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252562 12/15/15 (9, CITY OF CARMEL, INDIANA VENDOR: 370133 ONE CIVIC SQUARE BUTLER AUTO COLLISION CHECK AMOUNT: S"'""'663.20' CARMEL, INDIANA 46032 931 N RANGELINE ROAD CHECK NUMBER: 252562 CARMEL IN 46032 CHECK DATE: 12/15/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4351000 TOCB701452 663.20 AUTO REPAIR & MAINTEN r /r ^ BODYSHOP HOURS MON-FRI: 7:30 TO 5:30 �. SATURDAY: 8:30 TO 12:30 TELEPHONE: AU70 C OL L9690M (317) 848-2471 931 N.RANGELINE ROAD FAX (317) 848-2489 CARMEL,1N 46032 DISCLAIMER OF WARRANTIES Any warranties on the products sold hereby are those made by the manufacturer.The Seller,BUTLER AUTO COLLISION,hereby expross[y diarlaims all wamantae,either exp—or implied,including any implied wamanty,of merchantability or fitness for a paNcular purpose,and BUTLER AUTO COLLISION neither assumes nor authon2es any other person to assume br n any habilrty m connection with the sale of said products. I hereby aduwwledge my right,upon complebon of the repairs,to insped said vehicle and repair—k before taking delwery or possession and to reject same if not commercially acceptable My failure to se atspect shall constitute a waiver of this right Taking derwery or possession of my veh,Ue shell constitute my uncmoawnal acceptance of same,acknowledgng all repairs to be satsfadory,lermmate my rights of rejection andror revocation,and forever discharge BUTLER AUTO COLLISION from alt[,ability thereon,including babihty for breach of express or implied warranty Arbnrahon required by its agreement The panes agree that instead of hbgabon in a coud,any dspute,controversy,w clam ansing out of or relating to this transaction shall be settled by binding arbd2bon administered fly the Benet Business Bureau,under its commercial arbitration rules Su:h arbitration shall be conducted in Markm County,Income.Each parry agrees to pay their own costs Arty judgement on the aware rendered by the aracphor may be entered m any can hawng jurisdiction hereof. X CUSTOMER NO. ADVISOR TAG IN INVOICE DATE INVOICE NO. 193097 DAVID SMETHERS 2301 6258 12/10/15 TOCI3701452 LABOR RATE LICENSE NO. MILEAGE COLOR STOCK NO. CITY OF CARMEL 1 200 YEAR/MAKE/MODEL DELIVERY DATE DELIVERY MILES ONE CIVIC SQUARE 15/SUBARU/ CARMEL, IN 46032 VEHICLE I.D.NO. SELLING DEALER NO. PRODUCTION DATE 3 F 2 S 3 A A C 5 F H 5 2 4 2 5 8 F.T E.NO. P.O.NO. R.O.DATE 12/01/15 RESIDENCE PHONE BUSINESS PHONE I COMMENTS 317-571-2444 MO: 7200 .LABOR,_&_PARTS;-_,: HY:;:,...:..:........ ...:........>-._-..-....- rr.:�.:..:v.--- �,.- -,� � . --..-..-. ;.::.;;,.:... >.. :.-... J#m1.:.95.TMEP:AIR::.": REPAIR PER ESTIMATE JOB # 1 TOTAL LABOR & PARTS 363.40 ------------------------------------------------------------------------- ---------------- J#:�2t:95T,bZREI~<WISH�>�REFI�IISH::P..E3t:ESTIMAT;UNITS.::�a:3:.80�TE6HtS):1730:Z399. :::k;�:�`:��'�E1�74:s8Dt REFINISH PER ESTIMATE _ _m JOB # 2 TOTAL LABOR & PARTS 174.80 ------------------------------------------------------------------------------------------------ G.O.G. & SUPPLIES------------------------------------------------------------------ JOB # 1 1.0 BSHAZNT @ 3.000 /UNIT 3.00 JOB # 1 1.0 PAINTMAT @ 122.000 /UNIT 122.00 TOTAL - GOG 125.00 ESTIMATE--------------------------------------------------------------------------- CUSTOMER HEREBY ACKNOWLEDGES RECEIVING ORIGINAL ESTIMATE OF $671.95 (+TAX) TOTALS------------------------------------------------------------------------------------------ THANK YOU FOR CHOOSING BUTLER TOYOTA AS THE PLACE TO HAVE TOTAL LABOR.... 538.20 YOUR VEHICLE SERVICED. IF FOR ANY REASON WE DID NOT EXCEED TOTAL PARTS.... 0.00 YOUR EXPECTATIONS. PLEASE CONTACT OUR CUSTOMER SERVICE TOTAL SUBLET... 0.00 ) MANAGER PATRICK CLAYTON AT 1-866-723-5555. TOTAL G.O.G.... 125.00 TOTAL MISC CHG. 0.00 IF YOU RECEIVE A SURVEY FROM TOYOTA, WE WOULD APPRECIATE YOU TOTAL MISC DISC 0.00 TAKING A FEW MOMENTS TO COMPLETE AND RETURN IT. TOTAL TAX...... EVEN IF YOU ARE "COMPLETELY SATISFIED" PLEASE RETURN YOUR TOTAL INVOICE$ 8" SURVEY SO THAT WE CAN INFORM OUR ASSOCIATES OF A JOB WELL �3 DONE. AGAIN THANK YOU FOR ALLOWING US TO BE OF SERVICE TO YOU AND HAVE A WONDERFUL DAY. 'AGE 1 OF 1 CUSTOMER COPY [ END OF INVOICE ] 12:28PM f 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)) 12/10/15 TOCB701452 $663.20 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Butler Auto Collision IN SUM OF $ 931 N. Rangeline Road Carmel, IN 46032 $663.20 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1192 TOCB701452 I 43-510.00 I $663.20 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 Monday, December 14, 2015 Director Title Cost distribution ledger classification if claim paid motor vehicle highway fund