209592 06/05/2012 CITY OF CARMEL, INDIANA VENDOR: 366231 Page 1 of 1
ONE CIVIC SQUARE KING'S SERVICES, INC
CARMEL INDIANA 46032 8847 N 800E CHECK AMOUNT: $385.00
SHERIDAN IN 46069
CHECK NUMBER: 209592
CHECK DATE: 6/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 9301 385.00 AUTO REPAIR MAINTEN
4 King's Services, Inc. G,
dba Kings Mobile Wash ,p F
8847 N 800E
r Sheridan, IN 46069 1 9 301
317.590.2689 mobile DAT ORDER NO.
SHIP TO
TO G lr
1z?:e .4!2d R Z'o e/V
SALESPERSON- DATE SHIPPED SHIPPEDVW f.AW POINT- ""JERIVIS.:
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)rescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
\n invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
vhom, 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))
9301 L41 $385.00
1 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
King's Services, Inc.
IN SUM OF
8847 N 800 E
Sheridan, IN 46069
$385.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE I AMOUNT
Board Members
1120 I 9301 j 43- 510.00 I $385.00 1 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
JU N 4281
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund