HomeMy WebLinkAbout176774 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 351304 Page 1 of 1
ONE CIVIC SQUARE HARE CHEVROLET INC
CARMEL, INDIANA 46032 2001 STONEY CREEK WAY CHECK AMOUNT: $1,837.66
Lg PO BOX 1957
SON NOBLESVILLE IN 46060 CHECK NUMBER: 176774
CHECK DATE: 9/2/2009
DEPARTM AC COUNT PO NU MBER INV OICE NUMBER AMOUNT DESCRIPTION
'2201 4351000 CTCS406708 115.27 AUTO REPAIR MAINTEN
2201 4351000 CTCS406798 614.95 AUTO REPAIR MAINTEN
2201 4351000 CTCS406908 263.70 AUTO REPAIR MAINTEN
2201 4351000 CTCS407741 843.74 AUTO REPAIR MAINTEN
e
.r.
A►C BUICK GMC
1-8J' CHEVROLET PONTI
tiare
2001 Stoney Creek Road 5336 Pike Plaza Road
Noblesville, Indiana 46060 Indianapolis, Indiana 46254
www.hareauto Ph: 317- 773 -1090 Fx: 317- 776 -5038 Ph: 317- 299 -5555 Fx: 317- 329 -4224
CUSTOMER NO. ADVISOR TAG NO. INVOICE DATE INVOICE NO.
464 MUM 12r.LlCr= 901 117 L RATE LICENSE NO. ILEAGE COL O
CITY OF CARM E L STREET DEPT YEAR /MAKE /MODEL WRY DATE DELIVERY MILES
3400 W 131ST ST SIERRA 2500/2 DOOR
WESTFIELD, IN 46074 -8267 .v. O. SELLING DEALER NO. PRODUCTION DATE
O. r A,O. R.O. DATE
RESIDENCE PHONE BUSINESS PHONE COMM
317-7334001 �17_505
BOR SL PARTS TERMS: STRICTLY CASH
112CU'SUSP.ENSLONµREP.A`IRS TECH( =Sq)..722 316:1:0.0 UNLESS ARRANGEMENTS MADE
C/S REPLACE BALL JOINTS PER ESTIMATE 722 1 hereby authorize the repair work hereinafter
TESTED AND REMOVED AND REPLACED BOTH SIDE UPPER AND LOWER set forth to be done along with the necessary
BALL JOINTS AND REINSTALLD ALL HARDWARE material and agree that you are not respon-
sible for loss or damage to vehicle or articles
ARTS QTY• -•FP- NUMBER DESCRIPTION UNIT PRICE- left in vehicle in case of fire, theft, or any other
OB 1 1 2 74138 UBJ 60.00 120.00 cause beyond your control or for any delays
OB 1 2 74138 LBJ 60.00 120.00 caused by unavailability of parts or delays in
JOB 1 TOTAL PARTS 240.00 parts shipments by the supplier or transporter.
I hereby grant you and /or your employees
JOB 1 TOTAL LABOR PARTS 555.00 permission to operate the vehicle herein
described on streets, highways, or elsewhere
X2±01 "CV$Wla2 *2W{3 t�LTGNMEN) ;4 TECH(,$.0570%1 .v. ,5q, 95 for the purpose of testing and/or inspection. An
CHECK STEERING AND SUSPENSION,ALIGN FRONTEND TO FACTORY express mechanic's lien is hereby acknow-
SPECS. eedged on below vehicle to secure the amount
CHECK STEERING AND SUSPENSION,ALIGN FRONTEND TO FACTORY of repairs thereto:'
SPECS. The Factory Warranty Constitutes All Of The
ARTS QTY -FP- NUMBER DESCRIPTION UNIT PRICE- Warranties With Respect To The Sale Of This
JOB 2 TOTAL PARTS 0.00 Item/items. The Seller Hereby Expressly Dis-
claims All Warranties, Either Express Or
JOB 2 TOTAL LABOR PARTS 59.95 Implied Including Any Implied Warranty Of
Merchantability Or Fitness For Particular
ISC CODE DESCRIPTION CONTROL NO--- Purpose, And The Seller Neither Assumes Nor
OB A SS SHOP SUPPLIES 20.00 Authorizes Any Other Person To Assume For
OB 2 LOF SHOP SUPPLIES CREDIT .10.00 It Any Liability In Connection With The Sale of
OB 2 CL PARTS DISCOUNT CARS -10.00 Thisltem/ltems."
TOTAL MISC 0.00 MISCELLANEOUS
OTALS MATERIAL CHARGE
10% OF LABOR CHARGES TO A MAXIMUM
ARTS DESIGNATED WITH AN INDICATES LIFETIME GUARANTEE TOTAL LABOR.... 374.95 OF $15.00 IS CHARGES ON REPAIRS TO
HIS APPLIES TO CUSTOMER PAY REPAIRS ONLY. TOTAL PARTS.... 240.00 COVER COSTS OF SUPPLIED BOUGHT IN
TOTAL SUBLET... 0.00 BULK USED IN REPAIRING YOUR VEHICLE
TOTAL G.O.G.... 0.00 AND COSTS TO DISPOSE OF HAZARDOUS
TOTAL MISC CHG. 20.00 WASTE.
COMPLETELY SATISFIED TOTAL MISC DISC -20.00
TOTAL TAX...... 0.00 TERMS
CASH OR CREDIT CARD ONLY
TOTAL INVOICE 614.95 Any other arrangement must be approved by
the General Manager. For any credit account:
THANK YOU A FINANCE CHARGE OF 1' 12% (minimum
charge of $.50) on the total unpaid balance of
purchases and charges over 30 days will be
added to the balance o the account. Annual
percentage rate 18
7 &w 4 ;Aw
We a aaS coq A&re4 ¢4tia�eed
Wa4 ocos aewiee... 9a WW ku<e 4,w
$ued*l a coawue aq tlr& cao ea&
IB'b���io 1 CUSTOMER COPY END OF INVOICE 02:20pm
c
f
,4 q J CHEVROLET PONTIAC BUICK GMC
Ilare
2001 Stoney Creek Road 5336 Pike Plaza Road
Noblesville, Indiana 46060 Indianapolis, Indiana 46254
www.hareauto Ph: 317- 773 -1090 Fx:317- 776 -5038 Ph: 317- 299 -5555 Fx: 317- 329 -4224
CUSTOMER NO. ADVISOR TAG NO. INVOICE DATE INVOICE NO.
L c K RATE LICENSE NO. ILEAGE COW u iV �IO�R N
CITY OF CARMEL STREET DEPT YEAR /MAKE /MODEL -RY DATE DELIVERY MILES
3400 W 131ST ST
WESTFIELD, IN 46074 -8267 V IQ L,. O. SEU 9 44 PRODUCTION DATE
..E. O. 3 P.O. O. R.O. DATE
RESIDENCE PHONE BUSINESS PHONE COMMc
3-17-733-2003
LABO R S
TERMS STRICTLY CASH
1 20G.V,Z7 ELECTRICAL R AIRS n s' T:EGH.(S),.g732 RI ,'49.::75 UNLESS ARRANGEMENTS MADE
C/S FAN BLOWER IS INOP ON SPEEDS 1-2-3 ADVISE "I hereby authorize the repair work hereinafter
TESTED AND REMOVED AND REPLACED BLOWER RESISTER MODULE set forth to be done along with the necessary
SHORTED OUT material and agree that you are not respon
sible for loss or damage to vehicle or articles
ARTS QTY FP- NUMBER DESCRIPTION UNIT PRICE left in vehicle in case of fire, theft, or any other
J OB 1 1 89019088 RESISTOR 9.215 65.52 65.52 cause beyond your control or for any delays
JOB 1 TOTAL PARTS 65.52 caused by unavailability of parts or delays In
parts shipments by the supplier or transporter.
.JOB 1 TOTAL LABOR PARTS 115.27 1 hereby grant you and /or your employees
permission to operate the vehicle herein
ISC CODE DES CRIPTION CONTROL NO--- described on streets, highways, or elsewhere
OB A SS SHOP SUPPLIES 9.83 for the purpose of testing and /or inspection. An
JOB 1 DIS CAR LABOR DISCOUNT 5.83 express mechanic's lien is hereby acknow-
OB 1 CL PARTS DISCOUNT CARS -4.00 ledged on below vehicle to secure the amount
TOTAL MISC 0.00 of repairs thereto."
OTALS
The Factory Warranty Constitutes All Of The
Warranties With Respect To The Sale Of This
ARTS DESIGNATED WITH AN INDICATES LIFETIME GUARANTEE TOTAL LABOR.... 49.75 Item/Items.The Seller Hereby Expressly Dis-
HIS APPLIES TO CUSTOMER PAY REPAIRS ONLY. TOTAL PARTS.... 65.52 claims All Warranties, Either Express Or
TOTAL SUBLET... 0.00 Implied, Including Any Implied Warranty Of
TOTAL G.O.G... 0.00 Merchantability Or Fitness For A Particular
TOTAL MISC CHG. 9.83 Purpose, And The Seller Neither Assumes Nor
COMPLETELY SATISFIED TOTAL MISC DISC -9.83 Authorizes Any Other Person To Assume For
TOTAL TAX...... 0.00 It Any Liability In Connection WithThe Sale of
This Item/Items:'
TOTAL INVOICE 115.27
MISCELLANEOUS
THANK YOU MATERIAL CHARGE
10% OF LABOR CHARGES TO A MAXIMUM
OF $15.00 IS CHARGES ON REPAIRS TO
COVER COSTS OF SUPPLIED BOUGHT IN
BULK USED IN REPAIRING YOUR VEHICLE
AND COSTS TO DISPOSE OF HAZARDOUS
WASTE.
COIUMER SIGNATURE TERMS
CASH OR CREDIT CARD ONLY
Any other arrangement must be approved by
the General Manager. For any credit account:
A FINANCE CHARGE OF 1 1 /2% (minimum
charge of $.50) on the total unpaid balance of
purchases and charges over 30 days will be
added to the balance o the account. Annual
percentage rate 18
We a aat you aalia l d
&,a4 ocac Qezvlce... 76 yaca &u e'asuy
gww&Iiic cdawzocucq tlua aww", call
Pp n yce #CW44c44.
B /RP= Gc�oao7L�a1 CUSTOMER COPY END OF INVOICE 02:39pm
CHEVROLET Hare PONTIAC BUICK GMC
2001 Stoney- Creek Road 5336 Pike Plaza Road
Noblesville, Indiana 46060 Indianapolis, Indiana 46254
www.hareauto Ph: 317- 773 -1090 Fx: 317- 776 -5038 Ph: 317- 299 -5555 Fx: 317- 329 -4224
CUSTOMER NO. ADVISOR TAG NO. INVOICE DATE INVOICE NO.
LABOR RATE LICENSE NO. ILEAGE COL S O K N 77 1140 CITY OF CA RM E L STREET DEPT YEAR /MAKE /MODEL tL RRY DATE DELIVERY MILES
3400 w 131ST ST
WESTFIELD, IN 46074 -8267 Vt IC tI. +O. SELL Ln E N PRODUCTION DATE 500 HD 06 /1 ZDA.
T.E. O. P.O. O. R.O. DATE
RESIDENCE PHONE BUSINESS PHONE COMM 5
33 7-733-2001 �17-5053
_BOR 4� S
TERMS STRICTLY CASH
1•. UNLESS ARRANGEMENTS MADE
E2 Sk1SPENSION REPAI RS TECH.tS)iR7.2 12:7.:5.0 "I hereby authorize the repair work hereinafter
C/S CHECK BALL JOINTS THINKS RF UPPER BAD SEE JOHN ADVISE
TESTED AND FOUND THE RF UPPER BALL JOINT LOOSE AND WORN set forth to be done along with the necessary
REMOVED ALL NEEDED HARDWARE AND REPLACED RF UPPER BALL JOINT material and agree that you are not respon-
AND REINSTALLD ALL HARDWARE sible for loss or damage to vehicle or articles
left in vehicle in case of fire, theft, or any other
ARTS- -QTY- -FP- NUMBER- DESCRIPTION- -UNIT PRICE- cause beyond your control or for any delays
J OB 1 1 74177MS UPPER JT 75.00 75.00 caused by unavailability of parts or delays in
JOB 1 TOTAL PARTS 75.00 parts shipments by the supplier or transporter.
I hereby grant you and /or your employees
JOB 1 TOTAL LABOR PARTS 202.50 permission to operate the vehicle herein
described on streets, highways, or elsewhere
2 O.iU *2WD MENT TEGH/,SI 722" `:159, ,9 for the purpose of testing and /or inspection. An
CHECK STEERING AND SUSPENSION.ALIGN FRONTEND TO FACTORY express mechanic's Tien is hereby acknow
SPECS. ledged on below vehicle to secure the amount
CHECK STEERING AND SUSPENSION FRONTEND TO FACTORY of repairs thereto.'
SPECS. The Factory Warranty Constitutes All Of The
ARTS QTY FP- NUMBER DESCRIPTION UNIT PRICE- Warranties With Respect To The Sale Of This
JOB 2 TOTAL PARTS 0.00 Item /Items. The Seller Hereby Expressly Dis-
claims All Warranties, Either Express Or
JOB 2 TOTAL LABOR PARTS 59.95 Implied Including Any Implied Warranty Of
Merchantability Or Fitness For Particular
ISC CODE-------- DES CRIPTION CONTROL NO--- Purpose, And The Seller Neither Assumes Nor
OB A SS SHOP SUPPLIES 11.25 Authorizes Any Other Person To Assume For
08 2 LOF SHOP SUPPLIES CREDIT -10.00 It Any Liability In Connection With The Sale of
TOTAL MISC 1.25 This Item/Items."
OMMENTS
MISCELLANEOUS
AITER MATERIAL CHARGE
10% OF LABOR CHARGES TO A MAXIMUM
OTALS OF $15.00 IS CHARGES ON REPAIRS TO
COVER COSTS OF SUPPLIED BOUGHT IN
ARTS DESIGNATED WITH AN INDICATES LIFETIME GUARANTEE TOTAL LABOR.... 187.45 BULK USED IN REPAIRING YOUR VEHICLE
HIS APPLIES TO CUSTOMER PAY REPAIRS ONLY. TOTAL PARTS.... 75.00 AND COSTS TO DISPOSE OF HAZARDOUS
TOTAL SUBLET... 0.00 WASTE.
TOTAL G.O.G.... 0.00
TOTAL MISC CHG. 11.25 TERMS
COMPLETELY SATISFIED TOTAL MISC DISC -10.00 CASH OR CREDIT CARD ONLY
TOTAL TAX...... 0.00 Any other arrangement must be approved by
the General Manager. For any credit account:
TOTAL INVOICE 263.70 A FINANCE CHARGE OF 1 (minimum
THANK YOU charge of $.50) on the total unpaid balance of
purchases and charges over 30 days will be
added to the balance o the account. Annual
percentage rate 18
UU�)IUMER SIGNATURE We caacae yacc ea_Weee4 j4aV&d
cwa4 ocaa 4mo&e... *2� Veab ku a a"
grceatiaerd cosscenxlcy elu¢ rte. caEl
race �iencasialfiy
CUSTOMER COPY I END OF INVOICE 05:46pm
e
CHEVROLET PONTIAC BLACK GMC
2001 Stoney Creek Road 5336 Pike Plaza Road
Noblesville, Indiana 46060 Indianapolis, Indiana 46254
www. h area u to c o m Ph: 317-773-1090 Fx: 317- 776 -5038 Ph: 317- 299 -5555 Fx: 317- 329 -4224
CUSTOMER NO. ADVISOR TAG NO. INVOICE DATE INVOICE NO.
46420 JOHN PFNCF 691 167 124109 21CS4077.41
LABOR RATE LICENSE NO. MILEAGE COLOR STOCK NO.
CITY OF CARMEL STREET DEPT YEAR /MAKE /MODEL 954 DELIVERY DATE DELIVERY MILES
3400 W 131ST ST
WESTFIELD IN 46074 -8267 vEhICL LD. hO. SELLING DEALERNO. PRODUCTION DATE
.T.E. NO. .O. NO. R.O. DATE
RESIDENCE PHONE BUSINESS PHONE COMM N 5 3 0 1 5 SJU 081241
31Z-733-2001 �17-5053
T OTALS TERMS: STRICTLY CASH
UNLESS ARRANGEMENTS MADE
PARTS DESIGNATED WITH AN INDICATES LIFETIME GUARANTEE TOTAL LABOR.... 340.00 "1 hereby authorize the repair work hereinafter
IS "APPLIES TO CUSTOMER PAY REPAIRS ONLY. TOTAL PARTS.... 408.74 set forth to be done along with the necessary
TOTAL SUBLET... 95.00 material and agree that you are not respon-
TOTAL G.O.G... 0.00 sible for loss or damage to vehicle or articles
TOTAL MISC CHG. 20.00 left in vehicle in case of fire, theft, or any other
COMPLETELY SATISFIED TOTAL MISC DISC 20.00 cause beyond your control or for any delays
TOTAL TAX...... 0.00 caused by unavailability of parts or delays in
parts shipments by the supplier or transporter.
TOTAL INVOICE 843.74 1 hereby grant you and /or your employees
permission to operate the vehicle herein
THANK YOU described on streets, highways, or elsewhere
for the purpose of testing and /or inspection. An
express mechanic's lien is hereby acknow-
ledged on below vehicle to secure the amount
of repairs thereto"
"The Factory Warranty Constitutes All Of The
jp/4���t Warranties With Respect To The Sale Of This
Item /Items. The Seller Hereby Expressly Dis-
claims All Warranties, Either Express Or
Implied, Including Any Implied Warranty Of
Merchantability Or Fitness For A Particular
Purpose, And The Seller Neither Assumes Nor
Authorizes Any Other Person To Assume For
It Any Liability In Connection With The Sale of
This ItemAtems:'
MISCELLANEOUS
MATERIAL CHARGE
1 10% OF LABOR CHARGES TO A MAXIMUM
1
OF $15.00 IS CHARGES ON REPAIRS TO
t COVER COSTS OF SUPPLIED BOUGHT IN
BULK USED IN REPAIRING YOUR VEHICLE
AND COSTS TO DISPOSE OF HAZARDOUS
t WASTE.
TERMS
CASH OR CREDIT CARD ONLY
Any other arrangement must be approved by
the General Manager. For any credit account:
A FINANCE CHARGE OF 1 (minimum
charge of $.50) on the total unpaid balance of
purchases and charges over 30 days will be
added to the balance o the account. Annual
percentage rate 18
We a- at rfoci edHyrileC4 44&V&
agz4 dc,at aerckce... 9� 00a &U* aagy
gcceatidaQ cdac�rauc y tlri� u�aale. calf
ace AeW4W4
e /�rA ET�a &2 CUSTOMER COPY END OF INVOICE 03:11pm
4
CHEVROLET
I flare PONTIAC BUICK GMC
2001 Stoney Creek Road 5336 Pike Plaza Road
Noblesville, Indiana •46060 Indianapolis, Indiana 46254
www.hareauto Ph: 317 773 -1090 Fx: 317 776 -5038 Ph: 317- 299 -5555 Fx: 317- 329 -4224
CUSTOMER NO. ADVISOR TAG NO. INVOICE DATE INVOICE NO.
LABOR RATE LICENSE NO. MILEAGE COLOR STOCK NO.
CITY OF CARMEL STREET DEPT YEAR /MAKE /MODEL DELIV RY DATE DELIVERY MILES
3400 W 131ST ST
WESTFIELD, IN 46074 -8267 VE ICLE LD. O. SELLING EALERNO. PRODUCTION DATE
F.T.E. NO. P.O. NO. 0 2 4 7 Q R.O. DATE
I 08424409
RESIDENCE PHONE BUSINESS PHONE COMM N S
117-73 3- 2001 �iz_5051
LABOR'_P. 5 TERMS: STRICTLY CASH
�15GV :UEL/ RI:V,E�96I cY TECH.(SJ827 X390 i 0 UNLESS ARRANGEMENTS MADE
C/S WILL NOT START ADVISE "I hereby authorize the repair work hereinafter
TESTED AND FOUND T HE FUEL PUMP MODULE FAILED AND NO FUEL set forth to be done along with the necessary
PRESSURE, REMOVED GAS TANK AND ALL NEEDED HARDWARE AND material and agree that you are not respon-
REPLACED FUEL PUMP MODULE AND FILTER AND REINSTALLED TANK sible for loss or damage to vehicle or articles
left in vehicle in case of fire, theft, or any other
ARTS- -QTY- -FP- NUMBER- DESCRIPTION- -UNIT PRICE cause beyond your control or for any delays
OB 1 1 19153712 *MODULE KI 3.107 383.26 383.26 caused by unavailability of parts or delays in
J OB 1 1 25171792 FILTER KI 3.890 25.48 25.48 parts shipments by the supplier or transporter.
JOB 1 TOTAL PARTS 408.74 1 hereby grant you and /or your employees
permission to operate the vehicle herein
JOB 1 TOTAL LABOR PARTS 748, 74 described on streets, highways, or elsewhere
for the purpose of testing and/or inspection. An
J#ff2L RENXAL.,5yU.TQ?L �TECtI(5)s'.82' O1:00 express mechanic's lien is hereby acknow-
PREFERRED TOW ledged on below vehicle to secure the amount
of repairs thereto.'
ARTS QTY FP- NUMBER DESCRIPTION UNIT PRICE-
JOB 2 TOTAL PARTS 0.00 "The Factory Warranty Constitutes All Of The
Warranties With Respect To The Sale Of This
JOB 2 TOTAL LABOR PARTS 0.00 Item /Items. The Seller Hereby Expressly Dis-
claims All Warranties, Either Express Or
3 QQEVIIRiS2ECM V.EHIO fiSPEG] IO. 7ECHCS) :827 0::0.0 Implied, Including Any Implied Warranty Of
PERFORM GM MULTI -POINT INSPECTION Merchantability Or Fitness For A Particular
GM MULTI-POINT INSPECTION PERFORMED Purpose, And The Seller Neither Assumes Nor
Authorizes Any Other Person To Assume For
ARTS QTY FP- NUMBER DESCRIPTION UNIT PRICE- It Any Liability In Connection With The Sale of
JOB 3 TOTAL PARTS 0.00 This Item/Items:'
JOB 3 TOTAL LABOR PARTS 0.00 MISCELLANEOUS
MATERIAL CHARGE
S UBLET PO# VEND INV #-INV. DATE DESCRIPTION------------------------- 10% OF LABOR CHARGES TOAMAXIMUM
J OB 2 74517 08/24/09 TOW IN 95.00 OF $15.00 IS CHARGES ON REPAIRS TO
TOTAL SUBLET 95.00 COVER COSTS OF SUPPLIED BOUGHT IN
BULK USED IN REPAIRING YOUR VEHICLE
ISC CODE DESCRIPTION CONTROL NO--- AND COSTS TO DISPOSE OF HAZARDOUS
J OB A SS SHOP SUPPLIES 20.00 WASTE.
OB 1 DIS CAR LABOR DISCOUNT 10.00
OB'# 1 CL PARTS DISCOUNT CARS -10.00 TERMS
TOTAL MISC 0.00 CASH OR CREDIT CARD ONLY
Any other arrangement must be approved by
the General Manager. For any credit account:
A FINANCE CHARGE OF 1 (minimum
charge of $.50) on the total unpaid balance of
purchases and charges over 30 days will be
added to the balance o the account. Annual
percentage rate 18
We caaae you coorWe&4 aa&q� d
wc oeac aezalee... `7a *we lraae a"
gccA&ooa coacororcoj. ffta cuanl¢, e4f6
we Aezrdooralfi`,
2 CUSTOMER COPY [CONTINUED ON NEXT PAGE] 03:11 pm
Prescribed by Stale 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))
08/11/09 CTCS406708 $115.27
08/13/09 CTCS406908 $263.70
08/13/09 CTCS406798 $614.95
08/24/09 CTCS407741 $843.74
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
VOQCHFR N O. WARRANT NO.
ALLOWED 20
Hare Chevrolet
IN SUM OF
2001 Stoney Creek Road
Noblesville, IN 46060
$1,837.66
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT
Board Members
2201 CTCS406708 43 510.00 $115.27 1 hereby certify that the attached invoice(s) or
2201 CTCS406908 43- 510.00 $263.70
bifl(s) is (are) true and correct and that the
2201 CTCS406798 43- 510.00 $614.95
materials or services itemized thereon for
2201 CTCS407741 43- 510.00 $843.74
which charge is made were ordered and
received except
fhursday 2009
Street Commissioner
�trFt s .t ��;rnmi,..•:
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund