180381 12/16/2009 a c��4f CITY OF CARMEL, INDIANA VENDOR: 025950 Page 1 of 1
ONE CIVIC SQUARE BILL ESTES CHEVROLET CHECK AMOUNT: $319.08
CARMEL, INDIANA 46032 4105 W 96TH ST
INDIANAPOLIS IN 46268
CHECK NUMBER: 180381
CHECK DATE: 12116/2009
DEPARTMENT ACCOUNT PO NUMBER IN VOICE NUMBER AMOUNT DESCRIPTION
1 1110 4237000 21275 556698 319.08 RIMS
rughliftes
tezi
CHEVROLET, INC. M.
4105 West 96th Street
Indianapolis, IN 46268
Call Direct: 872 -1692
Fax Direct: 337 -0541
www.billestes.com
E -MAIL: parts @billestes.com
PARTS RETURN POLICY
ALL RETURNED PARTS MUST CONFORM TO THE GM PARTS PACKAGING QUALITY STANDARDS, THOSE STANDARDS SHOWN UPON REQUEST.
NOTE: ELECTRICAL SPECIAL ORDER PARTS ARE NOT RETURNABLE!!!!
A 20% HANDLING CHARGE WILL BE ADDED ON ALL RETURNED PARTS.
ALL CLAIMS AND RETURNED GOODS MUST BE ACCOMPANIED BY THIS BILL.
NO REFUNDS AFTER 30 DAYS.
DISCLAIMER OF WARRANTIES
ANY WARRANTIES ON THE ITEM /ITEMS SOLD HEREBY ARE THOSE MADE BY THE MANUFACTURER. THE SELLER, BILL ESTES CHEVROLET Inc., HEREBY EXPRESSLY
DISCLAIMS ALL WARRANTIES, EITHER EXPRESSED OR IMPLIED, INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR
PURPOSE, AND BILL ESTES CHEVROLET Inc. NEITHER ASSUMES NOR AUTHORIZES ANY OTHER PERSON TO ASSUME FOR IT ANY UaElLlf IN33
T HH( E SALE OF THE ITEMATEM �f1fY�7
M m CAlI11Y Vlf�1 lrt:.Yl L:JU IIAAJl:.1J._A_J l:,La111L7 IlAI�%�.11..1 -3
119300 0031201550 -020 CAR #117 CHARGE RANDY MCQUEEN 12/07/09 556698
CVW
317- 733 -4600
B S
H
I CITY OF CARMEL POLICE DEPT.
L 3 CIVIC SQ P
T CARMEL, IN 46032 -2584 T
c
G?-�0 0 QI G!Ii t
0.
1 0 9595647 WHEEL 5.803 423 212.73 159.54 159.54
1 0 9595647 WHEEL 5.803 53539 423 212.73 159.54 159.54
P -UP LOCAL TODAY!!
PARTS DEPT.
HOURS:
MONDAY FRIDAY
7:00 AM 7:00 PM
SATURDAY
8:00 AM 12:00 PM
CAUTION
Open Carefully
DO NOT DEFACE
(Returnable only in
original undamaged
carton.)
LL DO NOT RESEAL
M SUBTOTAL 319.08 WITH TAPE
m
AX 0.00 THANK YOU
0
E FREIGHT 0.00
2 PAY THIS AMOUNT 319.08
a
11:03:47 CUSTOMER COPY NET504 PAGE 1 OF 1
Carmel INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0 1 of I
Ci PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 91
3ON CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
I
FORM,APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
December 8, 20C9' rims
VENDOR Bill Estes Chevrolet SHIP Clty of Carmel Police Department
4005 West 96th Street TO 3 Civic Square
Indianapolis, IN 46268 Cammel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
2 rims for car 117 T6 Kinyon 159.54 319.08
V
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Al 0
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w
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT 7 ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
1110 370 repair parts PAYMENT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
l� rNU MBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. s•
ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ttf lh..rL t.t fff
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99 ACTS 1945 TITLE Chief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO.
t" A.P. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER VVARRANTNO`____.
ALLOWED 20
IN THE SUM 0F$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
O# or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT hereby certify that the attached invoicehi
biU(s) is(are) true and correct and that the
materials mr services itemized thereon for
which charge is made were ordered and
received except
20
Signature
Title
Cost distribution ledger
claim paid motor vehicle highway m^w
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
Bill Estes Chevrolet Purchase Order No. 21275F
4105 West 96th Street Terms
Indianapolis, IN 46268 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/7/09 556698 payment for rims 319.08`'
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
B ill Estes Chevrolet IN SUM OF
4105 WEst 96th Street
Indianapolis, IN 46268
319.08,-
ON ACCOUNT OF APPROPRIATION FOR
p olice general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT I hereby certify that the attached invoice(s), or
21275F 556698 370 319.08 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
December 11 20 09
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund