180489 12/16/2009 CITY OF CARMEL, INDIANA VENDOR: 355635 Page 1 of 1
ONE CIVIC SQUARE MIKE'S EXPRESS CAR WASH
CARMEL, INDIANA 46032 10251 HAGUE ROAD
CHECK AMOUNT: $2,500.00
INDIANAPOLIS IN 46256 CHECK NUMBER: 180489
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CHECK DATE: 12116/2009
DEPARTMENT ACCOUNT PO NUMBER INV NUMBER AMOUNT DESCRIPTION
1120 4351000 2,500.00 AUTO REPAIR MAINTEN
Mike's Express Carwash
10251 Hague Road
407 4 "M Indianapolis, IN 46256
Office: 317 572 -9250
Fax: 317 572 -9251
Gary Carter Phone: (317) 571 -2600 Date: 12/14/2009
Carmel Fire Dept. Fax:
2 Civic Square Email:
Carmel, IN 46032
Qty Item Name Price Total
1 Express Wash 500 $2,500.00 $2,500.00
Sub Total $2,500.00
Shipping Handling
Taxes 0.000% $.00
TOTAL $2,500.00
Comments: offce,Use Only:
Thank you for your business.
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))
$2,500.00
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 Car Wash
IN SUM OF
10251 Hague Road
Indianapolis, IN 46256
$2,500.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #(TITLE AMOUNT Board Members
1120 43- 510.00 $2,500.00 1 hereby certify that the attached invoice(s), or
bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
DES 14 2009
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund