178289 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 355635 Page 1 of 1
ONE CIVIC SQUARE MIKE'S EXPRESS CAR WASH
s Q CARMEL, INDIANA 46032 10251 HAGUE ROAD CHECK AMOUNT: $48.00
iNDIANAPOLiS IN 46256 CHECK NUMBER: 178289
CHECK DATE: 10/14/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTION
2200 4351000 5176 48.00 AUTO REPAIR &.MAINTEN
r
E
P
Mike's Carwash,lnc.
INVOICE
10251 N.Hague Road
Indianapolis, IN 46256
Phone. (317) 572 -9250 INVOICE DATE
Fax: (317) 572 -9251 10/2/2009
INVOICE NUMBER
Email Address: mcw @mail.fwi.com Web Site: http:%\www.mikescarwash.com 005176
CUSTOMER NUMBER
City of Carmel Police Dept CARPD01
Teresa Anderson TERMS
3 Civic Square
Carmel, IN 46032 Net 30
Description QTY UNIT PRICE AMOUNT
Choice Book 1.00 48.00 48.00
0.00 0.00 48.00
&5
4
�FCEIVEt�
OCT 20 T'
Make Checks Payable to: Mike's Car Wash
Attn: Accounts Receivable s ���$�ZZtiZ' Q
10251 N. Haque Road
1of 1 Indianapolis, IN 46256
TotalDue 48.00
KuStOCK/O
A 0
Date: l� 1
Billin ddress /Loca on
Name Phone
Street
L ty .State Zip
Flailing Address
Name
Street
City State Zip
Postage Type Qty Serial Numbers Price Total
Books Cost Gift Card
1 $.63 Exp ress Book
2 $,87 Choice Book
3 $1.35 Work Books
4 $1.59 Weekly Wash
Platinum Book
5 $1.84 Gold Book
Orders over $200 Express Single
will be current Choice Single
LIPS rate Works Single
PaYAent Details Wheel Bright
Clear Coat
Irect Bill Sorry Works
Cash Sorry Free
Old Rewash
Check New Rewash
Credit Card Other
Discount
Type (CC): DAM ENS ❑•MC ❑DC Subtotal
S/H
Number TOTAL
Expires (CC)
Signature
Notes
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rey, 1995)
CITY OF CARMEL
A111 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 48256
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
07/11/09 5176 Car Wash Coupons for Department Vehicles $48.00
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
MmkP_'C Fxnresc ('__^.r W;i -gh IN SUM OF
10261 N. Hauge Road
Indianapolis, IN 46256
$45.00
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
5176 E G R4351000
materials or services itemized thereon for
which charge is made were ordered and
received except
0 12 20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund