232606 05/13/14 J`% *`� CITY OF CARMEL, INDIANA VENDOR: 00351793
I; ONE CIVIC SQUARE RENNER'S BODY WORKS CHECK AMOUNT: $*****1,163.87*
9 (roN ate; CARMEL, INDIANA 46032 NOBOE.LESVILLE INTH TREET CHECK 46060CHECK DATE: 05 13/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4351000 55 1,163.87 AUTO REPAIR & MAINTEN
All PARTS INSTALLED ARE NEW UNLESS SPECIFIED OTHERWISE STEVE
RENN • • NIXO
QUAN PART
AMOUNT X0
J (/�' •// DESCRIPTION
BODY
►Q : ., . � : ten/ t
' ////��// NAME l_( )eII'K- L I / `P--T ��� �I OC- I C'(�(I` DATE _C `
11P_I � / r_ /��•�{�� TIM[ RECEIVED ER.S
L�// ADDRESS t�t I �^ [ 16� IS PIECI AM PM
PHON�
QQ'^^}� WHEN
\.-.I 't�MEE TIME PROMISED PROMISED
CITY L READY J� G � AM[ PM
rEAR TYPE OR MODEL. VEHICLE IDENTIFICATION NUMBER DELIVERED
o.9 fop
p �=Js /FTS � 15 AL3 0 9
ORDER
DATE REPAIR ORDER - LABOR - • WRITTEN •r
$
�27GbmP6a_ 1YloUru7iiu6 �c(/-�
RL pt,�-- 6e►LLa
lV� - 4- c I -- 4-35io
-3
R AIN PARTS E] DESTROY PARTS r
I HEREBY AGREE THE �Q
TEMPORARY REPAIRS MAD -TH ABOVE IDENTIFIED VEHICLE WERE TOTAL LABOR �Y 1
MADE AT MY REQUEST^THE-ABQVE_REP.AIR-WORX WAS PJOT MADE IN ACCORDANCE WITH THE
' 1 r ;" •Ij-1 SCOPE OF DAMAGE REFLECTED IN THE COMPLETED ESTIMATES.THE REPAIRS MADE WERE OFA PAINT MATERIAL "--
TEMPORARY NATURE AND RENNER'S BODY WORKS DOES NOT RECOMMEND THE ABOVE
MAYp I7 1,1 DESCRIBED VEHICLE BE OPERATED UNTIL FINAL REPAIRS ARE COMPLETE.RENNER'S BODY TOTAL PARTS
WORKS IS NOT LIABLE FOR ANY ACCIDENT THAT MAY OCCUR OR FOR ANY PROPERTY DAMAGE CJ v
91 1`t OR PERSONAL INJURY THAT MAY BE CAUSED BY OR RESULT FROM THESE TEMPORARY REPAIRS.
;� GAS.OIL.GREASE
1 HEREBY AUTHORIZE THE ABOVE REPAIR TO BE DONE ALONG WITH NECESSARY MATERIALS.
YOU AND YOUR EMPLOYEES MAY OPERATE ABOVE VEHICLE FORIPURPOSE 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.
If
CUSTOMER SIGNATURE___ ___-_.__ _DATE__- STATE TAX
i
RECEIVED BY _ —_ ___—DATE_-------.- ��
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.
Renner Nixon Body Works Terms
8190 East 146th Street
Noblesville, IN 46060
Invoice Invoice Description
Date Number (or note attached invoices)or bill(s)) PO# Amount
4/21/14 55 M01 Bodywork repair 36594 $ 1,163.87
Total $ 1,163.87
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
20_
Clerk-Treasurer
7
Voucher No. Warrant No. li
Renner Nixon Body Works Allowed 20
8190 East 146th Street
Noblesville, IN 46060
I� In Sum of$
1
$ 1,163.87
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
_ I
PO#or I' Board Members
Dept# INVOICE NO. ACCT#/TITL AMOUNT g
!'
1125 55 4351000. $ 1,163.871 I hereby certify that the attached invoice(s), or
bill(s)-is(are)true and correct and that the
materials or services itemized thereon for
j which charge is made were ordered and
j received except
I,
8-May 2014
i'
I
i
Signature
$ 1,163.87;. Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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