HomeMy WebLinkAbout217087 02/13/2013 CITY OF CARMEL, INDIANA VENDOR: 357405 Page 1 of 1
Q� ONE CIVIC SQUARE CENTRAL TRANSMISSION INDIANA CHECK AMOUNT: $300.00
CARMEL, INDIANA 46032 5086 W 106TH ST
ZIONVILLE IN 46077 CHECK NUMBER: 217087
CHECK DATE: 2/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 104385 300 . 00 AUTO REPAIR & MAINTEN
------------------------------- ------- ---
C C(2riff ijI
T11 Repair Order Number 104385 '
Trivisn�i ;inns
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2/8/2013
Indliiffii
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5086 W. 106th Street Zionsville, IN 46077
317-733-0939
CARMEL =s
FIRE DEPT 09 FORD EXPIDITION
VIN CURRENT MILEAGE [
1 FMU 16589EA97385 95325
:t
COLOR LIC.# TRANS TYPE
BLUE
SERVICE TYPE
I
PART DESCRIPTION OR QUANITY COST EACH P OR L
LABOR DESCRIPTION EXT. COST
FLUID 8.00
3.95 P 31.60
FILTER 1.00
21.40 P 21.40
CASE CONNECTOR 1.00
37.00 P 37.00
LABOR 3.50
60.00 L 210.00 I j
TECH COMMENTS
TOTAL PARTS 90.00
TOTAL LABOR 210.00
TOTALTAX 0.00
Thank you for your business! GRAND TOTAL 300.00
Payments
I
DATE Balance 300.00
'escribed by State Board of Accounts City Form No.201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
Thom, 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))
104385 C4562 $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
VOUCHER NO. WARRANT NO.
i ALLOWED 20
CTI L l�—qty, �f
IN SUM OF $
5086 West 106th Street
Zionsville, IN 46077
$300.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
r
1120 I 104385 I 43-510.00 I $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
���1 1 LIB IJ
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund