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.
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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