HomeMy WebLinkAbout187715 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 025950 Page 1 of 4
ONE CIVIC SQUARE BILL ESTES CHEVROLET
CARMEL, INDIANA 46032 4106w96rHSr CHECK AMOUNT: $2,108.56
INDIANAPOLIS IN 46268 CHECK NUMBER: 187715
CHECK DATE: 712112010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4237000 562003 /xl9.74 REPAIR PARTS
1110 4237000 562296 140.03 REPAIR PARTS
1110 4237000 26941 562296 X 159.54 REPAIR PARTS
1110 4237000 26943 562297 X26.01 REPAIR PARTS
1110 4237000 562525 /7.08 REPAIR PARTS
1115 4350000 CVCS156364 X1,336.16 EQUIPMENT REPAIRS M
FIR CHEVROLET, INC.
4105 West 96th Street
INDIANAPOLIS, INDIANA 46268 O O o
5317) 872 -3315
Service (317) 872 -1680
e -mail: service @billestes.com
CUSTOMER NO. ADVISOR TAG NO. INVOICE DATE INVOICE NO.
130822 JON H T E L 13844 07/06.1.10 C_Y_C 1 4
LABOR RATE LICENSE NO MILEAGE p COLOR STOCK NO.
CITY OF CARMEL COMMUNICATIONS VEARI MAKErMODEL 50_ °_6.0.2 oI IL RYO A� DELIVERY MILES
31 FIRST AVE NORTHWEST 07_/_ CHE_V_R01E:_LTRUCK /_TA_HOE /_4DR \4WD
CARME L IN 46032 VEHICLE I.D. NO. SELLING DEALER NO. PRODUCTION DATE
_G__N_F K_1_3 0_5 7 3-3-3-5--0-6-2
F. T. E. NO 7 P11 NO. R.O. DATE
0 06 //Q /10____jREPRIN 1
RESIDENCE PHONE BUSINESS PHONE COMMENTS
317 -571 -2586 317 -571 -2586 Mo: 50683
LABOR ,PARTS DISCLAIMER OF WARRANTIES
L,OOCUZOI MULTI POINT.._INSPECT „A TECH(S):345.. 0.00 The manufacturer warranty constitutes all of
MULTI-POINT INSPECTION W the warranties with respect to the sale of these
REQUESTED
PERFORMED MULTI -POINT INSPECTION AS REQUESTED items. The seller BILL ESTES CHEVROLET
Inc., hereby expressly disclaims all warranties,
PARTS QTY -FP- NUMBER DESCRIPTION UNIT PRICE- either express or implied, including any implied
JOB I TOTAL PARTS 0.00 warranty of merchantability or fitness for a
JOB 1 TOTAL LABOR PARTS 0.00 particular purpose, and the seller neither
assumes nor authorizes any other person to
J#..2.:46CVZ WHEELS /TIRES .v', `,TEGH(S)'.345 203.:53 {assume for it any liability in connection with the
C/S SERVICE TIRE PRESSURE MONITOR LIGHT IS ON PLEASE ADVISE sale of this product.
DIAG AS LF, RF, RR TIRE PRESSURE SENSORS WILL NOT PROGRAM
DIAG AND REPLACED LF, RF, AND RR TIRE PRESSURE SENSORS AND
RELEARNED. PARTS DESIGNATED WITH AN
ASTERISK INDICATES GM
PARTS• QTY FP- NUMBER DESCRIPTION UNIT PRICE- G OO DWR E N C H SERVICE PLUS
JOB 2 3 25920615 SENSOR 5.890 85.63 256.89
JOB 2 TOTAL PARTS 256.89 LIFETIME GUARANTEE, APPLIES
FOR CUSTOMER PAY REPAIRS
JOB 2 TOTAL LABOR PARTS 460.42 ONLY.
3# 51CVZ06 TAILLIGHTS" TECH {S).:345. n
C/S BRAKE LIGHTS RIGHT AND LEFT LOWER AND TURN SIGNALS INOP
PLEASE ADVISE (1 HR DIAG/ $98)
DIAG AS B3445 FAULTY BODY CONTROL 'MODULE
DIAG ONLY FOR THIS LINE ONLY
CUSTOMER SIGNATURE
PARTS QTY FP- NUMBER DESCRIPTION UNIT PRICE
JOB 3 1 15224109 BULB 8.991 4.99 4.99
JOB 3 TOTAL PARTS 4.99
JOB 3 TOTAL LABOR PARTS 102.99
J# 4 ±05G.VZTSF �kTRANSMISSION FLUSH ,.`.,,p a q,fTECH(S),:345w u, 3 ..55.00.'
TRANSMISSION SYSTEM FLUSH
MAINTENANCE O sR
FLUSH TRANSMISSION SYSTEM 'VISA
I�AF55
PARTS QTY -FP- NUMBER DESCRIPTION -UNIT PRICE
JOB 4 1 PK5 TRANSMISSION SERVIC 104.95 104,95
JOB 4 1 6537 FLUSH TRA
JOB 4 14 88861003 FLUID 8.800
JOB 4 TOTAL PARTS 104.95
0
JOB 4 TOTAL LABOR PARTS 159.95
'J# 5 +05CVZTRANSFER TRANSFER °,CASE SERVIC :.TECH(S) :345 k 87:95
m SERVICE TRANSFER CASE THANK YOU FOR ALLOWING US
MAINTENANCE
PERFORM TRANSFER CASE SERVICE TO SERVICE YOU!
D
co
PARTS QTY FP- NUMBER DESCRIPTION UNIT PRICE SERVICE HOURS
JOB 5 2 12378508 FLUID 8.800 8.76 17.52 MON FRI 7:00 AM 7:00 PM
E Saturday 8:00 AM 12:00 PM
o
i PAGE 1 OF 2 CUSTOMER COPY [CONTINUED ON NEXT PAGE) 02:31 pm
CHEVROLET, INC. lid
4105 West 96th Street O o o
INDIANAPOLIS, INDIANA 46268
(317) 872 -3315
Service (317) 872 -1680
e -mail: service@billestes.com
CUSTOMER NO. ADVISOR TAG NO. INVOICE DATE INVOICE NO.
130822 JON HUTSELL 321 3844 07 CVCS156364
LABOR RATE LICENSE NO MILEAGE COLOR STOCK NO,
CITY OF CARMEL COMMUNICATIONS 2 6ILVER/
YEAR! MAKE lMODEL DELIVERY DATE DELIVERY MILES
31 FIRST AVE NORTHWEST 07 CHEVROLET TRUCK /TAHOE /4DR 4WD
CARME L IN 46032 VEHICLE I.D. NO. SELLING DEALER NO. PRODUCTION DATE
1 C N F K 1 3 0 5 7 J 3 3 5 0 6 2
F. T. E. NO. P.O. NO. R.O. DATE
0 06/30/ EPRINT# 1
RESIDENCE PHONE BUSINESS PHONE COMMENTS
317 -571 -2586 317 571 -2586 MO: 50683
JOB 5 TOTAL PARTS 17.52 DISCLAIMER OF WARRANTIES
JOB 5 TOTAL LABOR PARTS 105.47 The manufacturer warranty constitutes all of
the warranties with respect to the sale of these
1# 6 +l items. The seller, BILL ESTES CHEVROLET.
DRIVEABIL'IT.Y'i'M .T TECH( _._150 53
REPLACE BODY CONTROL MODULE Inc., hereby expressly disclaims all warranties,
FAULTY FOR TAILLIGHTS either express or implied, including any implied
REPLACED BODY CONTROL MODULE AND PROGRAMMED warranty of merchantability or fitness for a
PARTS QTY FP-NUMBER DESCRIPTION UNIT PRICE. particular purpose, and the seller neither
JOB 6 1 25835966 MODULE 2.560 59030 341.80 341.80 assumes nor authorizes any other person to
JOB 6 TOTAL PARTS 341.80 assume for it any liability in connection with the
JOB 6 TOTAL LABOR PARTS 492.33 sale of this product.
J# 7t51CVZBULB ,,.BU B INOP TECH(S):345 x... ,,....15.00 PARTS DESIGNATED WITH AN
C/S REPLACE REVERSE LIGHT BULB ASTERISK INDICATES GM
INOP GOODWRENCH SERVICE PLUS
REPLACED LEFT REVERSE LIGHT BULB
LIFETIME GUARANTEE. APPLIES
PARTS QTY -FP- NUMBER DESCRIPTION UNIT PRICE- FOR CUSTOMER PAY REPAIRS
JOB 7 TOTAL PARTS 0.00 ONLY.
JOB 7 TOTAL LABOR PARTS 15.00
COMMENTS---------------•------•-•--•-•--•--•---•-•-•-•---------•-•--•---•------•----
BODY CONTROL MODULE $600
LIGHT BULBS $32
IRE PRESSURE SENSORS $410 CUSTOMER SIGNATURE
/C SERVICE $120
T OTALS
TOTAL LABOR.... 610.01
TOTAL PARTS.... 726.15
I CASH E I CHECK CK NO. TOTAL SUBLET... 0.00
TOTAL G.O.G.... 0.00
I VISA E J MASTERCARD DISCOVER TOTAL MISC CHG. 0.00 AMERKAN
TOTAL MISC DISC 0.00 IVI$A
I AMER XPRESS OTHER 1 CHARGE TOTAL TAX...... 0.00 E]�R
TOTAL INVOICE 1336.16
HANK YOU FOR YOUR BUSINESS!!
PARTS DESIGNATED WITH AN INDICATE LIMITED LIFETIME
SERVICE GUARANTEE APPLIES FOR CUSTOMER PAY REPAIRS.
N
A
N
A
h THANK YOU FOR ALLOWING US
TO SERVICE YOU!
a
SERVICE HOURS
MON FRI 7:00 AM 7:00 PM
Saturday 8.00 AM 12:00 PM
o`
PAGE 2 OF 2 CUSTOMER COPY END OF INVOICE 02:31pm
VOUCHER NO. WARRANT NO.
ALLOWED 20
Bill Estes Chevrolet
IN SUM OF
4105 West 96th Street
Indianapolis, IN 46268
$1,336.16
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1115 CVCS156364 43- 500.00 $1,336.16 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, July 08, 2010
Director
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))
07/06/10 I CVCS156364 I $1,336.16
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
U`
CHEVROLET, INC.
4105 West 96th Street 4� 0 0
Indianapolis, IN 46268
a. 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 P H
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 ITEM /ITEMS 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 U(!VL]rV; IN3T,7WW45^°0166-5
T SALE
y� OF THE ITEM I IT T E M ry S. ��yry
l`7l'!JC`Jlb I� I�LLSIAlYU U:A?A111:.137.1 lhlJCJlb U'fi�b U.l�b C1lWY Vl[iJ VII:dU 0 D 4U/V�:l/..t7 L.4.YIL� LL/:MJU�"L7
119300 0031201550 -020 CAR #35 CHARGE RANDY MCQUEEN 07/07/10 562297
CVw
317- 733 -4600
B S
I CITY OF CARMEL POLICE DEPT. H
L 3 CIVIC SID P
o CARMEL, IN 46032 -2584 T
P
IMP
1 0 89019271 *CMPR 9.170 224 681.62 426.01 426.01
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
0 original undamaged
carton.)
LL DO NOT RESEAL
N SUBTOTAL 426.01 WITH TAPE
m
c
m
M TAX 0.00 THANK YOU
m
FREIGHT 0.00
PAYTHISAMOUNT 426.01
a
10:59:00 CUSTOMER COPY NET504 PAGE 1 OF 1
s CHEVROLET, INC.
ooN 4105 West 96th Street
Indianapolis, IN 46268 e o
Call Direct: 672 -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 STANDAR 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 ITEM /ITEMS 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 Llfia LY:IN 3c12r7NA4&iq&6 66
THE SALE OF THE ITEMIITEM
119300 0031201550 -020 CAR #7 CHARGE RANDY MCQUEEN 07/07/10 562296
Cvw
317- 733 -4600
B S
I CITY OF CARMEL POLICE DEPT. H
L 3 CIVIC SID P
T CARMEL, IN 46032 -2584 T
0 0
a
I� lc 0 0 a (�i (ill
1 0 9595647 WHEEL 5.803 423 212.73 159.54 159.54
1 0 9596253 CVR WHLTR 5.858 215 53.37 40.03 40.03
PARTS DEPT
HOURS:
MONDAY FRIDAY
7:00 AM- 7:00 PM
SATU R DAY
8:00 AM 12:00 PM
CAUTION
Open Carefully
DO NOT DEFACE
(Returnable only in
original undamaged
carton.)
LL DO NOT RESEAL
o SUBTOTAL 1 99.57 WITH TAPE
a
m
m
TAX 0.00 THANK YOU
U
N
FREIGHT 0.00
o PAY THIS AMOUNT 199.57
STOMER COPY NET504 PAGE 1 OF 1
agflfl gzeo
CHEVROLET, INC, I
1 l4 1 410' st 96th Street O O O
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 ITEM /ITEMS 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 L!iS!�LIT IF THE SALE OF THE ITEM /ITEMS.
I @a Q� f mac° mg t o
119300 0031201550 -020 CAR 143 CHARGE 30SEPH CALHOUN 07/16/10 562525
Cvw
317- 733 -4600
B S
CITY OF CARMEL POLICE DEPT. 'THANK -YOU!
3 CIVIC SQ P JASON VIN 91306965
o CARMEL, IN 46032 -2584 T
l il.:ki V' 1A7�'. 1�431JP D 0 L'.UIJ @U 6199
1 0 24232088 SENSOR 4.329 59523 SOR 38.68 27.08 27.08
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.)
LL DO NOT RESEAL
o SUBTOTAL 27.08 WITH TAPE
m
m
TAX 0.00 THANK YOU
FREIGHT 0.00
U_ PAY THIS AMOUNT 27.08
a
09:35:06 CUSTOMER COPY NET504 PAGE 1 OF 1
r
y CHEVROLET, INC.
4105 West 96th Street O o 0
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 ITEM /ITEMS 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 LIC-VL1 IN3T7WE '52LKy6*&5
THE SALE OF THE ITEM /ITEMS,
119300 0031201550 -020 CAR #4 CHARGE JAKE 06/24/10 562003
CVW
317- 733 -4600
B S
H
L CITY OF CARMEL POLICE DEPT. I
L 3 CIVIC SQ P
0 CARMEL, IN 46032 -2584 0
CU11lY l..U:.6 Uin1NU lJ:l:.11lL =1130 0 f=YFY1 fl fYJ7 MS7 /1f,�, '�`�(fY�j
1 0 20790500 LOCK 10.473 227 1 59. 65 119.74 waa 119.74
PARTS DEPT.
HOURS:
MONDAY FRIDAY
7:00 AM 7:00 PM
SATU R DAY
8:00 AM 12:00 PM
CAUTION
Open Carefully
DO NOT DEFACE
(Returnable only in
0 original undamaged
carton.)
DO NOT RESEAL
N SUBTOTAL 1 9.74 WITH TAPE
m
m
TAX 0.00 THANK YOU
U
J
N
FREIGHT 0,00
LL
a
PAY THIS AMOUNT 119.74
12:36:49 CUSTOMER COPY NET504 PAGE'1'OF
N,
fir.
INDIANA RETAIL TAX EXEMPT PAGE 1 Of 1
C ity o f C armel' CERTIFICATE N0.003120155 002 0 PURCHASE ORDER NUMBER
Police Department
FEDERAL EXCISE TAX EXEMPT
35- 60000972 2694
CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
DURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
July a 2010 repair parts
VENDOR Hill EsteesChevrolet SHIP City of Carmel Police Department
4105 West 96th Street TO 3 Civic Square
Indianapolis, IN 416268 Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
a/c compressor for car 35 Matthews 426001
r :I
J
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT A MOUNT
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
l 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.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
DOCUMENT CONTROL NO-2 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO._ WARRANT NO._
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
y
Board Members
PO# or INVOICE NO. ACCT #MTLE AMOUNT
DEPT. 4 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
20
Sigriature
Tile
Cost distribution ledger classification if
claim paid motor vehicle highway fund
0 INDIANA RETAIL TAX EXEMPT 'PAGE
City sane l CERTIFICATE NO. 003120155 002 0
PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972
3=t CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL -1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
jw1j 7 2010 repair part
VENDOR Bill Estes Chevrolet SHIP City of Carmel Police Department
4105 West 96th Street TO 3 Civic Square
Indianapolis, IN 46268 Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
wheel a car 7 S. Bickel 159.54
rr i '0
Send Invoice To:��_,
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT 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.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
2-694
CLERK- TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO._ WARRANT NO.
r
ALLOWED 20
IN THE SUM OF
.ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #MTLE AMOUNT
DEPT. I 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_
2p
Signature
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
Bill Estes Chevrolet Purchase Order No. 26941F 26943F
4105 West 96th Street Terms
Indianapolis, IN 46268 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6/24/10 562003 payment for repair part 119.74
717110 562296 payment for wheel 199.57
717110 562297 payment for compressor 426.01
7/16/10 562525 payment for repair parts 27.08
Total 772.40
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Bill Estes Chevrolet IN SUM OF
4105 West 96th Street
Indianapolis, IN 46268
772.40
ON ACCOUNT OF APPROPRIATION FOR
police genera lfund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 562003 370 119.74 bill(s) is (are) true and correct and that the
1110 562296 370 40.03 materials or services itemized thereon for
26941F 562296 370 159.54 which charge is made were ordered and
26943F 562297 370 426.01 received except
1110 562525 370 27.08
July 15 20 10
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund