207187 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 00352025 Page 1 of 1
0 ONE CIVIC SQUARE P F M TRUCK CARE
CARMEL, INDIANA 46032 1402 WEST HANNA AVE
CHECK AMOUNT: $739.26
INDIANAPOLIS IN 46217 CHECK NUMBER: 207187
CHECK DATE: 3/13/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 5003047 739.26 OTHER EXPENSES
PFM CAR TRUCK CARE Repair Order 5003047
1441 S. GUILFORD RD
CARMEL, IN 46032 Date 2/20112 Page 1 of 1
317 571 -8777 Orig Est Center 1
FAST FRIENDLY QUALITY SERVICE AT A FAIR PRICE P.O.# :S12065
Customer: CITY OF CARMEL WASTWATER Vehicle: 2005 CHET EQUINOX
Address 760 THIRD AVE SW Unit 3257 LicP 33362
City CARMEL, IN 46032- VIN 2CNDL73F456063257
Phone 1 317 571 -2645 Ext LARY Engine: V6 -201 3.4L OHV Trans: AUTO
Phone 2 317 571 -2265 Ext FAX Mileage 47332 Loc
Op Tech Description Labor Parts Subtotal
Quan Part Number Part Description Reason for Replacement Price
Service Requests:
here
1. pull out drive shaft have rebuilt
Estimate Approvals:
Original Approval Date: 2/16/2012 12:01:00 PM Reason: DRIVESHAFT
Amount: $739.26 Auth By: CITY OF CARMEL WASTWATER /RANDY Contacted By Phone
Phone: (317) 571 -2645 By: 265
CST500 5005 REMOVE AND REPLACE DRIVE SHAFT 145.46 39.04 184.50
4.00 DRIVESHAFT BOLTS 39.04
SUB005 UNA REPLACED ALL U- JOINTS AND CARRIER BRAKING. 540.00 540.00
Payments:
(On Account), $739.26, on 02/20/12
parts are here, complete 2/16 by close 2.16 0953 265
recieved ok from randy. sent shaft to indy rack and axle. 2.2 1148 265
1 hereby authorize the repair work to be done along with the necessary parts
Labor: $145.46
and materials and hereby grant you and /or your employees permission to operate
Parts 39.04
the vehicle herein described on streets, highways or elsewhere, at your des- Sublet 540.00
cretion, for the purpose of testing and /or inspection. An express mechanics Other Fees $0.00
lien is hereby acknowledged on the above vehicle to secure the amount of re- Supply Charges 14.76
pairs thereto. I understand that dealer /owner is not responsible for delays Subtotal 739.26
consequences. Not responsible for damage or articles left in car in case of Sales Tax: $0.00
fire, theft or any other cause beyond our control. A 2% service charge will be
added to the monthly account balance with a storage charge of $5.00 a day for Total 739.26
vehicles left beyond 21 days. Any warranty must be performed by us or with
our prior approval. Warranty is limited to the original invoice amount. Paid $0.00
Due: $739.26
Signature X
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
00352025
PFM TRUCK CAR CARE CENTER Purchase Order No.
9501 CORPORATION DR Terms
INDIANAPOLIS, IN 46256 Due Date 3/5/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/5/2012 5003047 $739.26
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
q
Date Officer
VOUCHER 116887 WARRANT ALLOWED
00352025 IN SUM OF
PFM TRUCK CAR CARE CENTER
9501 CORPORATION DR
INDIANAPOLIS, IN 46256
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
5003047 01- 7500 -02 $739.26
Voucher Total $739.26
Cost distribution ledger classification if
claim paid under vehicle highway fund