227330 12/17/2013 ��•,F CITY OF CARMEL, INDIANA VENDOR: 00352621 Page 1 of 1
ONE CIVIC SQUARE EDWARDS TRANSMISSIONS CHECK AMOUNT: $550.00
CARMEL, INDIANA 46032 PO BOX 20594
INDIANAPOLIS IN 46220 CHECK NUMBER: 227330
CHECK DATE: 12/1712013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 118347 550 . 00 OTHER EXPENSES
PAYMENT INFORMATION Paid 11/12/2013 RO#: 118347
tp
�$ r , Type
Cash — ------- $0.0 Numbe Amt DV1R® Ti 0 :•
y
TRANSMIT_7.jN _; ..a ,Check Authorization $0.00
! Credit Card
Num./Exp: $0.00
Acct Rec $0.00
PO Box 20594 INDIANPOLIS, IN 46220 Main Office (317)635-4215 Acct/PO: KL11813 $550.00
Fin.Cont: $0.00
NAME _ _DATE _
�CARMEL WATER DEPT./JIM - 11/12/2013 aS Discount: $0.00
Prepayments: $0.00 ® $0.00
ADDRESS _ _ HOME PHONE - ------- -- --- — ------
3450 W. 131ST STREET _- (317) 733-2853 TYPE OF LIMITED WARRANTY_ — GENERAL PARTS
CITY _ STATE _ ZIP_ WORK PHONE 12 month 12000 mile Limited Warranty. 1 CONVERTERS j
Carmel IN _ 46032 i(317) 733-2853 Whichever occurs first. 1
'YEAR MAKE MODEL _ COLOR LICENSE# SPEEDOMETER
RDI AUTHORIZATION__ --
(20�05 CHEVROLET (LIGHT DUTY T (Blue 169764 111,656 - -- -- --
I --�_ - - J— ----- --
T/CASE BROKEN
I
REPAIR ESTIMATE AND AUTHORIZATION -
- — --- -- • $550.00
Clutch $0.00 ,
Trans. $0.00
Engine $0.00
II
Torque Conv. ! $0.00
' I hereby authorize the above repair work to be done along with the LFCuinecessary material,and hereby grant you and/or your employees d $0.00
permission to operate the car,truck,or vehicle herein described on
streets,highways or elsewhere for the purpose of testing and/or
inspection.An express mechanic's lien is herby acknowledged on Sublet $0.00
above car,truck or vehicle to secure they amount of repairs thereto.
You will not be held responsible for loss or damge to vehicle or - --
articles left in vehicle in case of fire,theft,accident or any other Total Parts $550.00
cause beyond your control.
If I fail to pay Edward's Transmissions for the labor performed and/or Total Labor $0.00
the materials furnished or otherwise breach the terms and conditions
3 ice+ of the repair order,I herby agree to pay Edward's Transmissions all
of its costs to collect such amounts or enforce such terms and Parts& Lbr $550.00
conditions,including its reasonable attorney fees and court costs. I- — J
$0.00
$550.00
Terms&details of the Limited Warranty are given on the attachment. fix_— � — $0.
AuTN„o-'��p., $550.00
VOUCHER # 133641 WARRANT # ALLOWED
00352621 IN SUM OF $
EDWARDS TRANSMISSION ENGINES
P.O. BOX 20594
INDIANAPOLIS, IN 46220
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
118347 01-6500-05 $550.00
Voucher Total $550.00
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
00352621
EDWARDS TRANSMISSION ENGINES Purchase Order No.
P.O. BOX 20594 Terms
INDIANAPOLIS, IN 46220 Due Date 12/12/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/12/201: 118347 $550.00
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
i 2 1G 11 s C?z..-'�//1'?— N-"t-- ---°--
Date Officer