225304 10/23/2013 CITY OF CARMEL, INDIANA VENDOR: 355810 Page 1 of 1
0 ONE CIVIC SQUARE CARMEL AUTO&TRUCK SERV.
CARMEL, INDIANA 46032 310 GRADLE DRIVE CHECK AMOUNT: $1,090.17
* I?� CARMEL IN 46032
CHECK NUMBER: 225304
CHECK DATE: 10/23/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 J4351000 5617 1, 090 . 17 AUTO REPAIR & MAINTEN
CARMEL AUTO & TRUCK SERV.
310 GRADLE DRIVE Invoice
CARMEL IN 46032
(317)846-1171 Number: 6617
Date: October 07,2013
BILL TO VEHICLE
CITY OF CARMEL 2008 FORD
CARMEL, IN 46032 ESCAPE
UNIT#5
VIN
PFT-NW-
CONTACT P.O.# MILEAGE
UNIT#5 47652
PARTS&SERVICES Tax 1 Amount
INSTALL FRONT BRAKE PADS & NEW ROTORS— 136.00
INSTALL REAR BRAKE PADS & NEW ROTORS— 152.50
TBA-1 FRONT BRAKE PADS SET ACD 14D1047C d 81.12
TBA-1 REAR BRAKE PADS SET ACD 14D1055C d 79.80
TBA-2 FRONT BRAKE ROTORS RAS SB680271 d 92.40
TBA-2 REAR BRAKE ROTORS RAS SB680272 d 92.40
INSTALL RIGHT FRONT HUB FOR ABS CODES— 136.00
TBA-1 HUB RAB 713138 d 276.40
Sub-Total $1,046.62
State Tax 7.00%on 622.12 43.55
Total $1,090.17
VOUCHER NO. WARRANT NO.
ALLOWED 20
Carmel Auto & Truck Service
IN SUM OF $
310 Gradle Drive 4
Carmel, IN 46032 I
$1,090.17
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
L
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
i
1192 5617 I 43-510.00 I $1,090.17 ' 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
i
Monday, October 21, 2013
Direct
Title
i
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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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))
10/07/13 5617 Brake work#5 Escape I $1,090.17
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