180014 12/08/2009 a \f CITY OF CARMEL, INDIANA VENDOR: 355810 Page 1 of 1
1 ONE CIVIC SQUARE CARMEL AUTO TRUCK SERV.
CARMEL, INDIANA 46032 310 GRADLE DRIVE CHECK AMOUNT: $1,263.17
<o CARMEL IN 46032 CHECK NUMBER: 180014
CHECK DATE: 12/8/2009
DEPARTMENT ACCOUNT PO NUM INVOICE NUMBER AMO DESCRIPTION
1120 4351000 12499 1,263.17 AUTO REPAIR MAINTEN
CARMEL AUTO TRUCK SERV.
310 GRADLE DRIVE Invoice
CARMEL IN 46032
(317) 846 -1171 Number: 12499
Date: December 01, 2009
BILL TO VEHICLE
CARMEL FIRE DEPT 2002 PONTIAC
CARMEL, IN 46032 BONNEVILLE
VIN# 24196253
PFT -10
CONTACT P.O.# MILEAGE
89588
PARTS SERVICES Tax 1 Amount
INSTALL REAR AIR SHOCK SPRINGS 116.00
INSTALL LOWER AND UPPER INTAKE MANIFOLD GASKETS, SEALS, THERMOSTAT, 528.00
ANTIFREEZE--
AA-1 GASKET SET F -P MS95812 188.40
AA -1 THERMOSTAT SEAL 3089 17.84
S- ANTIFREEZE 34.00
TBA -2 REAR AIR SHOCKS AC DELCO D05 504 -123 288.32
AA -1 VALVE COVER SET F -P 74742389 68.40
S -1 OIL FITLER AC DELCO PF61 7.93
S -6 QTS OIL QUAKER STATE 14.28
Sub -Total $1,263.17
State Tax 7.00% on 0.00 0.00
Total $1,263.17
VOUCHER NO. WARRANT NO.
ALLOWED 20
Carmel Auto Truck
IN SUM OF
310 Gradle Drive
Carmel, IN 46032
$1,263.17
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #lrITLE AMOUNT Board Members
1120 12499 43- 510.00 $1,263.17 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
DEC 7 2009
Fire Chief
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))
12499 $1,263.17
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