180760 12/30/2009 CITY OF CARMEL, INDIANA VENDOR: 355810 Page 1 of 1
ONE CIVIC SQUARE CARMEL AUTO TRUCK SERV. CHECK AMOUNT: $229.13
CARMEL, INDIANA 46032 310 GRACILE DRIVE
o� CARMEL IN 46032 CHECK NUMBER: 180760
CHECK DATE: 12/30/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE N AMOUNT DESCRIPTION
1192 4351000 12582 229.13 AUTO REPAIR MAINTEN
4
CARMEL AUTO TRUCK SERV:
310 GRADLE DRIVE Invoice
CARMEL IN 46032
(317) 846 -1171 Number: 12582
Date: December 22, 2009
BILL TO VEHICLE
CITY OF CARMEL 2006 FORD ESCAPE
CARMEL, IN 46032 VIN# 6KA26086
CONTACT P.O.# MILEAGE
UNIT# 90 61735
PARTS SERVICES Tax 1 Amount
SERVICE /L.O.F 14.00
INSTALL BATTERY 26.00
REPAIR TIRE, REBALANCE AND ROTATE 46.50
S -1 OIL FITLER WIX 7.93
S -5 QTS OIL QUAKER STATE 11.90
S -1 BATTERY INTERSTATE 122.80
Sub -Total $229.13
State Tax 7.00% on 0.00 0.00
Total $229.13
VOUCHER NO. WARRANT NO.
Carmel Auto Truck Service ALLOWED 20
IN SUM OF
310 Gradle Drive
Carmel, IN 46032
$229.13
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1192 12582 43- 510.00 $229.13 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
Mon y, Pefemb!Y28,2009
Director, DOMS
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City dorm 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))
12/22/09 12582 Unit #90 batter, oil, etc. $229.13
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
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Clerk- Treasurer