172983 05/27/2009 CITY OF CARMEL, INDIANA VENDOR: 00352792 Page 1 of 1
0 f ONE CIVIC SQUARE PENSKE CHEVROLET
CARMEL, INDIANA 46032 PO BOX 40316 CHECK AMOUNT: $806.79
INDIANAPOLIS IN 46240 -0319
CHECK NUMBER: 172983
CHECK DATE: 5/27/2009
DE PAR T MEN T ACCOUNT PO NUMBER INVOI NUMBE AMOUNT DESCRIPTION
2201 4237000 436871 321.92 REPAIR PARTS
2201 4237000 436895 321.92 REPAIR PARTS
2201 4237000 437350 -1 162.95 REPAIR PARTS
OD
IN 1 1 I' 1 1 1 D 846
CHEVROLET (317) R
846
Nati onal ..1
CUST
DISCLAIMER O
CHEVR PENSKE CHEVROLET Any warranty on the products sold hereby are those made by
THANK YOU FOR YOUR BUSINESS!! the manufacturer. The Seller, PENSKE
im expressly disclaims all warranties, either expressed or implied,
PARTS HOURS 8:00AI TO 5`30F including any warranty of merchantability or fitness'for
M a particular pu and PENSKE CHEVRO
assumes n oe authorizes a ssume
liability in connection with the sale of prod ucts.
CUSTOMER NO TAX EXEMPT NUMBER I .„GUST P:O NO SHIP VIA ..PAY SOLD BY INVOICE "DATE INVOICE NO
3082 00-2 1 201 5 00*1'20 TRK12 3.DELIVER CHARGE MIKE ROSEBOOM 05/08/09 436895
CVW
I rARMEL STREET DEPT H THANKS KEVIN'
M00 WEST 1:31ST ST
4 6074 P
5 4 s.. <.�,v;!ai v t'i•.
iPART NUMBER./ DESCRIPTION r: BIN 'LIST �nNET� e C'AMOUNT z' -fy ,y -e� •4 E ;ycA�
L v d i I! 4 K 1• Y! 4 K 7.
1 �i
.&j A 1 w
r is ��'.v,' r•:��,v'�!�4'
v j 7 S•:
Syr..: ^...r:1•••'c G-: �i• „c
�'/r•.�`� ��j1� is /r�tV� ra i
is �!':v,.�%y r :�•v''.+y�
SPECIAL ORDER OR FACTORY ORDERED ITEMS NOT. RETURNABLE, ELECTRICAL PARTS NOT RETURNABLE.
WA
NG CHARGE FOR RETURNED ITEMS.
15% HANDLI
WE ARE N OT FOR ANY LABOR ON NOT BY OUR Vf
RETURNE PARTS MUST BE IN ORIGINAL AND UNDAMAGED CON TAINER ;!f L L 1,
ALL EXCHANGES AND REFUND CLAIMS MUST BE ACCOMPANIED BY THIS INVOICE WITHIN 10 DAYS.
is
RECEIVED BY:
IlTfhallf( YO
1
'4 vk 321 E 96TH ST o P BOX 40319 Chevrolet Pa s P r INDIANAP g '4 624 0-031 9 D irect
.�•r. anF Pa,�,..`
CHEVR 846-6666
Nati onal 1 ..1
CUST OMER DD'
PENSKE CHEVROLET DISCLAIMER O
Any warranty on products
THANK YOU FOR YOUR BUSINESS!! the manufacturer. The Seller, PE hereby are those made by
CHEV
NSKE
expressly disclaims all warranties, either ex p r essed .e
includin PARTS HOURS 8.004flri 'TO L5'30PM any im plied warranty of o
particular purpose and PENSKE CHEVRO
assumes r authorizes any other pe rson
liability in connection with the sale of said products.
i
CUSTOMER NO I TAX EXEMPT NUMBER I CUST P O NO SHIP VIA PAY SOLD BY I +yINVOICE DATE INVOICE NO
k.
,QU/�1NATITAY x 'ea'r3. .s c`a§s ,:z- Via?' ..,3•iu -r::'. r+. t r �!tk- 4 `zi.- n.'c,.`r L.. ihn°" a,.:r (a 9 S_ �a..
Il
•C{ '4 •i;{ j,
�082 0031201550020
CVW
tPt PART *.NUMBER% °DESCRIPTIONS `,a`n `BIN °L'IST,. �NET� i4MOUNT���K
t s r` s* z i,..,.: rt f°yi c e 3' Y 't7. 5� li. (•a, ,.•l: K� 7.
SHIP °�B r
rc...7sa x,..�a Oi c a r�-s*'�, *:?`s °p. n. t i. °:..wwTF'`� y4i�,i rf d '��[ri a R,; s a �C J 3f_ 5( `t_. 11�, 7r' ll�
�rr�F 1 t, r, 1
Syr, i....�.,i.:
Al
fil
A
Al 114XI.
�NJE:
SPECIAL ORDER OR FACTORY ORDERED ITEMS NOT RETURNABLE, ELECTRICAL PARTS NOT RETURNABLE.
15% HANDLING CHARGE FOR RETURNED S•}."'{: Sig Si'•
PA WE ARE NOT RETURNED
ALL EXCHANGES AND REFUND CLAIMS MUST BE ACCOMPANIED BY THIS INVOICE WITHIN 10 DAYS.
��r I Sig
RECEIVED BY:
Al
Tflanfc You
Mme, X `I. A('r `I, A1,�,.
3210 E. 96TH ST 9 P.O. BOX 40319
r3
Nati INDIANAPOLIS, IN 46240-0319 Direct (317) 846-2564
CHEVROLET (317) 846-6666 Indiana (800) 692-6370
:11 ..1
CUST OMER DD'
PENSKE CHEVROLET DISCLAIMER O
Any warranty on the products sold hereby are those ma b y
THANK YOU FOR YOUR BUSINES51 I the manufacturer. The Seller, PENSKE
CHEV
'00AM 'TO 5"OPM expressly disclaims all warranties, either expressed or im plied
H OURS PARTS C including any implied warranty of merchantability or fitness for
pur pose
assumes nor authorizes any other person to assume for it any
liability in connection with the sale of
BOB PAYNE
CUSTOMER NO. TAX EXEMPT NUMBER -COST: P.O NO SHIP VIA PAY SOLD BY .h._ INVOICE•DATE -.I. INVOICE NO.
♦.SMMw ,rv.a ��a v �.d
00312
CvW
QUANATITY
f PART W NUMBER;J DESCRIPTION 4 3 BIN r LIST
LSHIP� r, t te arw. rr1a,3 Qom r ti 5 r k r
4
1574'357 CONNECTOR 3.348 9F1. 7 err: l i [r e rr 1 i`,'
1156 CLAMP 3.373.
ia.�•:: rvl("' %pl',i. :.`K'' %Aid
Svr- n
heE;v. .�s :1yisy H.�
's,, k; 4, Fir Fi.
4 y6 ct'� yt, cam.
r .tit} F:;; ..-y t }'F.:
E�v Sy/:. •j pc hoc
'•3:�rY/'.,� 7 •F•,. .ry a t p..
FREIGHT
PAY THIS AMOUNT
r'F• Y t
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))
05/08/09 436871 $321.92
05/08/09 436895 $321.92
05/14/09 437350 -1 $162.95
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
VO UCHER NO. WARRANT NO.
ALLOWED 20
Penske Chevrolet
IN SUM OF
P. O. Box 40319
Indianapolis, IN 46240 -0319
$806.79
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
2201 436871 42- 370.00 $321.92 1 hereby certify that the attached invoice(s), or
2201 436895 42- 370.00 $321.92 bill(s) is (are) true and correct and that the
2201 437350 -1 42- 370.00 $162.95
materials or services itemized thereon for
which charge is made were ordered and
received except
Th'u�dayUy 21, 2009
Street CommissiA W
trees y T r it le :I 1 110bIul ICI
Cost distribution ledger classification if
claim paid motor vehicle highway fund