251683 11/18/15 `' ;' CITY OF CARMEL, INDIANA VENDOR: 00352792
6 ii ONE CIVIC SQUARE PENSKE CHEVROLET CHECK AMOUNT: $""`*`154.92'
- ?� CARMEL, INDIANA 46032 PO BOX 40319 CHECK NUMBER: 251683
vMt uH�o, INDIANAPOLIS IN 46240-0319 CHECK DATE: 11/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 653381 154.92 OTHER EXPENSES
I
0_77
Chevrolet Parts
++�„ PENSKE CHEVROLET Direct (317) 846-2564
Indiana (800) 692-6370
3210 E. 96TH ST. a P.O. BOX 40319 o INDIANAPOLIS, INDIANA 46240-0319 National Wats (800) 533-6602
(317) 846-6666
WEEK DAY PARTS DEPT. HOURS 8:00AM TO 5:30PM
SATURDAY PARTS DEPT. HOURS 8:OOAM TO 4:OOPM
DISCLAIMER OF WARRANTIES
Any warranties on the products sold hereby are those made by the manufacturer.The Seller,Penske Chevrolet,hereby expressly disclaims all warranties,either expressed of implied,including any implied
warranty of merchantability or fitness for a particular purpose,and Penske Chevrolet,neither assumes nor authorizes any other person to assume for it any liability in connection with the sale of said products.
•SPECIAL ORDER OR FACTORY ORDERED ITEMS NOT RETURNABLE. o ELECTRICAL PARTS NOT RETURNABLE. 018%HANDLING CHARGE FOR RETURNED ITEMS. o WE ARE NOT RESPONSIBLE FOR ANY
LABOR ON PARTS NOT INSTALLED BY OUR SHOP. o RETURNED PARTS MUST BE IN ORIGINAL AND UNDAMAGED CONTAINER. ALL EXCHANGES AND REFUND CLAIMS MUST BE ACCOMPANIED BY THIS
INVOICE WITHIN 10 DAYS. .NO CASH REFUNDS. -ABSOLUTELY NO REFUNDS WITHOUT THIS INVOICE.
• CUST P. • • -
• • • ! •
NUMBER
5082 0031201550020 S15557 CHARGE BOB CONNOR 10/28/15 653381
317-733-2855 CVW
B CARMEL UTILITIES H
I 9609 HAZELL DELL
L P 0 BOX 109 1
L CARMEL, IN 46082 P
T T
O O
ATI
Ty
• • •
•
i705911670 CARRIER 5.505 Y P-ORD 968.54 726.39 X26-392589227 GASKET 0.289 Y 198D 64.68 48.51 48.51
9060413 GASKET KI 3.270 Y 211F 109.63 82.23 82.23 1
v 0 12553047 GASKET 3.680 YSP-ORD 10.02 7.01 7.01
f1- 0 12637683 GASKET 0.423 Y 200M 22.89 17.17 17.17
"'x t•:;
U
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U
0
SUBTOTAL
° PAYMENT METHOD AMOUNT$
W
❑CASH ❑ MC ❑VISA ❑ DISC ❑CB ❑AE
TAX
❑OTHER 0.00
❑CK# DATE INITIALS
t PARTS RECEIVED BY: FREIGHT 0
31
08000:31 CUSTOMER COPY NET514 PAY THIS AMOU PAGE 1 OF 1
PSK-2020-C
www.penskechevy.com
Chevrolet Parts
PENSKE CHEVROLET
Direct (317) 846-2564
Indiana (800) 692-6370
3210 E. 96TH ST. o P.O. BOX 40319-INDIANAPOLIS, INDIANA 46240-0319 National Wats (800) 533-6602
(317)846-6666
WEEK DAY PARTS DEPT. HOURS 8:OOAM TO 5:30PM
SATURDAY PARTS DEPT. HOURS 8:OOAM TO 4:OOPM
DISCLAIMER OF WARRANTIES
Any warranties on the products sold hereby are those made by the manufacturer.The Seller,Penske Chevrolet,hereby expressly disclaims all warranties,either expre iU_any implied
warranty of merchantability or fitness for a particular purpose,and Penske Chevrolet,neither assumes nor authorizes any other person to assume fo it.any-liawi n-connection-with_ ale of saitl products.
a SPECIAL ORDER OR FACTORY ORDERED ITEMS NOT RETURNABLE. o ELECTRICAL PARTS NOT RETURNABLE. -018% LING CHARGE FOR•R°TURNED ITEMS. o WE ARE NOT RESPONSIBLE FOR NY
LABOR ON PARTS NOT INSTALLED BY OUR SHOP. o RETURNED PARTS MUST BE IN ORIGINAL AND UNDAMAGED CO AINER. ALL EXCHARGES AND REFUND CLAIMS MUST BE ACCOMPANIED BY THIS
INVOICE WITHIN 10 DAYS. o NO CASH REFUNDS. -ABSOLUTELY NO REFUNDS WITHOUT THIS INVOICE.
TAX EXEMPT I
CUST.N .• NUMBER T.
• • • s •
7C16-,1—0U_5'r10-f 1��LKn� B B ONNOR CM653381
CVw
317-733-2855'::,
B CARMEL -UTILITIES_ H
L P 0. BOX :109
L CARMEL', IN 46082 - P
T. T
O O
'PART-NUMBEFIJ• • •
•
-1 5911670 CARRIER:;.5_ .505 Y, P-ORD 968.54 726.39 -726.39
is
�`-w:
z '
-726.39
V)
W
U
� - SUBTOTAL
00 PAYMENT METHOD AMOUNT$
W —
❑CASH ❑MC El VISA? ''.❑ DISC.;i 0 C13, ❑-AE TAX 0.00
❑OTHER'.
a ❑CK# DATE-: -
' a -
JNET512
REIG0.00
PARTS RECEIVED BY: -726.39
OPY..:', **CREDIT MEMO '' PAY THIS AMOUNT PAGE 1 OF 1
PSK-2020-C - - '
'www.penskechevy-com
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
72600
PENSKE CHEVROLET Purchase Order No.
PO BOX 40319 Terms
Indianapolis, IN 46240-0319 Due Date 11/5/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/5/2015 653381 $154.92
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
1111311 1-r
Date Officer
VOUCHER # 156598 WARRANT # ALLOWED
72600 IN SUM OF $
PENSKE CHEVROLET
PO BOX 40319
Indianapolis, IN 46240-0319
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
653381 01-7502-06 $154.92
:i
t
Voucher Total $154.92
Cost distribution ledger classification if
claim paid under vehicle highway fund