176748 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 362830 Page 1 of 1
ONE CIVIC SQUARE GIBBS AUTO INTERIORS, LLC
0 CHECK AMOUNT: $125.00
CARMEL, INDIANA 46032 7201 a asrH STREET
INDIANAPOLIS IN 46250 CHECK NUMBER: 176748
CHECK DATE: 9/2/2009
DEPAR TMENT ACCOUNT PO NUMB INVOI N UMBER AMOUNT DESCRIPTION
'1120 4351000 3319 125.00 AUTO REPAIR MAINTEN
1
GIEBS AUTO INTERIORS, LLC
?18318 US HWY 31 N Invoice
WESTFIELD, IN 46074 Number: 3319
317 -804 -9102
Date: August 19, 2009
Bill To: Ship To:
CARMEL FIRE DEPT BOB
2 CIVIC SQUARE 317 -571 -2600
CARMEL, IN 46032
PO Number
E-44
Description Taxi Amount
SEAT REPAIR 125.00
Sub -Total $125.00
State Tax 7.00% on 0.00 0.00
Total $125.00
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))
3319 $125.00
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
VOUCHER NO. W ARRANT NO.
ALLOWED 20
Gibbs Auto Interiors
IN SUM OF
r
7201 E. 86th Street
Indianapolis, IN 46250
$125.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 3319 43- 510.00 $125.00 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
AUG 3 12009
m
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund