HomeMy WebLinkAbout172747 05/27/2009 CITY OF CARMEL, INDIANA VENDOR: 00351281 Page 1 of 1
ONE CIVIC SQUARE BLOOMINGTON FORD, INC CHECK AMOUNT: $28,049.25
CARMEL, INDIANA 46032 2200 S WALNUT ST
BLOOMINGTON IN 47401 CHECK NUMBER: 172747
CHECK DATE: 5/27/2009
DEPARTMENT AC PO N UMB ER I NVOICE NUMBER AMOUNT DESCRIPTION
102 R4465001 12609 28,049.25 TRUCK
BLOOMINGTON FORD, INC. Invoice No. FCC901
2200 S. WALNUT ST.
BLOOMINGTON FORD, INC., IN 47401
ph. 812 331 -2200 fax 812 331 -3377
INVOICE
Customer
Name CITY OF CARMEL FIRE DEPARTMENT Date 5/21/2009
Address 2 CIVIC SQUARE Order No. Carmel PO #12609
City CARMEL State IN ZIP 46032 Rep Sam Roberts
Phone FOB BLOOMINGTON
Qty Description Unit Price TOTAL
1 2009 Ford Expedition 4x4 SSV $28,043.00 $28,043.00
VIN 1 FMFU16589EA97385
1 31 -day Temporary License Plate $5.00 $5.00
1 State of Indiana New Tire /Envir. Fees $1.25 $1.25
DELIVERY RECEIPT SubTotal $28,049.25
Shipping Handling
UNIT and INVOICE RECEIVED BY: Taxes State $0.00
TOTAL 1 $28,049.25
Please remit this total amount.
Date Received: Office Use Only
THANKS FOR YOUR ORDER FROM BLOOMINGTON FORD, INC.
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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))
FCC901 $28,049.25
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
VO!JCH.EZ NO. WARRANT NO.
ALLOWED 20
Bloomington Ford, Inc.
IN SUM OF
2200 S. Walnut Street
Bloomington, IN 47401
$28,049.25
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #rrITLE AMOUNT Board Members
12609 FCC901 102 650.01 $28,049.25 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
MAY 2 2 2009
c
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund