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Home My WebLink About182961 03/03/2010 CITY OF CARMEL, INDIANA VENDOR: 00352792 Page 1 of 1 ONE CIVIC SQUARE PENSKE CHEVROLET CHECK AMOUNT: $810.87 CARMEL, INDIANA 46032 PO BOX 40319 INDIANAPOLIS IN 46240 -0319 CHECK NUMBER: 182961 CHECK DATE: 3/3/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 465063 12.02 TRANSPORTATION EXPENS 601 5023990 465114 42.63 TRANSPORTATION EXPENS 2201 4237000 465249CVW 49.80 REPAIR PARTS 2201 4237000 465277CVW 162.95 REPAIR PARTS 2201 4237000 465408CVW 73.48 REPAIR PARTS 2201 4237000 465697 16.10 REPAIR PARTS 2201 4237000 465972 173.91 REPAIR PARTS 651 5023990 466120 216.18 TRANSPORTATION EXPENS 2201 4237000 466231 56.76 REPAIR PARTS 2201 4237000 466877 7.04 REPAIR PARTS u 3210 E 96TH ST P BOX 40319 Chevro INDIANA DIANA 1 1 In diana CHEVROLET (317) 846-6666 811 692-6 Nati onal CUST OMER DD DISCLAIMER O FWARRANTIES Any warranty on e products sold her6by are those made by. CHEV the manufacturer. The Seller, PENSKE ex expressly disclaims all warranties,'oither or implie particular purpose and PENSKE CHEVRO assumes nor authorizes any other person to fo liability in connection with the sale of ..o CUSTOMER N0. TAX EXEMPY NUMBER. CUST, P.O. NO. SHIP VIA PAY �r'3,"� 0 3 SOLD BY INVOICE.OATE INVOICE NO F 1 02 Zvlij 3400 WEST 131ST ST I THANKS GARY 4 P QU an .1 e X7,.4 Y `yr 'f:: 'I:K •:e ANTITY t T-;�,� w v 4 !i PART NUMBER/ DESCRIPTION I a BIN LIST' NET, AMOUNT fti y c� •t l c� t s, y 2 H o .f' r Yr'4 K� 1. R l;1. '1•c6: '.`il'f X1 :1; ycA:�•'H•� vr •i K is i y ti lf t ?'G.. OR; J� �!Y '1 .:it'I 'fy, I•rA: t '3:.y r 't'vf t� C 7kr i••kCn y.,A 1r :•4 :Al.i:. �lr ;Y:•1 .ri'' i /r: y[ ''ja. ^y,., A'!5! :i "'`HC x'1 -�A: 'i[ j .r «r. r y6 ,r' Sig h Ai it11fti.ti)1 }�.t`l'ttFC 3210 E 96TH ST P BOX 40319 Chevro INDIANAP 4SK a 46240- Direct (317) 846-2564 CHEVR 846- :11 Z92-6370 Nati onal ..1 CUST OMER DD' DISCLAIMER o ll' WARRANTIES CHEV Any warranty on the products sold hereby are the manufacturer. The Seller, PENSKE ex press ly disclaims all warranties e expressed f inclu ding of or 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. 4 CUSTOMER'NO. TAX EXEMPT NUMBER CUST. P:O. NO. SHIP VIA PAY SOLD @Y 'INVOICE. DATE INVOICE.NO a 17 k 3082 0031201550-020 f 3,11ELIVER CHARGE MIKE ROSEBOOM 02/12/10 465277' DjW THAKS KEVIN L 3400 WEST 131ST ST 1 QUANTITY E c a a a, [vi•_ +I, r1f�+ {�7 PART NUMBER/ DESCRIPTION T BIN :LIST NET AMOUNT SHIP B.O." a x �rh �ftl i, rf �r.•t1r11� 1a i�jL�': +!�y rr 1 !�y y y y 1 Y A•E:t! Y "[A it• ;f 1 f•[A fib, r f'� SI ��;v`., �1:, j +.fry ry•[A.:.;r�y.:f�••►[14,��•� "K"Yf Yf .1 Sy F;;'i; kw W ZV t-0 'Yl.:�y '.�y l:.pp' ('�:•�6L5Kr;A ^.f':'i r.}��r Yj '`j• Rl, %i.7•.i ra DER.. fe <'ti;'K`• %K��li :-Y q;Nr •Z r '•r�� •f:�ai 321 E 96TH ST. P BOX 40319 Chevro INDI ANAPOLIS 1 46240-0319 D irect Indiana (800) 692-6370 CHEVROLET (317) 846-666 Nati onal :11 ..1 CUST OMER rr- CHEVROLET, PENSVE CHEVROLET DISCLAIMER OF,WARRANTIES THANK YOU FOR YOUR BUSINESS!! Any warranty on the products sold hereby are those made by the manufacturer. The Seller, PENSKE CHEVROLET expressly disclaims all warranties, either expressed or implied, PARTS HOURS 8:00AM TO 5.30FM including any implied warranty of merchantability or fitn I ass for, MONDAY THRU FRIDAY a particular purpose, and PENSKE assumes nor authorizes any other person to assume for it any liability in connection with the'sale of 3,DELIVER CHARGE MIKE ROSEBOOM 02'/17/10 465408 CVW CUSTOMER NO. TAX EXEMPT NUMBER. .GUST. P.O NO 5SHIP VIA �T^r .`PAY T SOLD BY :INVOICE'DATE INVOICE,NO C STREET DEFT S THANKS KEVIN J QUANTI 'PART NUMBER /.DESCRIPTION BIN •f. n LIST r NETS AMOUNT t E�� rA, ••r. SHIP B.O. ab x v S F �k Sb '1 A;• /,t wild ?:.i"1 'l�'.[ S i ;:;:r.� T-:�; ,'v'."%6:l 'Y6:'ti •1G'.'.K�•7. RR G'4'�• t•7:. y�t •,r -.tit .:r st,. a��7 yV�.'•' :�-.1 ice.. Jy t;l, y. •'Ey, 'i •rA:�'fYj fi r• is '%r'v „+%1�y r �%Q'. "Y,' +%4 tai ..Y a `•3.^': I 4L�• try St's r• r.: i r.: .Y•'; iii+ A F ti• a •;E7.,7 -rA; •:red �1: Ey,�' Y•tll::`feJ Eli ,y- CA::'H•J i i 1 1 r s CUSTOMER NO. TAX EXEMPT NUMBER CUST. P.O. NO. SHIP VIA PAY ha rY S SOL'D BY s m= _.INVOICE DATE INVOICE Nq C 1# e a a ra OUANTITY N PART NUMBER /'DESCRIPTION x BIN LIST ET AMOUNT n. Tr SHIP B.O. 5 j Syr i. r .�+C��- �:Y[. �j• i .r y[ 1. f 'A •Y•r11; ".`fiL•� 'F:1 Y •:•i• wr.- a.: •c._rier r. •rte SL yC mm' SN• zo PAY THIS AMOUNT w f f �,r ;,t` i ESL:. r 96 TH Ch Nati CHEVROLET (317) 846-6666 Indiana (800) 692-6370 :I ••0 CUST OMER DD' DISCLAIMER OF WARRANT THANK YOU FOR YOUR BUSINESS!! Any warranty an the products sold hereby are those made 'by the manufacturer. The Seller, PENSKE CHEV hereby express PARTS HOURS 8"00ANI TO 5-"30FM expressly disclaims all warranties* either or implied, MONDAY THRU F"RIDAY including any implied warranty of a particular purpose, and PENSKE CHE\iROLET neither assumes n or authorizes othbr person to assume for it any liability in connection with the sale of said products.. G CUSTOMER NO. TAX EXEMPT NUMBER CUST. P.O NO I SHIP VIA ,t, PAY SOLD BY .INVOICE DATE INVOICE,NO r. 4 mss; p p s' k Z,' s _.v3 .a ":;%S 'a I S f Y J SW ld 1. t. CYW B CARMEL STREET DEPT S THANKS GARY QUANTITY a `Tr 'i;. a�r�K PART NUMBER '1 DESCRIPTION a .BIN i'� a LIST NET AMOUNT rA fyr y c� K f c 'cl SHIP B.O. Yr,• •ti K' r �c .K 363078 PIN ACCFL J. 4 a .r .pie ..a ^..rr. l .Fr• n z. t v vt thl �4 fyi '1 gA:�•:iL•� fr[! '1 Clt:`H' J1 f•1+ •1 rA. Yd' fy+ •1•xl(. `•l•. a4 +'1•x11: ".:f1 •r fy+ 7 1. y( 1 �rl �•.r.• R. r V". �.i �A_f:1!•Y ry1;� L._J f7 A: .`fl'J SUB-T OTAL NOTE: al, l f1+ yxlt; ::i[ f1 yrM1; PARTS SPECIAL ORDER OR FACTORY ORDERED ITEMS NOT RETURNABLE, ELECTRICAL PARTS NOT RETURNABLE. 15% HANDLING CHARGE FOR RETURNED ITEMS. WE ARE NOT RESPONSIBLE FOR ANY LABOR ON PARTS NOT INSTALLED BY OUR SHOP. RETURNED ORIGINAL AND UNDAMAGED CONTAINER ALL EXCHANGES AN D REFU CLAIMS MUST BE ACCOMPANIED 1 I)AYS. Syr.. a K r, i 4�, �r',, Kr 1. r•.• tic .+c- I ZI r i ''r y X :.`I:%Ake; i 7 y l�.r•� "t:' %A�ii l�: Y r v t.r.� Ott• RECEIVED BY FREIGHT "Thank _�yu PAY THIS AMOUNT 1 r 321 E 96TH ST P BOX 40319 INDIANAP 46240-0 Nati CHEVROLET (317) 846-6666 Indiana (800) 692-63 :11 533-660 CUST OMER DD PENSKE CHEVROLET DISCLAIMER O THANK Y O U FOR YOUR BUSINESS! 1 An warranty on products h ereb y are those CHEVROLET, hereby PARTS HOURS 8"00AN TO 5".-301`11 expressly di all warranties, either or implied; implied including any or purpose, a particular pers assumes nor authorizes any other assume fo connecti liability in aid prod ucts. :3400 WE IJIST ST CUSTOMER NO. TAX ;EXEMPT. NUMBER CUST. P.O NO SHIP VIA'. PAY SOLO BY `INVOICE,OATE' INVOICE NO QUANTITY PART NUMBER) DESCRIPTION BIN LIST�9 NET: j s AMOUNTS a� 7 y i; SHIP B.O. e :C. .s.0 H. .�:,r•,_x. .aj? ,`i �:'S( .�_A B SI •`t, 11 KtWl -5Y! 4+ K .7 Yf� ;Tr }ti �•;'f 4,fj' .i a SPECIAL ORDER OR FACTORY ORDERED ITEMS NOT RETURNABLE, ELECTRICAL PARTS NOT RETURNABLE. 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. ;';f7 „;[•cam ?c.►l�! •�f; ti•c.; �A:f:t!•Y'c�{; :`•t•.� •fry �.:f•ci[; •.•►l!J K v, ••fy� y cam K .i Gy 1 r.`i +:S :•'.k -lTi'; j "l'ti;; RECEIVED BY: '2uz FREILGHT "Th Y AM I�'�'r:Y_Kt .�i;Cti�z" �i.7,Y1 r •'l:z 1 3210 E. 96TH ST. P.O. BOX 40319 INDIANAPOLIS, INDIANA 46240 -0319 (317) 846 -6666 Chevrolet Parts Direct (317) 846 -2564 Indiana (800) 692 -6370 National Wats (800) 533 -6602 PENSKE CHEVROLET THANK YOU FOR YOUR BUSINESS!! PARTS HOURS 8:OOAM TO 5:30PM MONDAY THRU FRIDAY IMF TAX EXEMPT CUST. P. 0. NO' SHIP VIA PAY. S OLD BY Pt NUMBER 3082 0031201550 -020 TRK 10 3,DELIVER CHARGE MIKE ROSEBOOM 02/18/10 465972 CVw 317- 733 -2001 B CARMEL STREET DEPT �2E298421 {b' L 3400 WEST 131ST ST 'THANKS KEVIN r.` L WESTFIELD, IN 46074 'MR-BIN T T 0 0 PART. NUMBER II r P DESCRIPTI 1 0 19169018 LAMP 2.679 021 D.. 146.73 110.05 110.05 —1 0 15199560 LAMP 2.585 46B 85.15 63.86 63.86 3 f: F S 4� 'C. DISCLAIMER OF WARRNNTIES SUBTOTAL 173 0 A+q wattanlles on the of— cold hereby ere Nose mada dy the manutncNrer. The Seller, Penske Chevrolet, hereby ex tl sclaime all --m-, W eiltfe.,arprewed or Implied, incljding any implied wmranty al marchantahllhy or "Inaba br a particular purpose, and Penske Chevrolet, neither assumes no+ OuUpdxee any other to assume ter it any habillly in Wnn iO with the sale at sale prnducts. D, a �SBECIAL ORDER OR FACTORY ORDERED ITEMS NOT RETURNABLE. ELECTRICAL PARTS NOT RETURNABLE. -TAX 0. 10% HANDLING CHARGE FOR RETURNED ITEMS. L o WE ARE NOT RESPONSIBLE FOR ANY LABOR ON PARTS NOT INSTALLED BY OUR SHOP. it g`'• RETURNED PARTS MUST BE IN ORIGINAL AND UNDAMAGED CONTAINER. -ALL EXCHANGES AND REFUND CLAIMS MUST BE ACCOMPANIED BY THIS INVOICE WITHIN 10 DAYS. a -t flECEIVED BY: NO REFUNDS WITHOUT FREIGHT 0.00 ;g .`',t`, THIS INVOICE 173.91 7j. ;7:02 CUSTOMER COPY NET514 PAY THIS AMOUNT PAGE 1 OF 1' PsKzazo -c www.penskechevy.com E VOUCHER NO. WARRANT N Penske Chevrolet ALLOWED 20 IN SUM OF P. O. Box 40319 Indianapolis, IN 46240 -0319 $540.04 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 2201 465249CVW 42- 370.00 $49.80 1 hereby certify that the attached invoice(s), or 2201 465277CVW 42- 370.00 $162.95 bill(s) is (are) true and correct and that the 2201 465408CVW 42- 370.00 $73.48 materials or services itemized thereon for 2201 465972 42- 370.00 $173.91 2201 465697 42- 370.00 $16.10 which charge is made were ordered and 2201 466231 42- 370.00 $56.76 received except 2201 466877 42- 370.00 $7.04 F f f Mdnday,,March 01, 2010 Street Commissioner v Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) 02/10/10 465249CVW $49.80 02/12/10 465277CVW $162.95 02/17/10 465408CVW $73.48 02/18/10 465972 $173.91 02/18/10 465697 $16.10 02119/10 466231 $56.76 02/25/10 j 466877 j $7.04 1 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 3210 E. 96TH ST. P.O. BOX 40319 INDIANAPOLIS, INDIANA 46240 -0319 (317) 846 -6666 CHEVROLET Chevrolet Parts Direct (317) 846 -2564 Indiana (800) 692 -6370 National Wats (800) '533 -6602 PENSKE CHEVROLET THANK YOU FOR YOUR BUSINESS!! PARTS HOURS 8:00AM TO 5:30PM MONDAY THRU FRIDAY S OLD OICE DATE NUMBER 5082 0031201550020 TRK -65 w /C CHARGE MIKE ROSEBOOM 02/18/10 466120 cvw 317 733 -2870 B S 1 CARMEL UTILITIES H01 C2500- 1Z295112 P O BOX 109 'THANKS 3400 W 131ST STREET WASTE WATER DEPT T CARMEL, IN 46082 -0109 T PART NUMBER/ DESCRIPTIC BIN LIST NET 1 0 89018166 `*PUMP KIT 1.069 380C 308.84 216.18 21618 I FEB 2 2010 LE y- o n� Z W tY DISCLAIMER OF WARRANTIES SUBTOTAL D Any w a nfles on the products sdd hereby ere those made by the menutadurar. The Seller, Penske Ghevrolet, hereby expressly tllsclaims all warranties, W ehher ennmesed or implied, IndUdinp any Implied warranty W ra—hantebithy o, W.— for a particular puipase, ono Penske Chevrolet, neither assumes nor euthanzes any other person to assume for it any liability In connection with the sale of 11 products. U d SPECIAL ORDER OR FACTORY ORDERED ITEMS NOT RETURNABLE. ELECTRICAL PARTS NOT RETURNABLE. TAX Q ,O� 18% HANDLING CHARGE FOR RETURNED ITEMS. a WE ARE NOT RESPONSIBLE FOR ANY LABOR ON PARTS NOT INSTALLED BY OUR SHOP. RETURNED PARTS MUST BE AL AND UNDAMAGED CONTAINER. ALL EXCHANGES AND REF C MUST BE A DMPANIE. BY THIS INVOICE WITHIN 10 DAYS_ b a RECEIV B NO REFUNDS WITHOUT FREIGHT 0.00 a 4: �:Ag 7 s THIS INVOICE 216.18 5:4 0 CUSTOMER COPY N PAY THIS AMOUNT PAGE 1 OF 1 PsK -2 20 -c www.penskechevy.com VOUCHER 097382 WARRANT ;V ALLOWED 72600 IN SUM OF PENSKE CHEVROLET PO BOX 40319 Indianapolis, IN 46240 -0319 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 466120 01- 7502 -06 $216.18 Voucher Total $216.18 Cost distribution ledger classification if claim paid under vehicle highway fund 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 72600 PENSKE CHEVROLET Purchase Order No. PO SOX 40319 Terms Indianapolis, IN 46240 -0319 Due Date 2/23/2010 Invoice Invoice Description Date Number (or note attached invoices) or bill(s)) Amount 2/23/2010 466120 $216.18 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 Date 0 f Kief r 3210 E. 96TH ST. P.O. BOX 40319 INDIANAPOLIS, INDIANA 46240 -0319 (317) 846 -6666 CHEVROLET Chevrolet Parts Direct (317) 846 -2564 Indiana (800) 692 -6370 y National Wats (800) 533 -6602 PENSKE CHEVROLET THANK YOU FOR YOUR BUSINESS!! PARTS HOURS 8:OOAM TO 5:30PM MONDAY THRU FRIDAY AX EXEMPT CUST. P. 0 NO. PAY SOLD BY I NUMBER �j I X� I= 5082 0031201550020 TRK 49 CHARGE JAMES COOPER 02/09/10 465063 cvw 317 -733 -2870 8 S CARMEL UTILITIES H P O BOX 109 P 3400 W 131 ST STREET TT CARMEL, IN 46082 -0109 T DESCRIPTI TY PART NUMBER QUANATI 1 0 10108445 GASKET 2.363 817F_, 1.28 0.89 0.89 1 0 15265200 CONNECTOR 8.846 143J 14.85 11.13 11.13. o a U Z A W U R' DISCLAIMER OF WARRANTIES SUBTOTAL p Nry wa rantias an the produces sold hereby are those made by the menulacfumr. The Seller, Penske Chevrolet, hereby expressly tlisclaims ell wanannes, either espmssdd or implied. iIndading any Implied .many of merchaneebihly or fitness for a pan cider purpose, and Penske Chevrolet, neilhee assumes nor -daas any other person to aeauma W It any Oebllly In eonnecllon with the sale of Bald produces. U Z a SPECIAL ORDER OR FACTORY ORDERED ITEMS NOT RETURNABLE. ELECTRICAL PARTS NOT RETURNABLE. TAX 0 -�0 10% HANDLING CHARGE FOR RETURNED ITEMS. T AX 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. u 2• 3 RECEIVED BY: NO REFUNDS WITHOUT FREIGHT 0.00 THIS INVOICE 12.02 3:54:28 CUSTOMER COPY NETS PAY THIS AMOUNT PAGE 1 OF 1 PSK- 2020 -C www.penskechevy.com 3210 E. 96TH ST. P.O. BOX 40319 INDIANAPOLIS, INDIANA 46240 -0319 (317) 846 -6666 CHEVROLET Chevrolet Parts Direct (317) 846 -2564 Indiana (800) 692 -6370 National Wats (800) 533 -6602 PENSKE CHEVROLET THANK YOU FOR YOUR BUSINESS!! PARTS HOURS 8:OOAM TO 5:30PM MONDAY THRU FRIDAY NO Q ICE PATE INVOICE NUMB 5082 0031201SS0020 19961(25 CHARGE DAVID POLLARD 02/10/10 465114 CVW 317 733 -2870 B S CARMEL UTILITIES HCARMEL WATER P O BOX 109 P 3400 W 131 ST STREET T CARMEL, IN 46082 -0109 T P PART NUMBER r 7 1 16511566 PLATE 2.694 52M 56.84 42.63 42,63 3 xIECEN w DATE PO# ACCT# USE Cdr ,C3i��► ,5 6 U z w 0 DISCLAIMER OF WARRANTIES SUBTOTAL p Any w 1r Ilea on the products sold hereby ens mass mate by the menuleeturer. The Seller. Pen.0 Chey.m. hereby expressly d —Items all warranties, either expressetl sr implied. Including any Implied warranty of merchant -Ity or fitness for a particular puryose, and Penske Cheyrolel, her ns.— nor Q� aumonzes any other person m assume Ian it any fiaemty In neuticn with the sale sf said pnoducls. U a SPECIAL ORDER OR FACTORY ORDERED ITEMS NOT RETURNABLE. ELECTRICAL PARTS NOT RETURNABLE. T d. y O oo CC 18% HANDLING CHARGE FOR RETURNED ITEMS. 7 o 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, a a RECEIVED BY: NO REFUNDS WITHOUT FREIGHT 0.00 Q THIS INVOICE 42.63 9:02:22 CUSTOMER ACCT COPY NET512 PAY THIS AMOUNT PAGE 1 OF 1 PSK- 2020 -C www.penskechevy.co VOUCHER 094409 WARRANT ALLOWED 72600 IN SUM OF PE -NSKE PO BOX 40319�� Indianapolis, IN 46240 -0319 0 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 465114 01- 6500 -04 $42.66 Voucher Total 51. (n 63 ti Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form No 201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL r An invoice or bill to be properly itemized must show, kind of service, where performed, dates of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 72600 PENSKE Purchase Order No. PO BOX 40319 Terms Indianapolis, IN 46240 -0319 Due Date 2/23/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/23/2010 465114 $42.63 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 Date Officer