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HomeMy WebLinkAbout204925 12/20/2011 4. CITY OF CARMEL, INDIANA VENDOR: 354974 Page 1 of 1 ONE CIVIC SQUARE PENSKE COLLISION REPAIR CENTER CARMEL, INDIANA 46032 PO BOX 40319 CHECK AMOUNT: $339.39 INDIANAPOLIS IN 46240 CHECK NUMBER: 204925 CHECK DATE: 12/20/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 339.39 AUTO REPAIR MAINTEN RO: 0001537.00 Detailed Customer Invoice Page: 1 816,944 12/14/11 2:16PM 77,448 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 RANGELINE RD Year: 09 CARMEL, IN 46032 Make: CHEV Model: IMPALA POLICE Home: 317 -571 -2500 Type: PC Phone: Work: Style: 4D SED Fax: Est.: JOHN Engine: 6- 3.9L -FI Adjuster: Received: 9/06/11 Color: WHITE Claim PO -27302 Del. Date: 9/06/11 License: Policy: Date Paid: Mileage: 1 Betterment: VIN: 2G1 WS57M991307297 Deductible: 0.00 Ln. Description Parts Labor Units Refin Units Other I PILLARS, ROCKER FLOOR 2 LT Rocker molding 18339 0.80 1.50 3 Add for Clear Coat 0.30 913 Paint Materials 39.00 919 Clear Coat Paint Materials 7.80 Totals 183.39 0.80! 1.80 46.80 Total Category Rate Units Est. Suppl. Total BODY LABOR 42.001 0.80 33.60 33.60 PAINT LABOR 42.00; 1.80 75.60 75.60 OEM PARTS 189.341 -5.95 183.39 PM 46.80 46.80 Subtotals 2.60 345.34 -5.95 339.39 Grand Total: 2.60 345.34 -5.95 339.39 Notes PO SCANNED CITY OF CARMEU CALL NATE HILL 206 -312 -8151 WHEN PART PAINTED. ,4 6 Z44z l z PENSKE PAINT BO P.O. BOX 40319 INDIANAPOLIS, IN 46240 -0319 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)) 12/14/11 repairs to car 143 Semester $339.39 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Penske Collision Repair Center IN SUM OF P.O. Box 40319 Indianapolis, IN 46240 -0319 $339.39 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1110 43- 510.00 $339.39 I hereby certify that the attached invoice(s), or I 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 Monday, December 19, 2011 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund