319978 12/21/17 / CITY OF CARMEL, INDIANA VENDOR: 00352792
ONE CIVIC SQUARE PENSKE CHEVROLET CHECK AMOUNT: $*******188.16
x, ?° CARMEL, INDIANA 46032 PO BOX 40319 CHECK NUMBER: 319978
INDIANAPOLIS IN 46240-0319 CHECK DATE: 12/21/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 701531-1 82.66 REPAIR PARTS
2201 4237000 701533 105.50 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
vendor# 00352792 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
IN SUM OF$ CITY OF CARMEL
PENSKE.CHEVROLET
PO BOX 4.0319 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.
INDIANAPOLIS, IN 46240-0319
Payee
$188.16
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Street Department Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
701533 42-370.00 $105.50 1 hereby certify that the attached invoice(s),or 10/18/17 701533 $105.50
2201 2201 2201 2201
701531-1 42-370.00 $82.66 bill(s)is(are)true and correct and that the 10/18/17 701531-1 $82.66
2201 2201 materials or services itemized thereon for 2201 2201
which charge is made were ordered and
received except
Wednesday, December 13,2017
Huffman, Dave
Director
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
120
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
3210 E. 96TH ST. • P.O. BOX 40319
INDIANAPOLIS, INDIANA 46240-0319
RAEpV4�AEF, (317) 846-6666
Chevrolet Parts
_CREVAOLET Direct (317) 846-2564
Indiana (800) 692-6370
WEEK DAY PARTS DEPT. HOURS 8:00AM TO Pma' Wats (800) 533-6602
SATURDAY PARTS DEPT. HOURS 8:OOAM TO 4:OOPM
,11111111 X11111101111111111
01010701531-1
1
• TAX EXEMPT NUMBER CUST.P. • NO. SHIP VIA PAY SOLD BY INVOICEDATE INVOICE
3082 0031201550-020 TRK#11 CHARGE BOB CONNOR 10/18/17 701531-1
CVW
317-733-2001
I CARMEL STREET DEPT H
L 3400 W 131ST ST P
T WESTFIELD, IN 46074-8267 T
0 0
QUANTITY
PART NUMBER I DESCRIPTION BIN LIST NET AMOUNT
SHIP B. •
1 0 19169018 LAMP 2.679 N SP-ORD 110.44 82.66 82.66
s
a
Is
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ad
W
DISCLAIMER OF WARRANTIES SUBTOTAL 82.66
Any wanarrtlas on the pmduets sold hereby era Ihase made by the menutfldurer.The Seger,Penske Chowolel,hereby e7Fresety rdalms ell.
waireN199,either expressed erfrllplied,Inclutling any implied warranty of merchamaWdry orfitness,for a peNoee
oularpufp ,end Perreke ChourelaL
nalther assumes nor authorim wry other person to assume for It wry fiabi ty In connecUon with the sato of sold products., a
SPECIAL ORDER OR FACTORY ORDERED ITEMS NOT RETURNABLE.ELECTRICAL PARTS NOT RETURNABLE. TAX 0.00
15%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.
RECEIVED-BY:" NO REFUNDS WITHOUT
THIS INVOICE THIS 0.00
PAYTHISAMOUNT 82.66
12:04:41 CUSTOMER COPY "'DUPLICATE*' NET506 PAGE 1 OF 1
3210 E. 96TH ST. • P.O. BOX 40319
INDIANAPOLIS, INDIANA 46240-0319
V�:
(317) 846-6666 ;
I
Chevrolet Parts
CHEVROLET Direct (317) 846-2564
NNaattII�nnndnniana (800) 692-6370 ff
WEEK DAY PARTS DEPT. HOURS 8:OOAM TO 5:30PMal Wats (800) 533-6602 j
SATURDAY PARTS DEPT. HOURS 8:OOAM TO 4:OOPM
I Illlllllllllllllllllllllillflll1111111111111111111111111111111111
01016701533
I
CUST.NO, TAX EXEMPT NUMBER CUST.P.0.NO. SHIP VIA PAY SOLD BY INVOICE DATE INVOICE
'l
I
3082 0031201550-020 TRK#111 CHARGE BOB CONNOR 10/18/17 701533
CVW
317-733-2001
I CARMEL STREET DEPT H
� 3400 W 131ST ST P
T WESTFIELD, IN 46074-8267 T
0 0
QUANTITY
DESCRIPTION •
SHIP B. •
1 0 5968095 RING 2.726 N 55F 65.70 49.18 49.1"8
l 2 0 15095056 SPRING 2.726 N 55L 8.27 6.19 . 12.38 '
1 0 5969466 RING 2.731 N 57E 45.66 34.18 34.18
2 0 5966249 BOLT 2.736 Y 57E 3.48 2.61 5.22
1 0 ;11588842 CLIP 2.726 N SP-ORD 6.06 4.54 ' 4.54
N
V
2
w
olscLa«+eR of wARRANnes.
SUBTOTAL , 105.50
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waimntiny;,p'rthsr oaprc�sadorir.PSed'frK'(ud�g9 oM�ImPGadwarrentyot morc7u�MeW'9yattanocstoraRAA(d►arpwppsa and PonskoChovrolel, E.
nc�horusuma9DamluwdruneyollwrPemontoaaswn4ford"M':RnhNty.fmm�nna�tcrtwhhlhaaeieolsC�lPtoducb. m
SPECIAL ORDER OR FACTORY ORDERED ITEMS NOT RETURNABLE.ELECTRICAL PARTS NOT RETURNABLE, TAX 0.00
1151%HANDLING CHARGE FOR RETURNED ITEMS.
WE ARE NOT RESPONSIBLE FOR ANY LABOR ON PARTS NOT INSTALLED BY OUR SHOP.
m
RETURNED PARTS MUST BE IN ORIGINAL AND UNDAMAGED CONTAINER.
ALL EXCHANGES AND REFUND CLAIMS MUST BE ACCOMPANIED BY THIS INVOICE WITHIN 10 DAYS.
RECEIVED BY: NO REFUNDS WITHOUT
THIS INVOICE FREIGHT 0.00
PAYTHISAMOUNT 105.50
12:04:46 CUSTOMER COPY **DUPLICATE** NET506 PAGE 1 OF 1