210509 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 248600 Page 1 of 1
F 0 ONE CIVIC SQUARE POWER TRAIN COMPANIES CHECK AMOUNT: $695.00
CARMEL, INDIANA 46032 PO BOX 42729
;o INDIANAPOLIS IN 46242 -0729 CHECK NUMBER: 210509
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 9 911031 695.00 AUTO REPAIR MAINTEN
I N V O I C E* Page 1
POWER ,ryB p�I
TRAI V� InV 9 911031 Ord# 08427
0 L P/O
A0JFZ 450 North Enterprise Blvd
P W J M T RA 9 q Lebanon, IN 46052
S� ISM Serving the needs of the
765.482.6525 800.999.7116 Transportation Industry Since 1921
Remit to: P.O. Box 42729 Indianapolis, IN 46242 -0729 B r AC C n t
C H A R G E 00 13596
NET 10TH PROX
s CARMEL STREET DEPT. s CARMEL STREET DEPT. SN 01
0 3400 W. 131ST STREET H 3400 W. 131ST STREET 6/11/2012
L WESTFIELD IN 46074 P WESTFIELD IN 46074
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INTEREST P GOODS MUST BE ACCOMPANIED BY ORIGI MONTH. ���,JjJJ�Q�_J( 6 95.0'0
RE TURNED
NAL INVOI BY: O M1
WAVY v CLC SUBJECT TO A RESTOCK CHARGE. NO REFUND OR CREDIT ON INSTALLED PARTS.
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VI
VOUCHER NO. WARRA NO.
ALLOWED 20
Power Train
IN SUM OF
P. O. Box 42729
Indianapolis, IN 46242 -0729
$695.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. I ACCT /TITLE AMOUNT Board Member
2201 I 9911031 I 43- 510.001 $695.00 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
Thu rsday,f une 28, 2012
Street Commissioner
V
Street Title 71issioi>
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))
06/11/12 9911031 $695.00
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