217076 02/13/2013 CITY OF CARMEL, INDIANA VENDOR: 355810 Page 1 of 1
ONE CIVIC SQUARE CARMEL AUTO&TRUCK SERV. CHECK AMOUNT: $831.50
CARMEL, INDIANA 46032 310 GRADLE DRIVE
o� CARMEL IN 46032 CHECK NUMBER: 217076
CHECK DATE: 2/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4351000 2904 831 . 50 AUTO REPAIR & MAINTEN
A
----------------------
------------------
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CARMEL AUTO
& TRUCK SERV.
GRA
310
i DLE DRIVE
CARMEL IN 46032
Invoice
(317)846-1171
Number: 2904
BILL TO Date: February 04,2013
----- ---—--—----- VEHICLE
CITY OF CARMEL —
CARMEL, IN 46032 2008 FORD --------
ESCAPE
UNIT#2
VIN 8KB58554
PFT-760
CONTACT ---- ---_— ------- —-—--------
---
- -- ---L P.O.# — --..
UNIT#2 ------- — --- — -- — ---------- MILEAGE
rR 10751
RVICESLOWER MOTOR AND MODULE, WIRE IN NEW HARNESS FOR BLOWER Tax 1 Amount NGINE COMPARTMENT H INSTALL NEW SERPINTINE BELT AND IDLE 188 00
SSEMBLY— R PINTINE BELT GYB 4040338 9850
LEY 89133 58.43
D-1 MODULE MOTOCRAFT 6L2Z-19E624-A 44.56
D-1 BLOWER MOTOR MOTOCRAFT 1 141.34
L2Z-19805-EB
D-1 SHORT HARNESS MOTOCRAFT 2K3Z-22094-AB 239.55
61.12
i
Sub-Total $831.50
State Tax 7.00%on 0.00
0.00
Total $831.50
I
i
i
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))
02/04/13 2904 Blower motor, etc. $831.50
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Carmel Auto & Truck Service
IN SUM OF $
310 Gradle Drive
Carmel, IN 46032
$831.50 t
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
T
1192 I I 43-510.00 I 1 hereby certify that the attached invoice(s), or
2904 $831.50
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
Monday, February 11, 2013
_ e
Dire for
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund