219473 04/24/2013 a CITY OF CARMEL, INDIANA VENDOR: 367099 Page 1 of 1
ONE CIVIC SQUARE ROYAL AUTO GLASS
*. CHECK AMOUNT: $190.00
CARMEL, INDIANA 46032 PO BOX 1774
CARMEL IN 46082 CHECK NUMBER: 219473
CHECK DATE: 412412013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4350000 40290 190 . 00 EQUIPMENT REPAIRS & M
Royal Auto Glass
P.O. Box 1774 40290
Carmel, IN 46082 -
Ph - 84
Fax: (317) 873-5090 APR 0 8 2013
Sold To: NO. sue:
Dat 41 zllo
PO#:
Year Make Model
194 /�
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Qty: Description Amount
Dom' -A 6'
Purchase
Description Ya / (e M02
P.O.# MODD4S 2 P or F
G.L#
Budget
Line Des
Approval Date
Tax:
Amount:
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
Royal Auto Glass Terms
P.O. Box 1774
Carmel, IN 46082
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
4/4/13 40290 ESE Van windshield repair $ 190.00
Total $ 190.00
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
Voucher No. Warrant No.
Royal Auto Glass Allowed 20
P.O. Box 1774
Carmel, IN 46082 i
In Sum of$
$ 190.00
ON ACCOUNT OF APPROPRIATION FOR
i
108 - ESE
PO#or INVOICE N0. ACCT#1TITLE AMOUNT Board Members
Dept#
1081-99 40290 4350000 $ 190.00 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
18-Apr 2013
Signature
$ 190.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund