The URL can be used to link to this page

Home My WebLink About196055 03/29/2011 CITY OF CARMEL, INDIANA VENDOR. 354974 Page 1 of 1 ONE CIVIC SQUARE PENSKE COLLISION REPAIR CENTER CHECK AMOUNT: $461.58 CARMEL, INDIANA 46032 PO BOX 40319 INDIANAPOLIS IN 46240 CHECK NUMBER: 196055 CHECK DATE: 3/29/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOU DESCRIP 1110 4351000 27294 461.58 REPAIRS TO CAR 143 RO: 0001538.00 Detailed Customer Invoice Page: 1 816,943 3/15/11 2:39PM 77,449 Penske Collision 4100 E. 96th Street Indianapolis, IN 46240 Phone: (317)817 -0125 Fax: (317)817 -0164 CARMEL POLICE Date of Loss: CITY OF CARMEL 3 CIVIC SQUARE Year: 09 CARMEL, IN 46032 Make: CHEV Model: IMPALA POLICE Home: 317 -733 -4600 Type: PC Phone: Work: Style: 4D SED Fax: Est.: JOHN Engine: 6- 3.9L -FI Adjuster: Received: 3/14/11 Color: WHITE Claim PO- -27294 Del. Date: License: Policy: Date Paid: Mileage: 1 Betterment: VIN: 2G1 WS57M891306965 Deductible: Ln. Description Parts Labor Units Refin Units Other 1 FRONT DOOR 2 LT Mirror assy w/o defogger gr 147.35 0.30 0.60 3 Add for Clear Coat 0.10 4 LT R &I trim panel 0.40 5 HAZARDOUS WASTE DISPOSAL 3.00 6 LT Outer panel (Stay Below Mid 3.00 1.40 7 Overlap Minor Panel -0.20 8 Add for Clear Coat 0.50 901 Parts Discount/Markup -7.37 913 Paint Materials 46.80 919 Clear Coat Paint Materials 15.60 Totals 147.35 3.70 2.40 58.03 Total Category Rate Units Est. Suppl. Total BODY LABOR 42.00 3.70 155.40 155.40 PAINT LABOR 42.00 2.40 100.80 100.80 OEM PARTS 139.98 139.98 PM 62.40 62.40 SUBLET NT 3.00 3.00 Subtotals 6.10 461.58 461.58 Grand Total: 6.10 461.58 461.58 Notes PO SCANNED CITY OF CARMEL THE SELLER, PENSKE PAINT BODY HEREBY DISCLAIMS ALL WARRANTIES, EITHER EXPRESS OR IMPLIED INCLUDING ANY IMPLIED WARRANTY OF MERCHANT ABILITY OR FITNESS FOR A PARTICULAR PURPOSE AND PENSKE BODY PAINT NEITHER ASSUMES NOR AUTHORIZES ANY OTHER PERSON TO ASSUME FOR IT ANY LIABILITY IN CONNECTION WITH THE SALE OF THE PRODUCTS. RO: MOMS 00 Detailed Customer Invoice Page: 2 816,943 3/15/11 2:39PM 77,449 Penske Collision 4100 E. 96th Street Indianapolis, IN 46240 Phone: (317)817-0125 Fax: (317)817-0164 Signature Date :r INDIANA RETAIL TAX EXEMPT PAGE Cny f C lS.rs. rme l CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER `S.J� FEDERAL EXCISE TAX EXEMPT 2M 35- 60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, AIP 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 21`14MI i Pensho Collision RepmlrCanter Camel Police Department VENDOR SHIP 3 Civic Square P.O. Bolt Me TO Carmel, IN Indlempolia, IN 4WOM19 (W 59 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT Accou QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43.610 Li! I Each repairs to vehicle $461.58 $481.58 Sub Total: $481.58 a� a e 4 S ter, ..a.m• ,,��c repairs to cier 943 t Semester Z/ I j 6 e Send Invoice To: m m Camel Police Department Attn: Teas@ Andors ®n 3 Civic squm Carmel, IN PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT Camel Police Dept. �•j PAYMENT 9. 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 SWO4RN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFYTHATTF{ REj AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATIOp U I OVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY s' SHIPPING LABELS. CI�I ®1 1�"�ll�l`y� THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK TREASURER DOCUMENT CONTROL NO. 2 7 2 9 4 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 j Board Members PO# or INVOICE NO. ACCT #(TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or bili(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 Penske Collision Repair Center IN SUM OF P.O. Box 40319 Indianapolis, IN 46240 -0319 $461.58 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 27294 43- 510.00 $461.58 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 Wednesday, March 23, 2011 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)) 03/15/11 payment for repairs to car 143 Semester $461.58 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