HomeMy WebLinkAbout212561 09/12/2012 CITY OF CARMEL, INDIANA VENDOR: 00350527 Page 1 of 1
' ONE CIVIC SQUARE DON'S AUTO TRIM
CARMEL, INDIANA 46032 5397 ROCKVILLE ROAD CHECK AMOUNT: $225.00
INDIANAPOLIS IN 46224 CHECK NUMBER: 212561
CHECK DATE: 9/12/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 102502 225 . 00 AUTO REPAIR & MAINTEN
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5397 Rockville Road • Indianapolis, IN 46224
(317) 227-0988 Office • (317) 227-0977 Fax
Customer's
Or No. Date 201-0--
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Ad ss
Ci 1 State
S B CASH C.O.D. CHARGE RETD. PAID OUT
QUAN. DESCRIPTION PRICE AMOUNT
Sad I-LIS, 3�s
i
ALL CLAIMS AND RET RNED GOODS MUST BE ACCOMPANIED BY THIS BILL
Received By
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))
08/28/12 102502 $225.00
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
Don's Auto Trim
IN SUM OF $
5397 Rockville Road
Indianapolis, IN 46224
$225.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 102502 I 43-510.001 $225.00 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
n n Friday, September 07, 2012
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claim paid motor vehicle highway fund