168769 02/05/2009 CITY OF CARMEL, INDIANA VENDOR: 355810 Page 1 of 1
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ONE CIVIC SQUARE CARMEL AUTO TRUCK SERV. CHECK AMOUNT: $33.83
CARMEL, INDIANA 46032 310 GRADLE DRIVE
CARMEL IN 46032 CHECK NUMBER: 168769
CHECK DATE: 2/5/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4351000 10964 33.83 AUTO REPAIR MAINTEN
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CARMEL AUTO TRUCK SERV.
310 GRADLE DRIVE Invoice
CARMEL IN 46032
(317) 846 -1171 Number: 10964
Date: January 16, 2009
BILL TO VEHICLE
CITY OF CARMEL 2008 FORD
CARMEL, IN 46032 ESCAPE HYBRID
UNIT#
VIN 8KB45504
CONTACT P.O.# MILEAGE
UNIT# 6 14690
PARTS SERVICES Tax 1 Amount
SERVICE L.O.F 14.00
S -1 OIL FILTER 7.93
S -5 QTS OIL QUAKER STATE 11.90
Sub -Total $33.83
State Tax 7.00% on 0.00 0.00
Total $33.83
VOUCHERMO. WARRANT NO.
ALLOWED 20
Carmel Auto Truck Service
IN SUM OF
310 Gradle Drive
Carmel, IN 46032
$33.83
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1192 10964 43- 510.00 $33.83 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
Friday, January 30, 2009
irector, #S
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts C&I 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))
01/16/09 10964 Oil Change $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