215715 12/18/2012 � CITY OF CARMEL, INDIANA VENDOR: 214400 Page 1 of 1
ONE CIVIC SQUARE MUFFLERS&MORE CHECK AMOUNT: $80.00
`o CARMEL, INDIANA 46032 119 S UNION STREET
WESTFIELD IN 46074 CHECK NUMBER: 215715
CHECK DATE: 12/1812012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 80 . 00 REPAIR PARTS
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etas qs
BRAKE SERVICE SPECIALISTS ® FOREIGN JCr Pipe DOMESTIC
lkv.
VAwouNE r
BRAKES•SHOCKS-STRUTS
71ftdix QUICK OIL CHANGES- TRUCKS•VANS- RVs
(317),896-5868
` 2`235 Westfield Road I Noblesville, IN 461066]0
NAME (_ G� � x, \' , �E" �k f ATE
1 'Z l L^
STREET CITY V ZIP
YEAR/MAKE' ,'/� ` MODELA�� ^ MOTOR NO. PHON ` �
OD�OTM�/T/ER\/J�1�` l/�► PLATE/## (+f PROMISED PHONE YES
\I`t^\`, \ WHEN
READY NO
oyl Ik O W � \A/ n VI fit' 1 H
v
NOT RESPONSIBLE FOR LOSS OR DAMAGE REPAIRS SIGNATURE OF MECHANICS TOTAL LABOR
TO CARS OR ARTICLES LEFT IN CARS IN PERFORMED 1
CASE OF FIRE, THEFT OR ANY OTHER BY
CAUSE BEYOND OUR CONTROL > 2 TOTAL PARTS
ALL MUFFLERS CARRY A ONE YEAR WARRANTY UNLESS SPECIFIED U CASH
OTHERWISE. 15% HANDLING CHARGE ON ANY RETURNED MERCHANDISE U CHECK NO.
AND $20.00 CHARGE FOR RETURNED CHECKS. THIS RECEIPT MUST OUTSIDE REPAIRS
ACCOMPANY ALL RETURNS. U VISA OTHER
THANK YOU!
❑ MASTERCARD SUB TOTAL � � 1
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 U 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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Mufflers and More
IN SUM OF $
2235 Westfield Road
Noblesville, IN 46060
$80.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I I 42-370.00 $80.00 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
Friday, December 1-4-, 2012
•
r /
Street Commissioner
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))
12/12/12 $80.00
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