HomeMy WebLinkAbout229646 2/25/2014 +;4 CITY OF CARMEL, INDIANA VENDOR: 00351793 Page 1 of 1
ONE CIVIC SQUARE RENNER'S BODY WORKS
.9
CARMEL, INDIANA 46032 CHECK AMOUNT: $861.00 8190E 146TH STREET
NOBLESVILLE IN 46060 CHECK NUMBER: 229646
CHECK DATE: 2/25/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1093 4350000 58 861 . 00 EQUIPMENT REPAIRS & M
a ALL PARTS INSTALLED ARE NEW UNLESS SPECIFIED OTHERWISE STEVE JIM
RENNER • • N]XON
LIE
GUAN PART NO DESCRIPTION AM
e IV
ODY WORKS
Collision Repair
8190 East 146th Street-Noblesville IN 46060
317-773-9792 - 317-773-1647 fax
PE(fK[�ftmn u DATE _/V /✓
TIME RECEIVED T[RHS
ADDRESS / E ll�r4 STR61---j' AM PM
PHONE ? TIM[ PROMIl ED PROMISED
WHEN
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YEAR Tr►[ OR MOO[t VEHICLE IDENTIFICATION NUMBER DELIVERED
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p Rs I FSS a SSS = [3 093
—SvcER
ORDERi DATE REPAIR LABOR INSTRUCTIONSWRITTEN BY
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PEPRI BEI) 5105
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9(91
-- 7� RETAIN PARTS �J DESTROY PARTS
I HEREBY AGREE THE TEMPORARY REPAIRS MADE TO THE ABOVE IDENTIFIED VEHICLE WERE TOTAL LABOR /l 3 O
MADE AT MY REQUEST.THE ABOVE REPAIR WORK WAS NOT MADE IN ACCORDANCE WITH THE `^J,
SCOPE OF DAMAGE REFLECTED IN THE COMPLETED ESTIMATES.THE REPAIRS MADE WERE OF A PAINT MATERIAL '3 c"2 QV
TEMPORARY NATURE AND RENNER'S BODY WORKS DOES NOT RECOMMEND THE ABOVE
--" DESCRIBED VEHICLE BE OPERATED UNTIL FINAL REPAIRS ARE COMPLETE. RENNER'S BODY /�
WORKS IS NOT LIABLE FOR ANY ACCIDENT THAT MAY OCCUR OR FOR ANY PROPERTY DAMAGE TOTAL PARTS C9 O
_ OR PERSONAL INJURY THAT MAY BE CAUSED BY OR RESULT FROM THESE TEMPORARY REPAIRS.
GAS.OIL.GREASE
I HEREBY AUTHORIZE THE ABOVE REPAIR TO BE DONE ALONG WITH NECESSARY MATERIALS.
-- YOU AND YOUR EMPLOYEES MAY OPERATE ABOVE VEHICLE FOR PURPOSE OF TESTING.
INSPECTION,OR DELIVERY AT MY RISK.AN EXPRESSED MECHANICS LIEN IS ACKNOWLEDGED SUBLET REPAIR
ON ABOVE VEHICLE TO SECURE THE AMOUNT OF REPAIRS THERETO.RENNER'S BODY WORKS
WILL NOT BE HELD RESPONSIBLE FOR LOSS OR DAMAGE TO THE ABOVE VEHICLE.OR ARTICLES
LEFT IN THE ABOVE VEHICLE IN CASE OF FIRE. THEFT, ACCIDENT. OR ANY OTHER CAUSE
BEYOND THE CONTROL OF RENNER'S BODY WORKS.
CUSTOMER SIGNATURE_____ __—DATE_— STATE TAX
RECEIVED BY
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.
Renners Body Works Terms
890 East 146th Street
Noblesville, IN 46060
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
12/16/13 58 MCC Truck Body repairs 36397 $ 861.00
I
Total $ 861.00
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
120
Clerk-Treasurer
Voucher No. Warrant No.
Renners Body Works Allowed 20
ql'70-80@-East 146th Street
Noblesville, IN 46060
In Sum of$
$ 861.00
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1093 58 4350000 $ 861.00 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
20-Feb 2014
Signature
$ 861.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund