207430 03/26/2012 CITY OF CARMEL, INDIANA VENDOR: 00350431 Page 1 of 1
0 ONE CIVIC SQUARE DICKINSON FLEET SERVICES, LLC CHECK AMOUNT: $42.35
CARMEL, INDIANA 46032 16389 COLLECTIONS CENTER DRIVE
CHICAGO IL 60693 CHECK NUMBER: 207430
CHECK DATE: 3/26/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 1813438 42.35 REPAIR PARTS
Dickinson Fleet Services, LLC Invoice #1813438
16389 COLLECTIONS CENTER DRIVE Date 3113112
CHICAGO, IL 60693 Page 1
Phone: 317.872.4542 Fax: 317.872.7624
Center: 4
INDIANAPOLIS, IN 317- 872 -4542 P.O.# :SHOP
Customer: CARMEL STREET DEPT
Address: 3400 W 131ST ST
City WESTFIELD, IN 46074- I
Phone 1
317 1 733 -2001 Ext f Q� y o u
a
Phone 2 317) 733 -2005 Ext
Op Tech Description Time Labor Parts Subtotal
Quan Part Number Part Description Reason for Replacement Price
MISCELLANEOUS PARTS 42.35 42.35
1.00 650- 545 -02 -24 SWITCH ASSY 42.35
OK Bad Recommendation OK Bad Recommendation OK Bad Recommendation
PAYMENT TERMS: NETT MIT: 16389 COLLECTIONS CENTER DRIVE, CHICAGO, IL 60693 Labor: $0.00
CUSTOMER ACKNOWLED SI HAT HE HAS INSPECTED THE REPAIRS TO THE VEHICLE ON THIS Parts: $42.35
INVOICE AND THE REPAIRS MEET THE CUSTOMERS REQUIREMENTS AND EXPECTATIONS. Sublet: $0.00
CUSTOMER FURTHER AGREES TO PAY THE INVOICE IN FULL, AS SHOWN, WITHOUT Other Fees: $0.00
DEDUCTION OR SET OFF. ANY WARRANTIES ON THE PARTS AND ACCESSORIES SOLD HEREBY Mis /Fuel /EPA $0,00
ARE MADE BY THE MANUFACTURER. DICKINSON FLEET SERVICES, LLC MAKES NO Subtotal $42.35
WARRANTIES OF ANY KIND, EXPRESS OR IMPLIED, AND DISCLAIMS ALL WARRANTIES OF Sales Tax: $0.00
MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, WITH REGARDS TO THE
SERVICE, PARTS, LABOR, AND /OR ACCESSORIES PURCHASED AND THAT IN NO EVENT SHALL Paid By Total $42.35
DICKINSON FLEET SERVICES, LLC BE LIABLE FOR INCIDENTAL OR CONSEQUENTIAL On Account
DAMAGES OR COMMERCIAL LOSS ARISING OUT OF SUCH PURCHASES, Pay Ref Paid $0,00 Dug: $42.35
X
VOUCHER NO. WARRANT NO.
ALLOWED 20
Dickinson Fleet Services
IN SUM OF
16389 Collections Center Drive
Chicago, IL 60693
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO, ACCT #/TITLE AMOUNT Board Memberz
2201 1813438 42- 370.00 $42.35 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
Thursday, /March 22, 2012
Street Comm mi ner
Street ComrTiiF�ioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
03/13/12 1813438 $42.35
03/13/12 1813438 $42.35
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