319528 12/12/17 CITY OF CARMEL, INDIANA VENDOR: 00352792
3 ONE CIVIC SQUARE PENS KE CHEVROLET CHECK AMOUNT: S*******120.38*
=4 CARMEL, INDIANA 46032 PO BOX 40319 CHECK NUMBER: 319528
Fy_TON.`o, INDIANAPOLIS IN 46240-0319 CHECK DATE: 12/12/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 703344 99.38 OTHER EXPENSES
651 5023990 7033441 21.00 OTHER EXPENSES
VOUCHER NO. 176858 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 352792 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
PENSKE CHEVROLET CITY OF CARMEL
3210 E. 96TH ST An invoice or bill to be properly itemized must show: kind of service,where performed,
PO BOX 40319 dates service rendered, by whom, rates per day, number of hours, rate per hour,
INDIANAPOLIS, IN 46240-0319 numbers of units, price per unit, etc.
Payee
120.38 352792 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR PENSKE CHEVROLET Terms
Carmel Wasterwater Utility 3210 E. 96TH ST Due Date
BOARD MEMBERS PO BOX 40319
I hereby certify that that attached invoice INDIANAPOLIS, IN 46240-0319
(s),
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT for which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
703344 01-7502-06 $99.38 and received except 11/28/2017 703344 $99.38
703344-1 01-7502-06 $21.00 11/28/2017 703344-1 $21.00
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_
Clerk-Treasurer
Chevrolet Parts
P E N S KE CHEVROLET Direct (317) 846-2564
Indiana (800) 692-6370
3210 E. 95TH ST. •P.O. BOX 40319•INDIANAPOLIS, INDIANA 46240-0319 National Wats (800) 533-6602
(317)846-6666
WEEK DAY PARTS DEPT. HOURS 8:OOAM TO 5:30PM
SATURDAY PARTS DEPT. HOURS 8:OOAM TO 4:OOPM
0101G703344-1
DISCLAIMER OF WARRANTIES
Any warranties on the products sold hereby are those made by the manufacturer.The Seller,Penske Chevrolet,hereby expressly disclaims all warranties,either expressed or implied,including any implied
warranty of merchantability or fitness for a particular purpose,and Penske Chevrolet,neither assumes nor authorizes any other person to assume for it any liability in connection with the sale of said products.
•SPECIAL ORDER OR FACTORY ORDERED ITEMS NOT RETURNABLE. •ELECTRICAL PARTS NOT RETURNABLE. •18%HANDLING CHARGE FOR RETURNED ITEMS. •WE ARE NOT RESPONSIBLE FOR ANY
LABOR ON PARTS NOT INSTALLED BY OUR SHOP. •RETURNED PARTS MUST BE IN ORIGINAL AND UNDAMAGED CONTAINER. •ALL EXCHANGES AND REFUND CLAIMS MUST BE ACCOMPANIED BY THIS
INVOICE WITHIN 10 DAYS. •NO CASH REFUNDS. •ABSOLUTELY NO REFUNDS WITHOUT THIS INVOICE.
TAX EXEMPT
• NUMBER CUST. P. • NO. SHIP • • � � •
5082 0031201550020 126 CHARGE DAVID POLLARD 11/16/17 703344-1
CVW
317-733-2855
CARMEL UTILITIES H
I CALL JEFF 716-5882
L 3450 W 131ST ST I
L CARMEL, IN 46074 P
T T
0 O
PARTS DEL ADD.-3450 W 131ST ST
PART NUMBER/•
• •
•
1 0 15047946 SENSOR 9.7.70 Y 158D 30.00 21.00 21.001
F I
fL � aj
i
I
i
mt
mI •
N i
�I
n 3 '
V1 i
W3
SUBTOTAL 21,00
PAYMENT METHOD AMOUNT$
W
❑CASH ❑ MC ❑VISA ❑ DISC ❑CB ❑AE
TAX 0.00
a
❑OTHER
c
❑CK# DATE INITIALS
a
r PARTS RECEIVED BY: FREIGHT 0.00
21.00
a
PAY THIS AMOUNT PAGE 1 OF 1
PSK-2020-C
www.penskechevy.com
Chevrolet Parts
r P E N S KE CHEVROLET Direct (317) 846-2564
Indiana (800) 692-6370
3210 E. 96TH ST. •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
0101G703344
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 or 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. •ELECTRICAL PARTS NOT RETURNABLE. •18%HANDLING CHARGE FOR RETURNED ITEMS. •WE ARE NOT RESPONSIBLE FOR ANY
LABOR ON PARTS NOT INSTALLED BY OUR SHOP. •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.
TAX EXEMPT• CUST. P. • • SHIP-VIA PAY SOLD BY INVOICEDATE INVOICE
NUMBER
5082 0031201550020 126 CHARGE DAVID POLLARD 11/15/17 703344
CVW
317-733-2855
B S
I CARMEL UTILITIES H
� 3450 W 131ST ST P
CARMEL, IN 46074
T T
O O
PARTS DEL ADD.-3450 W 131ST ST
QUANATITY
• AMOUNT
SHIP B.
•
0 1 15047946 SENSOR , 9.770 Y 158D 30.00 21.00 0.0011
1 0 15162675 LAMP 2.725 N 54F 132.77 99.38 99.381
_ 9
t.
z a
wl
SUBTOTAL 99.38
PAYMENT METHOD AMOUNT$
W
❑CASH ❑MC ❑VISA ❑DISC ❑CB ❑AE
TAX 0.00
a
❑OTHER
c
❑CK# DATE INITIALS
PARTS RECEIVED BY: FREIGHT 0.00
99.38
PAY THIS AMOUNT
PSK-2020—C PAGE 1 OF 1
www.penskechevy.com