208643 05/10/2012 CITY OF CARMEL, INDIANA VENDOR: 359589 Page 1 of 1
0 ONE CIVIC SQUARE CHAMPION CHRYSLER JEEP AND DOD EE
CARMEL, INDIANA 46032 4505 W 96TH STREET �FiECK AMOUNT: $99.90
INDIANAPOLIS IN 46268 CHECK NUMBER: 208643
CHECK DATE: 5/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4237000 71591 99.90 REPAIR PARTS
PARTS INVOICE
44107 0031201550020 CAR 12 CHARGE ROBERT 05/02/12 71591
B 733 -4600 S CHW
a I T H T
L O CARMEL POLICE DEPARTMENT p 0
3 CIVIC SQUARE
CARMEL, IN 46032
PART NUMBER [DESCRIPTION
M
1 C 68004539 -AA RESISTOR 8035022 1141 111.00 99.90 99 PARTS RETURN POLICY
ry ALL RETURNED PARTS MUST
CONFORM TO THE ORIGINAL
PARTS PACKAGING QUALITY
STANDARDS, THOSE STANDARDS
SHOWN UPON REQUEST. NO
REFUNDS ON SPECIAL ORDER
PARTS OR ELECTRICAL PARTS.
U
ALL RETURNED PARTS SUBJECT
vi
TO 20% RESTOCKING CHARGE.
0
w
U_
2
a
a SUBTOTAL 99
DISCLAIMER OF WARRANTIES
a Any warranties on the item/items sold hereby are those made by the manufacturer. the seller, CHAMPION
CHRYSLER JEEP DODGE, hereby expressly disclaims all warranties, either express or implied, including any TAX 0.0
implied warranty of merchantability or fitness for a particular purpose, and CHAMPION CHRYSLER JEEP DODGE
neither assumes nor authorizes any other person to assume for it any liability in connection with the sale of the
item(dems.
a` CUSTOMER SIGNATURE X
PAY THIS FREIGHT 0.0
CUSTOMER COPY NOBODY BEATS A 4505 W. 96th Street
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10:39:16 PAGE 1 OF 1
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A-"% Indianapolis, IN 46268 NET504
(317) 872 -6200 (877) 931 -6200
C��H� ®S Jeep:�� =ems www.championcjd.com
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))
05/02/12 71591 repair parts $99.90
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
Champion Chrysler Jeep Dodge
IN SUM OF
4505 W. 96th Street
Indianapolis, IN 46268
$99.90
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1110 71591 42- 370.00 $99.90 I 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
Friday, May 04, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund