HomeMy WebLinkAbout215112 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 214400 Page 1 of 1
0 ONE CIVIC SQUARE MUFFLERS&MORE
CARMEL, INDIANA 46032 119 S UNION STREET CHECK AMOUNT: $300.00
WESTFIELD IN 46074 CHECK NUMBER: 215112
CHECK DATE: 12/4/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 300 . 00 REPAIR PARTS
�® FOREIGN . ERS DOMESTIC
BRAKE SERVICE I SPECIALISTS ,`rr� Custom tii
ripe Bending o�`
VAtvouNE
J
C C�L /Sc BRAKES SHOCKS STRUTS
n i ° QUICK OIL CHANGES• TRUCKS•VANS• RVs
(317) 896-5868
2235 W/e^�stfield Road I Noblesville, IN 46060
NAME t lt�ita .e__ LJ fZ.t c-F / DATE — J/ —STREET CITY CITY ZIP 4
YEAR/MAKE MODEL _ MOO NO._ PHONE
ODOMETER PLATE# PROMISED PHONE YES
WHEN
READY NO
NOT RESPONSIBLE FOR LOSS OR DAMAGE SIGNATURE OF MECHANICS
TO CARS OR ARTICLES LEFT IN CARS IN REPAIRS TOTAL LABOR
CASE OF FIRE, THEFT OR ANY OTHER PERFORMED 1 /
CAUSE BEYOND OUR CONTROL BY p TOTAL PARTS
❑ CASH
ALL MUFFLERS CARRY A ONE YEAR WARRANTY UNLESS SPECIFIED
OTHERWISE. 15% HANDLING CHARGE ON ANY RETURNED MERCHANDISE ❑ CHECK NO.
AND $20.00 CHARGE FOR RETURNED CHECKS. THIS RECEIPT MUST OUTSIDE REPAIRS
ACCOMPANY ALL RETURNS. ❑ VISA OTHER
THANK YOU!
❑ MASTERCARD SUBTOTAL
I hereby authorize the above repair work to be done along with the necessary material,and hereby grant you and/or
your employees permission to operate the car,truck or vehicle herein described on streets,highways,or elsewhere ❑ DISCOVER SALES TAX_.-----
for the purpose of testing and/or inspection.An express mechanic's lien is acknowledged to secure the amount of
repairs. TOTAL L L =
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mufflers and More
IN SUM OF $
119 S. Union St.
Westfield, IN 46074
$300.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I I 42-370.001 $300.00 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
Thursday, November 29, 2012
w r b 1
S`rStreetJ ommissloner
Title
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))
11/26/12 $300.00
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