170332 04/01/2009 a CITY OF CARMEL, INDIANA VENDOR: 355810 Page 1 of 1
ONE CIVIC SQUARE CARMEL AUTO TRUCK SERV. CHECK AMOUNT: $69.83
CARMEL, INDIANA 46032 310 GRADLE DRIVE
CARMEL IN 46032 CHECK NUMBER: 170332
CHECK DATE: 4/1/2009
s.P ARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AM OUNT DESCRIPTION
.1192 4351000 11211 69.83 AUTO REPAIR MAINTEN
CARMEL AUTO TRUCK SERV.
310 GRADLE DRIVE Invoice
CARMEL IN 46032
(317) 846 -1171 Number: 11211
Date: March 23, 2009
BILL TO VEHICLE
CITY OF CARMEL 2006 FORD
CARMEL, IN 46032 ESCAPE HYBRID
UNIT# 92
VIN 6KA26088
PFT-
CONTACT P.O.# MILEAGE
UNIT# 92 33360
PARTS SERVICES Tax 1 Amount
SERVICE /L.O. F 14.00
ROTATE BALACE TIRES 36.00
S -1 OIL FITLER WIX 7.93
S -5 QTS OIL QUAKER STATE 11.90
Sub -Total $69.83
State Tax 7.00% on 0.00 0.00
Total $69.83
VOUCHER NO. WARRANT NO.
ALLOWED 20
Carrr:sl Auto Truck Service
IN SUM OF
310 Gradle Drive
Carmel, IN 46032
$69.83
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1192 11211 43- 510.00 $69.83 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
Thurs ay, March 26, 2009
7
V Director, KS
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))
03/23/09 11211 Oil change Unit #92 $69.83
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
1 20
Clerk- Treasurer