205935 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: 355635 Page 1 of 1
ONE CIVIC SQUARE MIKE'S EXPRESS CAR WASH
CHECK AMOUNT: $325.00
CARMEL, INDIANA 46032 10251 HAGUE ROAD
INDIANAPOLIS IN 46256 CHECK NUMBER: 205935
CHECK DATE: 1/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4351000 5410 325.00 AUTO REPAIR MAINTEN
Mike's Carwash,lnc. INVOICE
10251 N.Hague Road
e Indianapolis, IN 46256 INVOICE DATE
b Phone: (317) 572 -9250
Fax: (317) 572 -9251 1/19/2012
INVOICE NUMBER
Email Address: mcw @mail.fwi.com Web Site: http: \www.mikescarwash.com 005410
CUSTOMER NUMBER
City of Carmel Police Dept. CARPD01
Teresa Anderson
TERMS
3 Civic Square
Carmel, IN 46032 Net 30
Description QTY UNIT PRICE AMOUNT
Silver Book 1.00 325.00 325.00
Make Checks Payable to: Mike's Car Wash
Attn: Accounts Receivable
10251 N. Haque Road
1of 1 Indianapolis, IN 46256
TotalDue 325.00
OK/
R estoc'k/O rder For
2
Date:
Billing dress /Location
Name C G A C Phone
Street
City State Zip
Mailing Address
Name
Street e
City 0 Af LV State fK Zip q
Packaging Type Qty Serial Numbers Price Total
Express Books
Gift BOX Choice Books
Leatherette Works Books
Tire Shine Books
None Silver Books v
Gold Books
Platinum Books
Express Single
Choice Single
Works Single
Tire Shine Singles
Payment Details $5 off Works
Sorry Free Tickets
Direct Bill Old Rewash
Cash Donation
Gift Cards
Check other
Credit Card Discount
Type (CC): ❑AM ❑VS MC DC Subtotal
S/H
Number TOTAL
Expires (CC)
Signature
Notes
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
Mike's Express Car Wash
Purchase Order No.
10251.N. Hauge Road
Terms
Indianapolis, IN 46256
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1119112 oowo Car Wash Coupons for Department Vehicles $325.00
Total
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. WARRANT NO.
ALLOWED 20
Mike's Express Car Wash IN SUM OF
10251 N. Hauge Ro
Ini9ianapolis, IN 46256
$325.00
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. 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
1? >0l t-z 20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund