186343 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 351304 Page 1 of 1
ONE CIVIC SQUARE HARE CHEVROLET INC CHECK AMOUNT: $100.57
CARMEL, INDIANA 46032 2001 STONEY CREEK WAY
PO BOX 1957 CHECK NUMBER: 186343
NOBLESVILLE IN 46060
CHECK DATE: 6/912010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 CTCS429255 100.57 AUTO REPAIR MAINTEN
-f
4
Mila
www.hareauto.com
CHEVROLET
2001 Stoney Creek Road Noblesville, Indiana 46060
Ph. 317- 773 -1090 Fx: 317 776 -5038
CUSTOMER NO. ADVISOR TAG NO. INVOICE DATE INVOICE NO,
I I��ATP ENCE LICENSE NO. ILEAGE 5253 05/21/10
CITY OF CARMEL STREET DEPT YEARIMAKE /MODEL DE YDATE DELNERY MILES
3400 W 131ST ST i 4H SIERRA 2500/CAB SEL PRODUCTION DATE
WESTFIELD, IN 46074 -8267
1T E6a T H K 2 4 U 2 4 111 5 2 5 6 R.O. DATE
RESIDENCE PHONE BUSINESS PHONE COMMIX131201550020 05/21/10
317 -7 417-5053 TERMS: STRICTLY CASH
LABO� ,PARTS UNLESS ARRANGEMENTS MADE
�1 a20CVZ� "I hereby authorize the repair work hereinafter
C/S FAN BLOWER WOULD RUN AFTER TRUCK SHUT OFF AND WHITE WIRE set forth to be done along with the necessary
MARKED ON PIGTAIL, PASS SIDE HANGING DOWN WAS SMOKING HOT material and agree that you are not respon-
TESTED AND REMOVED AND REPLACED BLOWER RESISTER MODULE sible for loss or damage to vehicle or articles
left in vehicle in case of fire, theft, or any other
P ARTS QTY FP-NUMBER DESCRIPTION UNIT PRICE• cause beyond your control or for any delays
J OB 1 1 89019088 RESISTOR 9.215 66.82 66.82 caused by unavailability of parts or delays in
JOB 1 TOTAL PARTS 66 .82 parts shipments by the supplier or transporter.
hereby grant you and /or your employees
JOB 1 TOTAL LABOR PARTS 115.57 permission to operate the vehicle herein
described on streets, highways, or elsewhere
ISC CODE DES CRIPTION CONTROL NO for the purpose of testing and /or inspection. An
J OB 1 CL PARTS DISCOUNT CARS -7.50 express mechanic's lien is hereby acknow-
OB 1 DIS CAR LABOR DISCOUNT 7.50 ledged on below vehicle to secure the amount
TOTAL MISC -15.00 of repairs thereto"
OMMENTS The Factory Warranty Constitutes All Of The
AITER Warranties With Respect To The Sale Of This
ItemAtems. The Seller Hereby Expressly Dis-
OTALS claims All Warranties, Either Express Or
Implied, Including Any Implied Warranty Of
ARTS DESIGNATED WITH AN INDICATES LIFETIME GUARANTEE TOTAL LABOR.... 48.75 Merchantability Or Fitness For A Particular
HIS APPLIES TO CUSTOMER PAY REPAIRS ONLY. TOTAL PARTS.... 66.82 Purpose And The Seller Neither Assumes
TOTAL SUBLET... 0.00 Not Authorizes Any Other Person To Assume
TOTAL G.O.G.... 0.00 For It Any Liability In Connection With The
TOTAL MISC CHG. 0-00
COMPLETELY SATISFIED TOTAL MISC DISC -15.00 Sale of This Itemntems."
TOTAL TAX...... 0.00 MISCELLANEOUS
MATERIAL CHARGE
TOTAL INVOICE 100.57 10% OF LABOR CHARGES TO A MAXIMUM
THANK YOU OF $15.00 IS CHARGES ON REPAIRS TO
COVER COSTS OF SUPPLIED BOUGHT IN
BULK USED IN REPAIRING YOUR VEHICLE
AND COSTS TO DISPOSE OF HAZARDOUS
WASTE.
TERMS
CASH OR CREDIT CARD ONLY
CUSIOMER SIGNATURE Any other arrangement must be approved by
the General Manager. For any credit account:
A FINANCE CHARGE OF. 1 (minimum
charge of $.50) on the total unpaid balance of
purchases and charges -30- days will -be
added to the balance o the account. Annual
percentage rate 18
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I11PII 2�� 1 CUSTOMER COPY END OF INVOICE 12:26pm
VOUCHER NO. 1/ N O.
ALLOWED 20
Hare Chevrolet
IN SUM OF
2001 Stoney Creek Road
Noblesville, IN 46060
$100.57
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept- INVOICE NO. ACCT# /TITLE AMOUNT
Board Member:
2201 GTCS429255 43 510.00 $100.57 1 hereby certify 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
Thursday, J j� X 03, 2 10
W
r
Stree pr�r sjRf
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts I 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))
05/21/10 CTCS429255 $100.57
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