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223536 08/27/2013 666.E CITY OF CARMEL, INDIANA VENDOR: 365258 Page 1 of 1 i ONE CIVIC SQUARE K D C BODY SHOP INC CARMEL, INDIANA 46032 2702 N COLORADO AVE CHECK AMOUNT: $1,165.13 • ,a��o INDIANAPOLIS IN 46218 CHECK NUMBER: 223536 CHECK DATE: 8/27/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4351000 24832 1, 165 . 13 AUTO REPAIR & MAINTEN KDC Body snap, Inc. Invoice 2702 N. Colorado Ave. Indianapolis,IN 46218 Date Invoice 7/26/2013 24832 Bill To Ship To Carmel Fire Department One Civic Square Carmel,IN 46032 Unit# VIN# Terms Due Date REP Customer PO 3410 1FDUF4GTOCEC39655 Net 30 8/25/2013 AT NA Service Date Work Performed Qty Description Rate Amount 6/25/2013 Remove&Replace Damaged 1.0 Chrome Bumper 885.13 885.13T Front Bumper 1.0 Shop Materials 5.00 SOOT Total Parts 890.13 5.5 Labor 50.00 275.00 Please remit to:KDCBody Shop Subtotal 2702 North Colorado Ave. $1,165.13 Indianapolis,IN 96218 Sales Tax (0.0%) $0.00 T an you for the oppor unity to com lete your repair needs We appreciate you bill inks and we will striae o give ypr company the best service you deserve Please s call us anytime ith quet tions regarding your invoice or your cu tomer accou t at Total $1,165.13 s w s 3 7- 2 -053 . s n Phone# Fax# E-mail Payments/Credits $0.00 317-227-0533 317-227-0534 jodienkdcrepair.com Balance Due $1,165.13 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)) 24832 9655 $1,165.13 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 KDC Body Shop IN SUM OF $ 2702 North Colorado Avenue Indianapolis, IN 46218 $1,165.13 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members 1120 I 24832 I 43-510.00 I $1,165.13 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 AUG 2 6 2013 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund