221914 07/17/2013 *F CITY OF CARMEL, INDIANA VENDOR: 00353385 Page 1 of 1
ONE CIVIC SQUARE CAR X CHECK AMOUNT: $18.95
CARMEL, INDIANA 46032 1436 KEYSTONE WAY
CARMEL IN 46032 CHECK NUMBER: 221914
CHECK DATE: 7/1712013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4351000 253582 18 . 95 AUTO REPAIR & MAINTEN
— !
CAR—X TIRE & COMPLETE AUTO SERVICE
1436 KEYSTONE WAY
CARMEL, IN. 46032
(31 46OVI
Auto Service CEIVEED
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******* I N V O I C E
******* I N V O I C E 05:54 PM INVOICE# 0253582 ESTIMATE# 4960
0 RECREATION IyIIL1,.fDA-TE 118500 LIC# 67390 P.O.:
L CARMEL 2004 FORD F150 P01
T 46032 MICHAEL A.
0 317-710--1891 REP:
PART # DESCRIPTION PRICE AMOUNT
I CREAKING
BR-)KES SUBTOTAL: . 00 MECH# 418 ROBINSON IIZ
1. OLF4 OIL CHANGE SERVICE 18. 95 18. 95
5 51420B Di_waMax Motor Oil 5w2Q71 . 00 PR/INC
I LF11OF OIL FILTER V-4651 . 00 PR/INC
OLF SUBTOTAL: 18. 95 MECH# 418 ROBINSON le
Purchase
Description
Budget
SUB-'> 18. 95 Purch r Date
TOTML TAX> . 00 CTRL CODE: 51 Approval
Date-
Pa .d by - CHARGE 18. 95
PAY THIS AMOUNT
CAR-X FULL WARRANTIES -Nthe loc-finn of tfiXarest CAR-�Muffler Shop,consult your Yellow Pages
contact CAR-X Associates Corp. 8750 W. Bryn Mawr Ave. Suite 410,
U.S.and Foreign Car Mufflers/Shocks/Sprin rakes—See IA/arranty Certificate. Chicago IL.606 1.
U.S. and Foreign Car Pipes—YOUR CAR-X PIPE IS U�PER WARRANTY for This warranty is maAby CAR-X Associates Corp.and gives you specific legal
one year from date of installation. Should it wear out or rust out during that
period, simply present this sales invoice or other evidence of date of installa- rights. You may)!.Wother rights which vary from state to state. CAR-X is a
federally registere
ad
tion and your car with the defective pipe to any CAR-Xj Muffler Shop. A new 14kalq ark of CAR-X Associates Corp. Seller is a licensee
pipe will be installed at NO CHARGE for the pipe or for its installation. of CAR-X Associate 0
I hereby authorize the above repair work to be done along Wth the necessary material,and hereby grant
you and/or your employees permission to operate the car or truck herein described on streets,highways 0253582
or elsewhere for the purpose of testing and/or inspection. I
CUSTOMER SIGNATURE
Your m�pipes are under warranty for one year from date m original installation.
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.
00353385 Car-X Terms
1436 Keystone Way Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
6/18/13 253582 P01 Oil change $ 18.95
Total $ 18.95
I hereby certify that the attached invoice(s), or bill(s)is(are)true and correct and I have audited same in a'c'cordance
with IC 5-11-10-1.6
, 20____
Clerk-Treasurer
i
Voucher No. Warrant No.
00353385 Car-X Allowed 20
1436 Keystone Way
Carmel, IN 46032
In Sum of$
$ 18.95
ON ACCOUNT OF APPROPRIATION FOR
101-General Fund
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1125 253582 4351000 $ 18.95
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
10-Jul 2013
Signature
$ 18.95 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund