168450 02/04/2009 CITY OF CARMEL, INDIANA VENDOR: 00350527 Page 1 of 1
r ONE CIVIC SQUARE DON'S AUTO TRIM CHECK AMOUNT: $610.00
CARMEL, INDIANA 46032 5397 ROCKVILLE ROAD
'r do INDIANAPOLIS IN 46224 CHECK NUMBER: 168450
CHECK DATE: 2/4/2009
DEPARTMENT ACCOUNT PO NUMBER INVOIC NU MBER AMOUNT DESCRIPTION
1120 4351000 90183 610.00 AUTO REPAIR MAINTEN
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T4 D,&4,t C'! N° 90183
5397 Rockville Road Indianapolis, IN 46224
(317) 227 -0988 Office (317) 227 -0977 Fax
Customer's
Order No. Date 20
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Address
City A orb Stat
.SOLD BY CASH C.O.D. CHARG ON ACCT. MDSE. REM PAID =OUT
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QUAN. DESCRIPTION PRICE AMOUNT
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ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BY THIS BILL
Received By
Prescribed by State Board of Accounts City Form No. 20;: (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))
90183 Re- Upholster BC Seats $610.00
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
VOUCHER NO. WA NO.
ALLOWED 20
Don >s Auto Trim
IN SUM OF
5397 Rockville Road
Indianapolis, IN 46224
$610.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1120 90183 43- 510.00 $610.00 I 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
FEB 2 2009
U
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund