198551 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 351304 Page 1 of 1
ONE CIVIC SQUARE HARE CHEVROLET INC
(i CHECK AMOUNT: $638.07
CARMEL, INDIANA 46032 2001 STONEY CREEK WAY
PO BOX 1957 CHECK NUMBER: 198551
NOBLESVILLE IN 46060
CHECK DATE: 6/22/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 CTCS462536 638.07 AUTO REPAIR MAINTEN
1 11are
k
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. +�r
AT CE LICENSE NO. 69 5699 COC 3 0TES462536 S
CITY OF CARM E L STREET DEPT YEAR /MAKE /MODEL DE Y DATE DELIVERY MILES
3400 W 131ST ST -_GMQ SIERRA CAB 1EL' PRODUCTION DATE
CARMEL, IN 46074 -8267
I T. H K 2 4 U 2 4 F E 0 340.7 R.O. DATE j
.t
RESIDENCE PHONE BUSINESS PHONE COMM 00312015 11 CASH
LABOR. PARTS UNLESS ARRANGEMENTS MADE
TERMS. STRICTLY
3# 1- �03CVZ.,� �_L _467.'50; "I hereby authorize the repair work hereinafter'
C/S THE OIL DIPSTICK RUSTED OFF AND CHECK AND ADVISE set forth to be done along with the necessary
TESTED AND REMOVED STARTER AND TRIED TO REMOVE AND BROKE OFF material and agree that you are not respon-
TUBE IN PAN, REMOVED ALL NEEDED HARDWARE AND TO ACESS AND sible for loss or damage to vehicle or articles
REPLACED DIPSTICK TUBE AND DEBRIS IN PAN AND REINSTALLED PAN left in vehicle in case of fire, theft or any other a;
AND ALSO REPLACED THE OIL COOLER LINE LEAKING WHY PAN WAS cause beyond your control or for any delays
OFF AND CLEANED ALL AREAS caused by unavailability of parts or delays in 3i'•
parts shipments by the supplier or transporter.
PARTS QTY FP- NUMBER DESCRIPTION UNIT PRICE- I hereby grant you and /or your employees
JOB 1 1 15203890 HOSE 1.540 104.05 104.05 permission to operate the vehicle herein <e
JOB 1 1 12612350 GASKET 1.429 31.08 31.08 described on streets, highways, or elsewhere
JOB 1 1 12563918 TUBE 1.516 17.00 17.00 for the purpose of testing and /or inspection. An Sj
JOB 1 1 PK46 -6B 18.44 18.44 express mechanic's lien is hereby acknow- r
-a�
JOB 1 6 12345610 OIL 8.800 ledged on below vehicle to secure the amount i
JOB 1 1 19210283 FILTER 1.836 of repairs thereto.' ira
JOB 1 TOTAL PARTS 170.57
"The Factory Warranty Constitutes All Of The
JOB 1 TOTAL LABOR PARTS 638.07 Warranties With Respect To The Sale Of This
Item/ Items. The Seller Hereby Expressly Dis-
COMMENTS
claims All Warranties, Either Express Or
Implied, Including Any Implied Warranty Of I
Merchantability Or Fitness For A Particular
TOTALS
Purp ose, And The Seller Neither Assumes
Nor Authorizes Any Other Person To Assume
PARTS DESIGNATED WITH AN INDICATES LIFETIME GUARANTEE TOTAL LABOR.... 467.50 For It Any Liability In Connection With The
THIS APPLIES TO CUSTOMER PAY REPAIRS ONLY. TOTAL PARTS.... 170.57 Sale of Thisltem/Items."
TOTAL SUBLET... 0.00
TOTAL G.O.G.... 0.00 MISCELLANEOUS
TOTAL MISC CHG. 0.00 MATERIAL CHARGE
COMPLETELY SATISFIED TOTAL MISC DISC 0.00 10% OF LABOR CHARGES TO A MAXIMUM
TOTAL TAX...... 0.00 OF $15.00 IS CHARGES ON REPAIRS TO
COVER COSTS OF SUPPLIED BOUGHT IN
TOTAL INVOICE 638.07 BULK USED IN REPAIRING YOUR VEHICLE
THANK YOU AND COSTS TO DISPOSE OF HAZARDOUS
WASTE.
I
TERMS
CASH OR CREDIT CARD ONLY
Any other arrangement must be approved by
the General Manager. For any credit account:
A FINANCE CHARGE OF 1'/2% (minimum
charge of $.50) on the total unpaid balance of
CUSTOMER SIGNATURE purchases and charges over 30 days will be
added to the balance o the account. Annual
percentage rate 18 %7
Zf/e cvaaet rfacc easy aettia�ied
wa4 ecaa aewe?e... 96 ryocc lave Z"
$cce ZNa eoa mW 49 406 awz4, tale
we ;y
IB /PAGE(4OF 1 CUSTOMER COPY END OF INVOICE 10:12am
of
,fa
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hare Chevrolet
IN SUM OF
2001 Stoney Creek Road
Noblesville, IN 46060
$638.07
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 CTCS462536 43- 510.00 $638.07 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
Thu
y rsday ne 16, 2011
U ��v' v� E
Street Commissib er
Ctrwa4 (nmmiceinnor
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))
06/03/11 CTCS462536 $638.07
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