HomeMy WebLinkAbout220618 06/04/2013 CITY OF CARMEL, INDIANA VENDOR: 00351210 Page 1 of 1
4J�` ONE CIVIC SQUARE GLASS DOCTOR INDIANAPOLIS CHECK AMOUNT: $303.09
s®�' CARMEL, INDIANA 46032 7753 E 89TH STREET
4 u INDIANAPOLIS IN 46256 CHECK NUMBER: 220618
CHECK DATE: 6/412013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 13903 303 . 09 OTHER EXPENSES
GLASS DOCTOR - INDIANAPOLIS
7753 E 89TH ST.
INDIANAPOLIS IN 46256
(317)577-5416 (317)636-2006
Fax:(317)577-5899
Tax# 26-2969258 Invoice: 13903
Date:05/15/213
Sold To: Scheduled:05/14/2013 09:00
CARMEL UTILITIES ATTN: SCOTT
CAMPBELL
760 3RD AVE SW STE 110
CARMEL IN 46032
H(317)733-2855
,ec
- t ov :PA T i RI K r n v n Terms NG�TT
30
Vehicle2013 FORD FIESTA 4 DOOR HATCHBACK
Qjy Part/Description List Price Material Labor Item Total
1 DW01837GTY-Windshield Green Tint(w/Molding 465.30 203.14 70.00 273.14
attached)(Lower Moulding)(Solar)(W/Third Visor Frit)
(Acoustic Interlayer)
1.00 HAH000004-Adhesive(Nags)(Urethane,Dam,Primer) 14.95 0.00 14.95
(2.00)
1 SURCHARGE-Environmental/Disposal Fee 0.00 0.00 15.00 15.00
Notes:5/14-Tuesday- Start by 9:00, Vehicle is parked on west end of building. Stop in office for keys.
VIN#
Signature
Material Labor Ta Total Deductible Payments Balance,,-'—
218.09 85.00 1 7 318.36 0.00 0.00 31 6
vers:9.0.13 Pa e/ 1
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
00351210
GLASS DOCTOR Purchase Order No.
7753 E 89TH STREET Terms
INDIANAPOLIS, IN 46256 Due Date 5/15/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/15/2013 13903 $303.09
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
Date Officer
VOUCHER # 131633 WARRANT # ALLOWED
00351210 IN SUM OF $
GLASS DOCTOR
7753 E 89TH STREET
INDIANAPOLIS, IN 46256
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
13903 01-6500-07 $303.09
1
Vo Cher Total $303.09
Cost distribution ledger classification if
claim paid under vehicle highway fund