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182270 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: 025950 Page 1 of 1 ONE CIVIC SQUARE BILL ESTES CHEVROLET CHECK AMOUNT: $241.90 CARMEL, INDIANA 46032 4105 W 96TH ST INDIANAPOLIS IN 46268 CHECK NUMBER: 182270 CHECK DATE: 2/17/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4237000 558381 225.51 REPAIR PARTS 1110 4342100 558381 16.39 POSTAGE f bMastes CHEVROLET, INC. M. 4105 West 96th Street Indianapolis, IN 46268 Call Direct: 872 -1692 Fax Direct: 337 -0541 www.billestes.com E -MAIL: parts @billestes.com PARTS RETURN POLICY ALL RETURNED PARTS MUST CONFORM TO THE GM PARTS PACKAGING QUALITY STANDARDS, THOSE STANDARDS SHOWN UPON REQUEST. NOTE: ELECTRICAL SPECIAL ORDER PARTS ARE NOT RETURNABLE!!!! A 20% HANDLING CHARGE WILL BE ADDED ON ALL RETURNED PARTS. ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BY THIS BILL. NO REFUNDS AFTER 30 DAYS. DISCLAIMER OF WARRANTIES ANY WARRANTIES ON THE ITEWITEMS SOLD HEREBY ARE THOSE MADE BY THE MANUFACTURER. THE SELLER, BILL ESTES CHEVROLET Inc., HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES, EITHER EXPRESSED OR IMPLIED, INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, AND BILL ESTES CHEVROLET Inc. NEITHER ASSUMES NOR AUTHORIZES ANY OTHER PERSON TO ASSUME FOR IT ANY LCLILL�1 IN3T74N445'-' THE SALE OF THE ITEM /ITEMS. Caw.° U' t l R M �'r`�' ri� 1 w m 119300 0031201550 -020 CAR #85 CHARGE RANDY MCQUEEN 02/09/10 558381 CVw 317- 733 -4600 B S L CITY OF CARMEL POLICE DEPT. THANKS: JASON GUYS!! L 3 CIVIC SID P o CARMEL, IN 46032 -2584 T 1 0 26064241 CNT SH /AS 4.025 SOR 300.67 225.51 225.51 OVERNITE PART!! PARTS DEPT. HOURS: MONDAY FRIDAY 7:00 AM 7:00 PM SATURDAY 8:00 AM 12:00 PM CAUTION Open Carefully DO NOT DEFACE (Returnable only in original undamaged carton.) k DO NOT RESEAL IL o SUBTOTAL 2255.51 WITH TAPE m m TAX 0.00 THANKYOU U 7 FREIGHT 16.39 Q PAY THIS AMOUNT 241.90 e 10:08:07 CUSTOMER COPY NET504 PAGE 1 OF 1 Ci INDIANA RETAIL TAX EXEMPT PAGE o Carmel PURCHASE OR CERTIFICATE N0. 003120155 002 0 1 DE 1. Ji DER NUMBER police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 2134 30°IVG[CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A1P CARMEL INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1 997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION Febriary 10 2010 repair pa VENDOR Bill Estes Chevrolet SHIP City of Carmel P&Jdce Depari=es't 4105 fast 96th Street TO 3 Civic Square Indianapolis, IN 46266 Carmel., IN 46032 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT I QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION linear shift assembly for car 85 Semester 225.41 •e�' 4 Send Invoice To: I PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECTACCOUNT AMOUNT 1110 370 repair parts 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. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATION SUFFICIENT /TO PAY. FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED, ORDERED BY AV &/,1 1 PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 213 T. CLERK- TREASURER DOCUMENT CONTROL NO A+ COPY SIGN AND RETURN TO CLERIC'S OFFICE VOUCHER NO.--- WARRANT NO._ -s_ ALLOWED 2© IN THE SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. rtify 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_ i 2© j Signature Title i i Cost distribution ledger classification it claim paid motor vehicle highway fund I i 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 Bill Estes Chevrolet Purchase Order No. 21347F 4105 West 96th Street Terms Indianapolis, IN 46268 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 2/9/10 558381 Davmetn for linear shift assembly 241.90 Total 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 VOU NO. WARRANT NO. ALLOWED 20 Bill Estes Chevrolet IN SUM OF 4105 West 96th Street Indianapolis, IN 46268 241.90 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. H 1 hereby certify that the attached invoice(s), or 21347F 558381 370 2 bill(s) is (are) true and correct and that the 1110 558381 421 16-39 materials or services itemized thereon for which charge is made were ordered and received except February 12 20 10 Signature chief of Pol ice Title Cost distribution ledger classification if claim paid motor vehicle highway fund