159903 05/28/2008 CITY OF CARMEL, INDIANA VENDOR: 351304 Page 1 of 1
ONE CIVIC SQUARE HARE CHEVROLET INC
CARMEL, INDIANA 46032 2001 STONEY CREEK WAY CHECK AMOUNT: $255.00
PO BOX 1957
CHECK NUMBER: 159903
NOBLESVILLE IN 46060
CHECK DATE: 5/28/2008
DEPA ACCOUNT PO NU INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 CTCS371988 255.00 AUTO REPAIR MAINTEN
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CHEVROLET PONTIAC BUICK G11AC
2001 Stoney Creek Road 5336 Pike Plaza Road
Noblesville, Indiana 46060 Indianapolis, Indiana 46254
www.h Ph: 317 -773 -1090 Fx: 317- 776 -5038 Ph: 317- 299 -5555 Fx: 317- 329 -4224
CUSTOMER NO. ADVISOR TAG NO. INVOICE DATE INVOICE NO,
46420 J OHN PENCE 691 31 05109108 CTCS371988
LABOR RATE CENSE NO. MILEAGE COLOR STOCK NO.
CITY OF CARMEL STREET DEPT LI 94,489 RED
3400 W 131ST ST YEAR MAKE MODEL DELIVERY DATE DELIVERY MILES
WESTFIELD, IN 46074 -8267 VR LET TRUCK/2500 05/01/99
VEHICLE I.D. NO. SELLING DEALER NO. PRODUCTION DATE
1 G C G K 2 4 R 2 X R 7 0 8 2 0 5
F. T. E. NO. P. O. NO. R. O. DATE
RESIDENCE PHONE BUSINESS PHONE COMM 0031201550020 05 08 08
ENTS
733 -2001 17 -5053
BOR PARTS TERMS: STRICTLY CASH
1 09CVZ HEATING /COOLING TECH(S) :702 WARRANTY UNLESS ARRANGEMENTS MADE
C/S A/C BLOWS WARM AIR SOUNDS LIKE CYCLES AND LOW FREON "I hereby authorize the repair work hereinafter
ADVISE set forth to be done along with the necessary
TESTED AND REPLACED FAILED A/C COMPRESSOR AND EVACUATED material and agree that you are not respon-
AND RECHARGED SYSTEM. sible for loss or damage to vehicle or articles
left in vehicle in case of fire, theft, or any other
ARTS QTY FP- NUMBER DESCRIPTION UNIT PRICE- cause beyond your control or for any delays
JOB 1 1 19168687 COMPRESSO 9.170 WARRANTY caused by unavailability of parts or delays in
JOB 1 1 12346303 R134 DYE 8.800 WARRANTY parts shipments by the supplier or transporte`
JOB 1 1 134.1 134 FREON WARRANTY
I hereby grant you and/or your employeE�
JOB 1 TOTAL PARTS 0.00 permission to operate the vehicle herein
described on streets, highways or elsewhere
JOB 1 TOTAL LABOR &PARTS 0.00
for the purpose of testing and /or inspection. An
express mechanic's lien s hereby acknow-
pr I y
2 +09CUZODB *DIAGNOSE HVAC TECH(S) :702 255.00 ledged on below vehicle to secure the amount
LABOR TO INSTALL A/C COMPRESSOR AND DIAG AND EVACUATE of repairs thereto."
AND RECAHRGED SYSTEM.
"The Factory Warranty Constitutes All Of The
ARTS QTY FP- NUMBER DESCRIPTION ••UNIT PRICE- Warranties With Respect To The Sale Of This
JOB 2 TOTAL PARTS 0.00 ItemAtems. The Seller Hereby Expressly Dis-
JOB 2 TOTAL LABOR PARTS 255.00 claims All Warranties, Either Express Or
Implied, Including Any Implied Warranty Of
Merchantability Or Fitness For A Particular
OTALS
Purpose, And The Seller Neither Assumes Nor
ARTS DESIGNATED WITH AN INDICATES LIFETIME GUARANTEE TOTAL LABOR.... 255.00 Authorizes Any Other Person To Assume For It
HIS APPLIES TO CUSTOMER PAY REPAIRS ONLY. TOTAL PARTS.... 0.00 Any Liability In Connection With The Sale Of
TOTAL SUBLET... 0.00 This ItemAtems"
TOTAL G.O.G.... 0.00 MISCELLANEOUS
TOTAL MISC CHG. 0.00 MATERIAL CHARGE
COMPLETELY SATISFIED TOTAL MISC DISC 0.00
TOTAL TAX...... 0.00 10% OF LABOR CHARGES TO A MAXIMUM
OF $15.00 IS CHARGED ON REPAIRS TO
TOTAL INVOICE 255.00 COVER COSTS OF SUPPLIES BOUGHT IN
BULK USED IN REPAIRING YOUR VEHICLE
THANK YOU AND COSTS TO DISPOSE OF HAZARDOUS
WASTE.
TERMS
CASH OR CREDIT CARD ONLY
o'
Any other arrangement must be approved by
the General Manager. For any credit account:
g A FINANCE CHARGE OF 1' /z% (minimum
CUSTOMER SIGNATURE charge of .50) on the total unpaid balance of
purchases and charges over 30 days will be
added to the balance on the account. Annual
w percentage rate 18%.
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a-a4 ocaa dcu"eee... 9� you kaue a ay
gueatlon¢ ceiceari.cg tkim use, call
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x1 PAGE 1 OF 1 CUSTOMER COPY END OF INVOICE 1 10:36am
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Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoicd or bill't'o 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
�JCt I�� 1 11� ITV Q 6 L� Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
ria CJ
Total
I 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
IN SUM OF
I
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
CTCS3 IQ I d 55, 00 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
MAY 2 3 2008 20
Sygnatur
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund