IN SUM OF
310 Gradle Drive
Carmel, IN 46032
$425.78
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1192 11253 42- 315.00 $322.12 I hereby certify that the attached invoice(s), or
1192 11265 42- 315.00 $51.83 bill(s) is (are) true and correct and that the
1192 11266 42- 315.00 $51.83
materials or services itemized thereon for
which charge is made were ordered and
received except
Yriday,. April 10, 2009
Director, OCS
'le
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Farm 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 11253 F -150, 2007 Ford, new tire $322.12
04/03/09 11265 oil change /rotate tires Hohlt $51.83
04/03/09 11266 oil change /rotate tires Liggett $51.83
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