199040 07/06/2011 CITY OF CARMEL, INDIANA VENDOR: 351304 Page 1 of 1
ONE CIVIC SQUARE HARE CHEVROLET INC
s CARMEL, INDIANA 46032 2001 STONEY CREEK WAY CHECK AMOUNT: $460.43
PO BOX 1957 CHECK NUMBER: 199040
NOBLESVILLE IN 46060
CHECK DATE: 7/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 CTCS464639 460.43 AUTO REPAIR MAINTEN
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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.
l A LICENSE NO, C3j9rILEAGF CO
CITY OF CARMEL STREET DEPT YEAR /MAKE/MODEL r YDATE DELIVERY MILES
3400 W 131ST ST 7q p
CARMEL, IN 46074 -0267 SELLING DEALER NO PRODUCTION DATE
-T.E O. .O. O. 6 9 9 2 R.O. DATE
RESIDENCE PHONE 6USINESS PHONE COMM1 r
TERMS: STRICTLY CASH
BOR PARTS UNLESS ARRANGEMENTS MADE
1 03CVZ ENGINE REPAIRS. TECH(S)' 382:50''" "I hereby authorize the repair work hereinafter
C/S THE OIL DIPSTICK IS BROKE OFF ADVISE set forth to be done along with the necessary
TESTED AND REMOVED OIL PAN BY REMOVING TRANSFER CASE AND material and agree that you are not respon-
DRIVESHAFT AND STARTER, CROSS MEMBER AND SKID PLATE AND sible for loss or damage to vehicle or articles
OIL FILTER ADAPTER AND COOLER HOSES, REMOVED OIL PAN left in vehicle in case of fire, theft, or any other
AND REPLACED DIPTSICK TUBE AND SEAL AND GASKETS NEEDED cause beyond your control or for any delays
REINSTALLED TRANSFER CASE AND HARDWARE AND FILLED NEW caused by unavailability of parts or delays in
OIL AND FILTER, parts shipments by the supplier or transporter.
I hereby grant you and /or your employees
ARTS QTY -•FP- NUMBER DESCRIPTION UNIT PRICE- permission to operate the vehicle herein
J OB 1 1 '12584922 SEAL 1.724 5.91 5.91 described on streets, highways, or elsewhere
OB 1 1 12563918 TUBE 1.516 17.00 17.00 for the purpose of testing and /or inspection. An
J OB 1 1 15203889 GASKET 1.550 5.50 5.50 express mechanic's lien is hereby acknow
11 0B 1 1 1 2612350 GASKET 1.429 31.08 31.08 ledged on below vehicle to secure the amount
J OB 1 1 *46 -6B 18.44 18.44 of repairs thereto.'
J OB 1 6 12345610 OIL 8.800
J OB 1 1 19210283 FILTER 1.636 "The Factory Warranty Constitutes All Of The
JOB 1 TOTAL PARTS 77.93 Warranties With Respect To The Safe Of This
JOB 1 TOTAL LABOR $PARTS 460.43 Item hems. The Seller Hereby Expressly Dis-
claims All Warranties, Either Express Or
Implied, Including Any Implied Warranty Of
OTALS Merchantability Or Fitness For A Particular
ARTS DESIGNATED WITH AN INDICATES LIFETIME GUARANTEE TOTAL LABOR.... 382.50 Purpose, And The Seller Neither Assumes
HIS APPLIES TO CUSTOMER PAY REPAIRS ONLY. TOTAL PARTS.... 77.93 or Any Liability In Connection With ith he
Assume
F It A
For t Any
TOTAL SUBLET... 0.00 F Liability n Con The
TOTAL G.O. G.... 0.06 Sale of This Item /Items."
TOTAL MISC CHG. 0.00 MISCELLANEOUS
COMPLETELY SATISFIED TOTAL MISC DISC 0.00 MATERIAL CHARGE
TOTAL TAX...... 0.00 10% OF LABOR CHARGES TO A MAXIMUM
TOTAL INVOICE �}6d,Q OF $15.00 IS CHARGES ON REPAIRS TO
COVER COSTS OF SUPPLIED BOUGHT IN
THANK YOU BULK USED IN REPAIRING YOUR VEHICLE
AND COSTS TO DISPOSE OF HAZARDOUS
WASTE.
TERMS
CASH OR CREDIT CARD ONLY
Any other arrangement must be approved by
the General Manager. For any credit account:
�E A FINANCE CHARGE OF 1 (minimum
charge of $.50) on the total unpaid balance of
_purchases and charges over 30 days will be
added to the balance o the account. Annual
percentage rate 18%.
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aRA6 €Idapb9l CUSTOMER COPY END OF INVOICE 11:57am
VOUCHER NO. WARRANT NO.
Hare Chevrolet ALLOWED 20
IN SUM OF
2001 Stoney Creek Road
Noblesville, IN 46060
$460.43
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 CTCS464639 43- 510.00 $460.43 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
ThIclay, e 30, 2011
St�jet Copmis$ ion
ree ()t'i1migslo ne
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))
06/24/11 CTCS464639 $460.43
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