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179691 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 351304 Page 1 of 1 f ONE CIVIC SQUARE HARE CHEVROLET INC CHECK AMOUNT: $375.00 CARMEL, INDIANA 46032 2001 STONEY CREEK WAY tr° PO BOX 1957 CHECK NUMBER: 179691 NOBLESVILLE IN 46060 CHECK DATE: 11/24/2009 D EPAR'T'MENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4351000 CTCS413442 375.00 AUTO REPAIR MAINTEN T T 4 1 re www.hareauto.com CHEVROLET t 2001 Stoney Creek Road Noblesville, Indiana 46060 Ph: 317- 773 -1090 Fx. 317- 776 -5038 CUSTOMER NO, ADVISOR TAG NO. INVOICE DATE INVOICE NO. AT LICENSE NO. 69rT7 CO CITY O F CARM E L STREET DEPT YEAR`MAKE'M °DEL 7 tW' f DATE DELIVERY MILES 3400 W 131ST ST SEL PRODUCTION DATE WESTFIELD, IN 46074 8267 LE O. .O. O. R.O. DATE RESIDENCE PHONE BUSINESS PHONE COM TERMS: STRICTLY CASH _BO P TS UNLESS ARRANGEMENTS MADE B ROW' REFURBISH DRIVERS S IDE TACOS).: �OZr�..��.�- 237�.�.0� "I hereby authorize the repair work hereinafter SIDE TANK set forth to be done along with the necessary REMOVED TANK AND CLEANED INSIDE AND OUTSIDE AND BEAD material and agree that you are not respon- BLASTED TANK AND STRAPS AND STEPS AND INSTALLED COATING sible for loss or damage to vehicle or articles AND REINSTALLED TANK left in vehicle in case of fire, theft, or any other cause beyond your control or for any delays JOB 1 TOTAL LABOR PARTS 237.50 caused by unavailability of parts or delays in parts shipments by the supplier or transporter. UBLET----- PO -VEND INV# -INV. DATE DESCRIPTION I hereby grant you and /or your employees J OB 1 22683 11/06/09 TANK 100.00 permission to operate the vehicle herein TOTAL SUBLET 100.00 described on streets, highways, or elsewhere for the purpose of testing and /or inspection. An ISC CODE DESCRIPTION CONTROL NO--- express mechanic's lien is hereby acknow- OB 1 SUP SUPPLIES 37.50 ledged on below vehicle to secure the amount TOTAL MISC 37.50 of repairs thereto." OTALS- "The Factory Warranty Constitutes All Of The Warranties With Respect To The Sale Of This ARTS DESIGNATED WITH AN INDICATES LIFETIME GUARANTEE TOTAL LABOR.... 237.50 Itemlltems. The Seller Hereby Expressly Dis _HIS APPLIES TO CUSTOMER PAY REPAIRS ONLY. TOTAL PARTS.... 0.00 TOTAL SUBLET... 100.00 claims All Warranties, Either Express Or TOTAL G.O.G.... 0.00 Implied, Including Any Implied Warranty Of TOTAL MISC CHG. 37.50 Merchantability Or Fitness For A Particular COMPLETELY SATISFIED TOTAL MISC DISC 0.00 Purpose, And The Seller Neither Assumes TOTAL TAX 0.00 Nor Authorizes Any Other Person To Assume For It Any Liability In Connection With The TOTAL INVOICE 375.00 Sale of This Item/Items." MISCELLANEOUS THANK YOU MATERIAL CHARGE 10% OF LABOR CHARGES TO A MAXIMUM OF $15.00 IS CHARGES ON REPAIRS TO tie D COVER COSTS OF SUPPLIED BOUGHT IN BULK USED IN REPAIRING YOUR VEHICLE AND COSTS TO DISPOSE OF HAZARDOUS WASTE. CUSIOMER SIGNATURE TERMS CASH OR CREDIT CARD ONLY 2s Any other arrangement must be approved by n the General Manager. For any credit account: a 4 k A FINANCE CHARGE OF 1 (minimum charge of $.50) on the total unpaid balance of purchases and charges over 30 days will be added to the balance o the account. Annual percentage rate 18%. k Ze, at yea eeosrAete4 "44 &d c wttl� eon denvlee. Owe uq �ccedtia.t eeaeeua -o 7 Aga ulasle, call u� t ixe,lioraa►ral.P ry r s?R9q�Ech 11R 1 KJ CUSTOMER COPY END OF INVOICE 12:42pm 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)) 11/09109 CTCS413442 $375.00 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. WARR NO. ALLOWED 20 Hare Chevrolet IN SUM OF 2001 Stoney Creek Road Noblesville, IN 46060 $375.00 r ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# 1 Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member 2201 CTCS413442 43- 510.00 $375.00 1 hereby certify that the attached invoice(s), or 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 Thursday, Ko ember 19, 200E iz M Street Com7 i toner Street Comeq&doner Cost distribution ledger classification if claim paid motor vehicle highway fund