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Home My WebLink AboutKelley Automotive Group LLC/ADMIN/$55,770/2023 Silverado to replace totaled vehicle - ASABy Sergey Grechukhin at 10:29 am, Jul 18, 2023 DocuSign Envelope ID: 657F94F3-EFFE-4735-A05E-CDBADFA24E5B 7/19/2023 7/19/2023 7/19/2023 7/19/2023 Exhibit A nvoiceINVOICE KelleyChevrolet, LLC -- BusinessCentral Date: 12-Jul-23 Invoice #:23-237 From: Name:Mr. Clayton BellMark T. Wright Company:City of Carmel / Facilities -- Administration 5220 Value DriveTo: Street Address:3Civic Square Fort Wayne, Indiana 46808 City, State Zip:Carmel, IN 46032 - 2584Phone: 260-437-9218 E-mail: cbell@carmel.in.gov E-mail: mwright@kelleyauto.comPhone: 317-571-2414 SalespersonCustomer NumberDue Date MarkT.Wright C40138 UPON RECEIPT Order # Item #Stock #VINDescription Line Total 2023 Silverado 3500HD Crew 1LT1GC4YTEY1PF1835071.00$55,770.00BRZDN9 inSummit White w/options addingM1716 front door window tint & Floor Liners. Per Quote MUN-23-341 7/12/2023 Purchase Order #: Dated: 7/? ?/2023 Invoice prepared by: Mark T. Wright 55,770.00Total THANK YOU FOR YOUR PATRONAGE ! ! ! ! ! KELLEY CHEVY, LLC Corporate Remittance Address: Kelley Chevy, LLC, 929 Avenue of Autos, Fort Wayne, IN 46804 Attn: Jennifer Wylds DocuSign Envelope ID: 657F94F3-EFFE-4735-A05E-CDBADFA24E5B Interest Calculation Stock NumberFloorplan Amount T407728,182.80 Date CategoryDateDaysInterest RateInterest Charge Interest Start date6/21/2011 Interest Rate Change Date6/30/20119.002.59103% 18.01 Interest Rate Change Date7/31/201131.002.58555% 61.89 Interest Rate Change Date8/31/201131.002.58825% 61.95 Wire Received Date9/30/201130.002.62510% 60.81 Total101.00$ 202.65 DocuSign Envelope ID: 657F94F3-EFFE-4735-A05E-CDBADFA24E5B 7/13/2023 KELLEY CHEVY LLC FORT WAYNE, IN 46808 - 109880 5220 VALUE DR City of Carmel ONE CIVIC SQUARE CARMEL, INDIANA 46032-2584 FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997 INDIANA RETAIL TAX EXEMPT CERTIFICATE NO. 003120155 002 0 FEDERAL EXCISE TAX EXEMPT 35-6000972 PURCHASE ORDER NUMBER THIS NUMBER MUST APPEAR ON INVOICES, A/P VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION VENDOR SHIP TO PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT EXTENSION General Administration 1 Civic Square Carmel, IN 46032- 370298 UNITPRICEDESCRIPTIONUNITOFMEASUREQUANTITY Page 1 of 1 79120 Department:Fund: Account: Each Each Each Each Each Each Sub Total 1205Department:0Fund:Capital Lease Fund 44-650.01Account: 2023 Chevrolet Silverado3500HD1 $55,770.00 $55,770.00Each 55,770.00SubTotal 55,770.00 Send Invoice To: PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT SHIPPING INSTRUCTIONS SHIP PREPAID. C.O.D. SHIPMENT CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 PAYMENT 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. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. CONTROL NO. 109880 ORDERED BY TITLE CONTROLLER Dept of Administration 1 Civic Square Carmel, IN 46032- James Crider James Crider Director of Administration Director of Administration DocuSign Envelope ID: 657F94F3-EFFE-4735-A05E-CDBADFA24E5B