HomeMy WebLinkAbout218162 03/13/2013 CITY OF CARMEL, INDIANA VENDOR: 00351440 Page 1 of 1
ONE CIVIC SQUARE MILLER AUTO CARE INC CHECK AMOUNT: $468.22
CARMEL, INDIANA 46032 434 S RANGELINE ROAD
o�- CARMEL IN 46032 CHECK NUMBER: 218162
CHECK DATE: 3/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4351000 468 .22 AUTO REPAIR & MAINTEN
MILLER AUTO CARE, INC.
434 SOUTH RANGELINE ROAD
CARMEL IN 46032
317-844-7566
3/1/2013 11:50 AM page 1
Repair Order#984
CITY OF CARMEL Day Phone : W: 317-571-2594
Vehicle : 1999 GMC Truck Yukon 5.7 L 350 CID V8 Tag/State : 83585/ IN
VIN : 1GKEK13R4XJ784787 Color : Burgundy
Last M':1eage 122142
Created : 2/26/2013 4:10:48 PM Odometer In : 122142
Complete : 3/1/2013 11:05:47 AM Odometer Out: 122142
Contact : BRIAN SMITH (317-460-7744)
Labor/Notes
Code/Tech* Reference Description Price
7* LABOR REPLACE FUEL PUMP $170.00
Parts
Qty Code/Tech* Reference Description Condition Unit Price Price
1 C C FUEL PUMP $275.00 $275.00
1 C C SENDING UNIT HOLD DOWN LOCKING RING $23.22 $23.22
Sublet/Misc.
Qty CodelTech* Reference Description Unit Price Price
1 - TOW IN BILLING CUSTOMER DIRECTLY $0.00 $0.00
Labor ....................................................... $170.00
Parts ....................................................... $298.22
Sublet/Misc. ....................................................... $0.00
Other Charges ....................................................... $0.00
Charges ..................................................... $0.00
Sales Tax Tax @ $298.22*7.0000%
Repair Total $4W.10
Tech Certification#
I hereby authorize the repair work herein set forth to be done along with the necessary material and
agree that you are not responsible for loss or damage to vehicle or articles left in vehicle in case of fire,
theft or any other cause beyond your control. I hereby grant you and/or your employees permission to
operate the vehicle herein described on streets, highways or elsewhere for the purpose of testing and/or
Inspection and/or delivery. An express garagekeeper's lien is hereby acknowledged on above vehicle to
secure the amount or repairs thereto. A storage fee may be applied on vehicles left on premises for a
prolonged time period, unless prior permission is granted. For all warranties to be valid, unless
specified otherwise, vehicle must be returned to Miller Auto Care. Warranties do not include towing or
car rental fees.
Customer Signature
it ll l iilill lilll IIIII IIII ill/
Prescribed by State Board or 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))
03/01/13 $468.22
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
Miller Auto Care, Inc
IN SUM OF $
434 S. Rangeline Road
Carmel, In 46032
$468.22
ON ACCOUNT OF APPROPRIATION FOR
IS Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1202 43-510.00 $468.22
I hereby certify that the attached invoice(s), or
I I
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, March 08, 2013
'Director , IS
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I
CITY OF CARMEL, INDIANA VENDOR: 00351440 Page 1 of 1
ONE CIVIC SQUARE MILLER AUTO CARE INC CHECK AMOUNT: $468.22
CARMEL, INDIANA 46032 434 S RANGELINE ROAD
o�- CARMEL IN 46032 CHECK NUMBER: 218162
CHECK DATE: 3/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4351000 468 .22 AUTO REPAIR & MAINTEN
MILLER AUTO CARE, INC.
434 SOUTH RANGELINE ROAD
CARMEL IN 46032
317-844-7566
3/1/2013 11:50 AM page 1
Repair Order#984
CITY OF CARMEL Day Phone : W: 317-571-2594
Vehicle : 1999 GMC Truck Yukon 5.7 L 350 CID V8 Tag/State : 83585/ IN
VIN : 1GKEK13R4XJ784787 Color : Burgundy
Last M':1eage 122142
Created : 2/26/2013 4:10:48 PM Odometer In : 122142
Complete : 3/1/2013 11:05:47 AM Odometer Out: 122142
Contact : BRIAN SMITH (317-460-7744)
Labor/Notes
Code/Tech* Reference Description Price
7* LABOR REPLACE FUEL PUMP $170.00
Parts
Qty Code/Tech* Reference Description Condition Unit Price Price
1 C C FUEL PUMP $275.00 $275.00
1 C C SENDING UNIT HOLD DOWN LOCKING RING $23.22 $23.22
Sublet/Misc.
Qty CodelTech* Reference Description Unit Price Price
1 - TOW IN BILLING CUSTOMER DIRECTLY $0.00 $0.00
Labor ....................................................... $170.00
Parts ....................................................... $298.22
Sublet/Misc. ....................................................... $0.00
Other Charges ....................................................... $0.00
Charges ..................................................... $0.00
Sales Tax Tax @ $298.22*7.0000%
Repair Total $4W.10
Tech Certification#
I hereby authorize the repair work herein set forth to be done along with the necessary material and
agree that you are not responsible for loss or damage to vehicle or articles left in vehicle in case of fire,
theft or any other cause beyond your control. I hereby grant you and/or your employees permission to
operate the vehicle herein described on streets, highways or elsewhere for the purpose of testing and/or
Inspection and/or delivery. An express garagekeeper's lien is hereby acknowledged on above vehicle to
secure the amount or repairs thereto. A storage fee may be applied on vehicles left on premises for a
prolonged time period, unless prior permission is granted. For all warranties to be valid, unless
specified otherwise, vehicle must be returned to Miller Auto Care. Warranties do not include towing or
car rental fees.
Customer Signature
it ll l iilill lilll IIIII IIII ill/
Prescribed by State Board or 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))
03/01/13 $468.22
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
Miller Auto Care, Inc
IN SUM OF $
434 S. Rangeline Road
Carmel, In 46032
$468.22
ON ACCOUNT OF APPROPRIATION FOR
IS Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1202 43-510.00 $468.22
I hereby certify that the attached invoice(s), or
I I
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, March 08, 2013
'Director , IS
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I