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219924 05/07/2013 CITY OF CARMEL, INDIANA VENDOR: 363282 Page 1 of 1 ONE CIVIC SQUARE TRUCK SERVICE INC CARMEL, INDIANA 46032 ATTN:A/R CHECK AMOUNT: $190.86 3140 W MORRIS STREET o„ CHECK NUMBER: 219924 INDIANAPOLIS IN 46241 CHECK DATE: 517/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 N60095 190 . 86 REPAIR PARTS TRUCK SERVICE INC. TRUCK S E R V I C E ' INC . INVOICE DATE e" o o e • o• 04/24/2013 02 : 50PM INVOICE NO. PAGE • CLEVELAND SPRING SERVICE INDIANAPOLIS SPRING 1 4 70 0 HE �R I M A N BL V D N60095 1 • TRUCK SERVICE NOBLESVILLE El E.A.B.TRUCK SERVICE NOBLECV I L L E IN 46060 CUSTOMER NO. BR NqH • WARNER SPRING F-1 MORTON TRUCK SERVICE 317-776-6464 12 8 5 4 * �! trksvc.com CARMEL STREET DEPARTMEN CARMEL STREET DEPARTMEN SOLD SHIP TO: 3400 W 131ST STREET TO 3400 W 131ST STREET WESTFIELD IN 46074 WESTFIELD -IN 46074 Tax i d : , 0031201550-020 REMIT TO: A/R, 3140 W. Morris St. Indianapolis, IN 46241 CUSTOMER P.O. R/S ORDER NO. TRK-3 844266 WED (317) 733-2001 DS 000/00 000 OTY PART NO. DESCRIPTION LIST PRICEIPER EXTENSION " PICKED UP BY CUSTOMER" 1 TI GMR-CK25 GM K2500 4WD .RIDEKIT 240 . 52 190 . 86EA 190 . 86 EXPANDING SERVICES TO INCLUDE AUTOMOTIVE BRAKE REPAIR, = QUOTES UPON REQUEST ? ttgt i bit: 1 1 n z r t RECEIVED BY' FREIGHT SUB TOTAL TAX STATUS/STATE SALES TAX PLEASE PAY 1,90 . 86 EXEMPT IN 0 , 00 190 . 86 RETIGHTEN U-BOLTS AFTER TERMS:NET 10TH PROX.Invoices not paid by the 10th of the month following the month of the invoice date will be considered 10 DAYS OR 500 MILES past due.A late charge of 1 1/2%per month will be assessed on all amounts not paid by the end of the month following the Invoice date.(Annual Interest rate of 18%). STORAGE CHARGE OF$10.00 PER DAY MAY APPLY FOR VEHICLES NOT PICKED UP 30 DAYS AFTER COMPLETION OF WORK_ INVOICE VOUCHER NO. WARRANT NO. ALLOWED 20 Truck Service IN SUM OF $ 3140 W. Morris Street Indianapolis, IN 46241 $190.86 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 2201 I N60095 I 42-370.001 $190.86 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 M nda , ay 06, 2013 reet Com iss r Street CoTAMissioner 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)) 04/24/13 N60095 $190.86 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