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Home My WebLink About244453 04/21/15 ;4y,w.s.g,�� CITY OF CARMEL, INDIANA VENDOR: 359589 ® ONE CIVIC SQUARE CHAMPION CHRYSLER JEEP AND DODMECK AMOUNT: S""""310.16• ?,, CARMEL, INDIANA 46032 4505 W 96TH STREET CHECK NUMBER: 244453 ''"�raN INDIANAPOLIS IN 46269 CHECK DATE: 04/21/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4237000 32837 92786 310.16 WHEEL PARTS INVOICE 4-�'f�7 2 • 317-571-2546 CHW B S TCARMEL POLICE DEPARTMENT H 0JASON 0L O 3 CIVIC SQUARE P GARAGE CARMEL, IN 46032 • a • • • • - - PARTS RETURN POLICY 1 0 56029481-AB SENSOR TI 08037155 105D 80.95 66.78 66.78 ALL RETURNED PARTS MUST CONFORM TO THE ORIGINAL PARTS PACKAGING QUALITY STANDARDS,THOSE STANDARDS SHOWN UPON REQUEST. NO REFUNDS ON SPECIAL ORDER m PARTS OR ELECTRICAL PARTS. ALL RETURNED PARTS SUBJECT v TO 20% RESTOCKING CHARGE. 0 U Z a 310.16 n SUBTOTAL _ DISCLAIMER OF WARRANTIES Any warranties on the itemrtems sold hereby are those made by the manufacturer.the seller, CHAMPION TAX 0.00 y CHRYSLER JEEP DODGE,hereby expressly disclaims all warranties,either express or implied,including any implied warranty of merchantability or fitness for a particular purpose,and CHAMPION CHRYSLER JEEP DODGE neither assumes nor authorizes any other person to assume for it any liability in connection with the sale of the FREIGHT 0.00 itetems. 310.16 PAY THIS AMOUNT 7A�M NOBODYBFATSA 4505 W.96th Street 14:19:31 PAGNE0524:C::H7P10N Indianapolis, IN 46268 (317) 872-6200• (877) 931-6200 CHRYSLER _ Jeep www.championcjd.com I City ® (�° Carmel INDIANA RETAIL TAX EXEMPT PAGE ,J,�r CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 32837 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 41812015 Champion ChFyf;lerJeep Dodge Camel Police Dei Ament VENDOR SHIP 3 Chic squam 459M W, 9th 0tmet TO Camel, IN 46032 Indianapolis, IN 4M (317)071 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42-370.00 I Each Wheel $295.00 $295.00 1130 Total: $295.00 r.1 1 / r r 3,;r r , AN % i .� - ..�s :„',E t Car I Send Invoice To: Carmel Malice Department Atte- Pat Young 3 Civic Squart Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT _ AMOUNT cannel Police wept. 1 $2,J5.66 PAYMENT V� A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY T�AT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRI TI SUFFICIENT TO P FOR THE ABOVE ORDER. •SHIP REPAID. • C.O.D.SHIPMENTS CANNOT BE ACCEPTED. • PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. �j hl@f of Police •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE v AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 32837 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 ' I IN THE SUM OF$ ON ACCOUNT OF APPROPRIATION FOR �� f Board Members Po#or DEPT.# INVOICE NO. ACCT#/fITLE AMOUNT 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. ALLOWED 20 Champion Chrysler Jeep Dodge IN SUM OF$ 4505 W. 96th Street Indianapolis, IN 46268 $310.16 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members 32837 92786 j 42-370.00 $310.16 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, April 16, 2015 Chief of Police i I d 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 �I Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s)or bill(s)) 04/08/15 92786 repair parts $310.16 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