HomeMy WebLinkAbout168673 02/04/2009 "c• CITY OF CARMEL, INDIANA VENDOR: 00351793 Page 1 of 1
ONE CIVIC SQUARE RENNER'S BODY WORKS
6190 E. 146TH STREET CHECK AMOUNT: $578.40
CARMEL, INDIANA 46032
o NOBLESVILLE IN 46060 CHECK NUMBER: 168673
CHECK DATE: 2/412009
DEPARTMENT A PO NUM INV NUMBER AMOUNT DESCRIPTION
1125 4351000 19662 578.40 COLLISION REPAIRS
All PARTS INSTALLED ARE NEW UNLESS SPECIFIED OTHERWISE
OUAN� PART NO.
DESCRIPTION A"m NT
BODY WORKS
Collision Repair
8190 East 146th St. Noblesville, IN 46060
317- 773 -9792• Fax 317- 773 -1647
J w w.rennersbodyworks.com
NAME C��� L CJ� DATE
TIME RECEIVED TERMS
ADDRESS AM PM
NE TIME PROMISED PROMISED
WHEN
CITY READY AM PM
YE.R TYPE OR =CLEIDENTIFICA70N NUMBER DELIVERED
WRITTEN •Y
S
P.
G.
u
am
-tea r& e
RETAIN PARTS LJ DESTROY PARTS
i� MADE AGREE THE TEMPORARY REPAIRS MADE TO THE ABOVE IDENTIFIED VEHICLE WERE TOTAL LABOR f.�
_j MADE AT MY REQUEST. THE ABOVE REPAIR WORK WAS NOT MADE IN ACCORDANCE WITH THE CIO
OF DAMAGE REFLECTED IN THE COMPLETED ESTIMATES. THE REPAIRS MADE WERE OF A PAINT MATERIAL
J AN 8 2004 TEMPORARY NATURE AND RENNER'S BODY WORKS DOES NOT RECOMMEND THE ABOVE
DESCRIBED VEHICLE BE OPERATED UNTIL FINAL REPAIRS ARE COMPLETE. RENNER'S BODY TOTAL PARTS l�
WORKS IS NOT LIABLE FOR ANY ACCIDENT THAT MAY OCCUR OR FOR ANY PROPERTY DAMAGE
I OR PERSONAL INJURY THAT MAY BE CAUSED BY OR RESULT FROM THESE TEMPORARY REPAIRS.
GAS. OIL, GREASE
I HEREBY AUTHORIZE THE ABOVE REPAIR TO BE DONE ALONG WITH NECESSARY MATERIALS.
YOU AND YOUR EMPLOYEES MAY OPERATE ABOVE VEHICLE FOR PURPOSE OF TESTING.
INSPECTION, OR DELIVERY AT MY RISK. AN EXPRESSED MECHANICS LIEN IS ACKNOWLEDGED SUBLET REPAIR
ON ABOVE VEHICLE TO SECURE THE AMOUNT OF REPAIRS THERETO. RENNER'S BODY WORKS
WILL NOT BE HELD RESPONSIBLE FqR LOSS OR DAMAGE TO THE ABOVE VEHICLE. OR ARTICLES
LEFT IN THE ABOVE VEHICLE IN ,1CAr OF FIR THE FT, ACCIDENT. OR ANY OTHER CAUSE
BEYOND THE CONTROL OF RENNER 0BODY WO K ✓J� /jl
I LA-
CUSTOMER SIGNATURE T !V DATE STATE TAX I
RECEIVED BY —DATE
T OTAL
L7
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
Renner's Body Works Terms
8190 East 146th St
3
Noblesville, IN 46060
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/14/09 1/14/09 Fender repair on Ford Ranger PO 19662 F 578.40
Total 578.40
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.
Renner's Body Works Allowed 20
8190 East 146th St
Noblesville, IN 46060
In Sum of
578.40
i
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
19662 F 1/14/09 4351000 578.40 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
2 -Feb 2009
Signature
578.40 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund