179640 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 00350527 Page 1 of 1
ONE CIVIC SQUARE DON'S AUTO TRIM
CARMEL, INDIANA 46032 5397 ROCKVILLE ROAD CHECK AMOUNT: $240.00
INDIANAPOLIS IN 46224 CHECK NUMBER: 179640
CHECK DATE: 11/24/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 92920 240.00 AUTO REPAIR MAINTEN
TPA DCA&4't e4.�a! N° 92920
.5397 Rockville Road Indianapolis, IN 46224
(317) 227 -0988 Office (317) 227 -0977 Fax
Customer's 1�f) vPrnlj��' 7 20
Order No. Date
M C m ST!_afT OAR/
Address
City .-11 State
SOLD BY CASH C.O.D. CHARGE ON ACCT. MDSE. RETD.. PAID OUT
a
QUAN. DESCRIPTION PRICE AMOUNT
U l STjWC7
75
Z yo
ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BY THIS BILL
Received By
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))
11/17/09 92920 $240.00
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. WARRANT NO.
ALLOWED 20
Don's Auto Trim
IN SUM OF
5397 Rockville Road
Indianapolis, IN 46224
$240.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 92920 43- 510.00 $240.00 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
n
Friday, /Nove7�er 20, 2009
i
ua(
Street Commiss', rrgr
GtFe
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund