169135 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: 00350811 Page 1 of 1
ONE CIVIC SQUARE RENEWED PERFORMANCE INC (RPI) CHECK AMOUNT: $5,043.00
CARMEL, INDIANA 46032 PO BOX 196
TIPTON IN 46072 -0196 CHECK NUMBER: 169135
CHECK DATE: 2/17/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCR
1120 4351000 6105 5,043.00 AUTO REPAIR MAINTEN
I
L
INVOICE
Remit To: DATE INVOICE
P.O. BOX 196
RENEWED PERFORMANCE, INC. TIPTON, IN 46072 -0196
2/6/2009 6105
PH. (765) 675 -7586 FAX (765) 675 -7589
BILL TO:
Carmel Fire Department
2 Civic Square
Carmel, IN 46032
Customer Order NO. TERMS
Due Upon Receipt
DESCRIPTIO OILIINT
TO REPAIR ACCIDENT DAMAGE TO ONE (1) 1995 KME CUSTOM FIRE
TRUCK (ENGINE 44):
1. ACCIDENT DAMAGE TO REAR PASSENGER SIDE OF BODY PER THE
QUOTE DATED 01/23/08 5,896.00
2. ACCIDENT DAMAGE TO FRONT OF CAB PER THE QUOTE DATED
01/09/09 M 4,984.00
TO REPAIR CORROSION ON THE REAR AND DRIVER SIDE OF THE BODY
PER THE QUOTE DATED 09/11/08 2,248.00
REPLACE ONE (1) CORRODED TAILLIGHT ASSEMBLY 21.00
REPLACE DOOR EDGE TRIM BOTH SIDES 318.00
REPLACE BATTERY BOX PANEL BOTH SIDES 458.00
TOTAL $13 9 925:00
LESS PAYMENT FROM TRAVELER'S INSURANCE 8
Thank you TOTAL
$5,043.00
RN INVOICE.Om0 (Rev- 3104) MR, Inc. (765) 675 -9556 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))
6105 Repair E44 $5,043.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
RPI
Renewed Performance Inc.
IN SUM OF
P.O. Box 196
Tipton, IN 46074
$5,043.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 6105 43- 510.00 $5,043.00 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
FEB
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund