242907 3 /11/2015 �• CITY OF CARMEL, INDIANA VENDOR: 025950
ONE CIVIC SQUARE BILL ESTES CHEVROLET CHECK AMOUNT: $*******187.82*
CARMEL, INDIANA 46032 4105 W 96TH ST CHECK NUMBER: 242907
y�TON INDIANAPOLIS IN 46268 CHECK DATE: 03/11/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 32798 607460 187.82 REPAIRS
bill ester
® CHEOOLET, INC. 13.
4105 West 96th Street Certified Service
Indianapolis, IN 46268
Call Direct: 872-1692
Fax Direct: 337-0541
www.billestes.com
E-MAIL: parts@billestes.com
PARTS RETURN POLICY
ALL RETURNED PARTS MUST CONFORM TO THE GM PARTS PACKAGING QUALITY STANDARDS,THOSE STANDARDS SHOWN UPON REQUEST.
NOTE: ELECTRICAL&SPECIAL ORDER PARTS ARE NOT RETURNABLE!!!!
ALL RETURNED PARTS ARE SUBJECT TO A 35%HANDLING CHARGE.
ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BY THIS BILL.
NO REFUNDS AFTER 30 DAYS.
DISCLAIMER OF WARRANTIES
ANY WARRANTIES ON THE ITEM/ITEMS SOLD HEREBY ARE THOSE MADE BY THE MANUFACTURER.THE SELLER,BILL ESTES CHEVROLET,Inc.,HEREBY EXPRESSLY
DISCLAIMS ALL WARRANTIES, EITHER EXPRESSED OR IMPLIED, INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FME$S:FW74445GLO"5
PURPOSE,AND BILL ESTES CHEVROLET,Inc.NEITHER ASSUMES NOR AUTHORIZES ANY OTHER PERSON TO ASSUME FOR IT ANY LIABILITY IN CONNECTION WITH
THE SALE OF THE ITEM/ITEMS.
CUST.P.O.NO. INVOICE DATE INVOICE.
31 L.HAKUL KANDY MCQFE
—
CVW
317-571-2546
B CITY OF CARMEL POLICE DEPT. H 2011 IMPALA
3 CIVIC SQ P LAST 8 OF VIN#61288642
T CARMEL, IN 46032-2584 T THANK YOU! ! !»»»»»»>
0 0
;ART NUMBER I DESCRIPTION. BIN, LIST•
AMOUNT
UREAR
PARTS DEPT.
HOURS:
MONDAY- FRIDAY
7:00 AM - 7:00 PM
SATU R DAY
__. _..... _.. _.. 8:00 AM=4:00 PM
CAUTION
Open Carefully
DO NOT DEFACE
(Returnable only in
original undamaged
carton.)
DO NOT RESEAL
SUBTOTAL 82 WITH TAPE
TAX 0.00 THANKYOU
FREIGHT 0.00
VF° PAYTHISAMOUNT 187.82
77 NE I bU4 PAGE 1 OF 1
N - I . . !n-7-7_J
INDIANA RETAIL TAX EXEMPT PAGE
City ®f Carmpl
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 32799
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
314W5
Bill Estcs Chevrolet Carmel Police Depal went
VENDOR SHIP 3 Civic Square
4105 West 96th Strefit TO Cabal, IN 4W32
Indianapolis, IN 462168 (W)571-2559
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-510.00
1 Each repairs to vehicle $187.82 $137.82
Sub Total: $187.82
+ 1 r
r,
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T
(if\I f ✓ i
XI x I * to f'�fj/yJ \-..—.✓"'ti..
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Car 102 r FI
Send Invoice To: ,
Carmel Police Department - _
Attn: Pat Young
3 Civic Square
Carmel, IN 466- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
Cannel Police Dept. .'� PAYMENT 5167.82
1' A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
" NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. THIS APPROPR �IQN SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY / vS
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL s�1 -
f
SHIPPING LABELS. hief ol�cTka
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE 9 9 1
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO- 32798 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PQ's or INVOICE NO. ACCT#/TITLE AMOUNT
DEFT.# 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
which charge is made were ordered and
received except
20
-- —--...........- --- —- -- -.._...__...........--
Signature
------ ---- ------ Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
'
Bill Estes Chevrolet ALLOWED 20
IN SUM OF$
4105 West 96th Street
Indianapolis, IN 46268
I
$187.82
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
32798 607460 43-510.00 $187.82 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
which charge is made were ordered and
received except
Thursday, March 05, 2015
(Z Chief of Police
Title
Cost distribution ledger classification if
claim paid motor 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 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))
03/04/15 607460 vehicle repairs $187.82
L
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
20Clerk-Treasurer