192384 12/07/2010 CITY OF CARMEL, INDIANA VENDOR: 025950 Page 1 of 1
ONE CIVIC SQUARE BILL ESTES CHEVROLET
i CHECK AMOUNT: $355.69
CARMEL, INDIANA 46032 4105 W96TH ST
`o INDIANAPOLIS IN 46268 CHECK NUMBER: 192384
CHECK DATE: 1217/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4237000 566007 196.15 REPAIR PARTS
1110 4237000 27095 566007 159.54 WHEEL
bifftstes's�o---
13 CHEVROLET, INC. M.
4105 West 96th Street Goodwmnch
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 ITEWiEMS 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 LI6t�L1LY.IN3'g?hIW4M j
T S ALE OF THE IT (TE
lhl��.JUa-YA/.:b I_Y: LZLIf U l'7lJ gu pa lAl."h CalILIY VIL%.! UTi.7U UU I1/:Dl'/1:.11.,L� i :L:lUL7 UlA7l'/l_Al:.l�
119300 0031201550 -020 140 CHA MCQUEEN 12/C11/10 566007
Cvw
317- 733 -4600
B H
CITY OF CARMEL POLICE DEPT. P THANK YOU!!
3'. CIVIC 5Q
T T
T CARMEL, IN 46032 -2584 r° T
1 0 10329689 ROD 5.416 207 101.43 76.06 76.06
1 .0 9595647 WHEEL 5.803 423 212.73 '159.54 159.54
3 0 9596253 CVR WHLTR 5.858 215 53.37 40.03 120.09
2 COMING FROM CINCINNATI!!
SHIPPED 1 SPECIAL ORDERED 2
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.)
4 DO NOT RESEAL
IU
SUBTOTAL 355.69 WITH TAPE
TAX 0.00 THANKYOU
0
FREIGHT 0.00
2 PAY THIS AMOUNT 355.69
a
08:17:59 CUSTOMER COPY NET504 PAGE 1 OF 1
INDIANA RETAIL TAX EXEMPT PAGE 1 Of 1
C i ty ®f C armel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
Police Department
FEDERAL EXCISE TAX EXEMPT
35- 60000972 27095
3 §WRCIVIC 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.
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
December 2 2010 wheel
VENDOR Bill Estes Chevrolet SHIP City of Carmel Police Department
4105 West 96th Street TO 3 Civic Sgquae
Indianapolis, IN 46268 Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
whell car 140 J Loveall 159.54
ry
A
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PR J CT PROJECT ACCOUNT AMOUNT
1110 370 repair parts A"' �M ENT
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
SNIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
I j
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY �f L -1 1r
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.
CLERK TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY SIGN AND RETURN TO CLERK OFFICE
VOUCHER NO._ WARRANT NO.----
ALLOWED 20
IN THE SUM OF
S
G 1
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE 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_
20
Signature--
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Bill Estes Chevrolet
IN SUM OF
4105 West 96th Street
Indianapolis, IN 46268
$355.69
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1110 566007 42- 370.00 $120.09 hereby certify that the attached invoice(s), or
1110 566007 42- 370.00 $76.06 bill(s) is (are) true and correct and that the
27095 566007 42- 370.00 $159.54
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, December 03, 2010
Chief of Police
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))
12/01110 566007 repair part $120.09
12/01/10 566007 repair part $76.06
12/01/10 566007 wheel 1 car 140 Loveall $159.54
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