172512 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 00350811 Page 1 of 1
ONE CIVIC SQUARE RENEWED PERFORMANCE INC (RPI) CHECK AMOUNT: $3,761.00
CARMEL, INDIANA 46032 PO Box 196
TIPTON IN 46072 -0196 CHECK NUMBER: 172512
CHECK DATE: 5/13/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
'1120 4351000 6147 3,761.00 AUTO REPAIR MAINTEN
INVOICE
Remit To: DATE INVOICE
P.O. BOX 196
RENEWED PERFORMANCE, INC. TIPTON, IN 46072 -0196 4/27/2009 6147
PH. (765) 675 -7586 FAX (765) 675 -7589
BILLTO:
Carmel Fire Department
2 Civic Square
Carmel, IN 46032
Attn: Jace Platt
—Customer-Order-NO—
Due Upon Receipt
DESCRIPTION
REPAIR ACCIDENT DAMAGE TO ONE (1) 1996 KME CUSTOM FIRE TRUCK
(ENGINE 43) PER THE PROPOSAL DATED 01/19/09 1,367.00
APPROVED ADDITIONS:
1. INSTALL L.E.D. TAILLIGHTS AND BEZEL 988.00
2. FILL HOLES AND REPAINT THE R.H. REAR OF THE BODY 624.00
3. REPLACE THE FRONT CAB DOOR RUBBER .196.00
4. REPLACE THE FLOOR EDGE TRIM AT BOTH REAR CAB DOORS 262.00
5:" REPLACE THE PANEL AROUND THE BATTERY BOX ON THE
PASSENGER SIDE AND REPLACE BOTH LATCHES AND ACCESS
DOOR 324.00
Thank you TOTAL $3 9 761.00
RPI INVOICEpmd (Rev_ 3 /04) MPI. Inc (7651 675 -9556 t
ER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No. 201 (Rev. 1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
d Performance Inc. IN SUM OF CITY OF CARMEL
I
x 196 An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
N 46074 whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
$3, 7 6 1.00 Payee
Purchase Order No.
COUNT OF APPROPRIATION FOR
Terms
Carmel Fire Department
Date Due
Invoice Invoice Description Amount
INVOICE NO. ACCT #/TITLE AMOUNT Board Members Date Number
(or note attached invoice(s) or bill(s))
6147 43- 510.00 $3,761.00 I hereby certify that the attached invoice(s), -or 6147 Repair E43 $3,761.00
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
MAY 112009
r
Fire Chief
Title
ost distribution ledger classification if I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
laim paid motor vehicle highway fund with I 5- 11- 10 -1.6
20
Clerk- Treasurer