HomeMy WebLinkAbout175666 06/06/2009 CITY OF CARMEL, INDIANA VENDOR: 00352730 Page 1 of 1
0 ONE CIVIC SQUARE DAN YOUNG TIPTON, LLC CHECK AMOUNT: $190.32
CARMEL, INDIANA 46032 875 E JEFFERSON ST
PO BOX 398 CHECK NUMBER: 175666
TIPTON IN 46072
CHECK DATE: 8/612009
DEPARTMENT ACCOUNT PO NUM INVOI NU MBER AMOUNT DESCRIPTIO
1110 4342100 190.32 POSTAGE
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DANYOUNG
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State Road 28 (P.O. Box 398) TIPTON, IN 46072 765- 675 -7491 765- 675 -3737 (Fax) 1- 800 489 -USA 1
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SOLD TO
HOME DATE
HOME
ADDRE 5 CITY BUSIN ZIP COOS SALESMI5
NEW DEfutd EXEC. RENTAL USED LEASED. OTHER
MAKE YEAR MODEL NO. BODY STYLE LINE OR SERIES DELIVERY DATE- STOCK NUMBER
20
1DENT. NO. COLOR TRIM MILES AT TIME 01 DELIVERY
This vehicle is equipped with a General Motors engine produced in a General Motors plant operated by the Division.
SVM FACTORY OPTIONS FACTORY OPTIONS
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PRICE OF CAR d, 1
FREIGHT �+fi� fib f lo J,7_
TOTAL CAR PRICE
ALLOWANCE ON TRADE -IN
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RUSTPROOF
BODY GLO
BODY GLO INTERIOR
OTHER
TAX
TIRE TAX
EXTENDED SERVICE PLAN
TOTAL CASH DIFFERENCE
YEAR MAKE MODEL SERIAL NO. PAYOFF ON TRADE -IN
A.C.V.$ LICENSE NO. CASH BALANCE
CASH DEPOSIT
The information you see on the window form for this vehicle is AMOUNT FINANCED
part of this contract. Information on the window form overrides CASH ON DELIVERY
any contrary provisions in the contract of sale. TOTAL DUE f®
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(Federal regulations require you to state the odometer mrleage upon transfer of ownership. An inaccurate or untruthful statement may make you liable for damages to your transferee, and for civil or criminal
penalties, pursuant to sections 409, 412, and 413 of the Motor Vehicle Information and Cost Savings Act of 1972 (Pub. L.. 92 -513, as amended by Pub. L.. 94 -364).
A. I state that the odometer mileage indicated on the vehicle described on this Buyer's Order as (Check either box)
being traded to DAN YOUNG, Inc.. is miles. 1 hereby certify that the odometer of said vehicle was not altered, set back, or disconnected while
(check one box only) in my possession and have no knowledge of anyone else doing so-
0 1 hereby certify that to the best of my knowledge the odometer reading as stated above
reflects actual mileage of the vehicle described below. 13 1 hereby certify that the odometer was altered for repair or replacement purposes while in my
I hereby certify that to the best of my knowledge the odometer reading reflects the amount possession and that the mileage registered on the repaired or replacement odometer is identical to
of mileage in excess of designed mechanical odometer limit of 99,999 miles of the vehicle that before such service. I further certify that if the repaired or replacement odometerwas incapable
described below. of registering the same mileage, that it was reset to zero, and that the mileage on the original
El I hereby certify that to the best of my knowledge the odometer reading as stated above is s
9 9 9 9
NOT the actual mileage of vehicle described below, and should not be relied upon. odometer or the odometer before repair was miles.
X
TRANSFEROR'S SIGNATURE: DATE OF THIS STATEMENT
B.. I acknowled g e he he odomtamer Ip indicated on the vehicle described on.this Buyer's Order being purchased by me is miles.
BuyerX' /i �V Date:
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APPROVED SIGNED PURCHASER
THIS ORDER NOT VALID UNLESS SIGNED ANDACCEPTED BY DEALER
Prescribed t y 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
Dan Young Chevrolet Purchase Order No.
P.O. Box 398
State Road 28 Terms
Tipton, IN 46072
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7/29/09 payment for shipping charges 190.32
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
D an Young Chevrolet IN SUM OF
P.O. Box 398
Tipton, IN 46072
190.32
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 421 190.32 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
July 29 20 09
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund