208719 05/10/2012 CITY OF CARMEL, INDIANA VENDOR: 351304 Page 1 of 1
ONE CIVIC SQUARE HARE CHEVROLET INC CHECK AMOUNT: $85.00
CARMEL, INDIANA 46032 2001 STONEY CREEK WAY
PO BOX 1957 CHECK NUMBER: 208719
NOBLESVILLE IN 46060
CHECK DATE: 5/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 CTCS494419 85.00 AUTO REPAIR MAINTEN
2001 Stoney Creek Rd.
i Noblesville, IN 46060
Phone: 317-773-1090
Service Dept: 317- 776 -5040
"A DEALER FOR THE PE OPLE" www.HareChevy.com
CUSTOMER NO. ADVISOR TAG NO. INVOICE DATE INVOICE NO,
46420 JOHN PENCE 691 105 892 04/24/12 CTCS494419
LABOR RATE LICENSE NO. MILEAGE COLOR STOCK NO.
CITY OF CARMEL STREET DEPT 247 RED
YEAR /MAKE /MODEL DELIVERY DATE DELIVERY MILES
3400 W 131ST ST 04 GMC SIERRA 2500 CAB
CARMEL, IN 46074 -8267 VEHICLE I.D. NO. SELLING DEALER NO. PRODUCTION DATE
1 G T H K 2 4 U 6 4 E 3 7 6 9 9 2
F.T.E. NO. P.O. NO. R.O. DATE
0031201550 -020 04/23/12
RESIDENCE PHONE BUSINESS PHONE COMMENTS
317 733 -2001 417 -5053
LABOR PARTS 7 TERMS: STRICTLY CASH
J# 'I 05CVZ FUEL /DR'IVEABILITY.. "85,.00 UNLESS ARRANGEMENTS MADE
C/S THE SES LIGHT WAS ON AND SHOWED ENG MISSFIRE CLEARS AND hereby authorize the repair work hereinafter
COMES BACK AFTER HITTING 2000 RPM ADVISE set forth to be done along with the necessary
TESTED AND FOUND MULTIPLE MISFIRE CODES AT HIGH RPMS material and agree that you are not respon-
PREFORMED CRANKSHAFT VARIATION CLEAR AND REPROGRAM AND sible for loss or damage to vehicle or articles
AT HIGH RPMS DID NOT REGISTAR ANY MISFIRES AFTER PROGRAM left in vehicle in case of fire, theft, or any other
cause beyond your control or for any delays
JOB 1 TOTAL LABOR PARTS 85.00 caused by unavailability of parts or delays in
arts shipments by super or transporter.
a ip h supplier
p
J#'2 OOCUZINSPECT VEHICLE'INSPECTI'ON TECH(S):702 ,.0:00 I hereby grant you and /or your employees
PERFORM GM 27 POINT INSPECTION permission to operate the vehicle herein
GM MULTI-POINT INSPECTION PERFORMED described on streets, highways, or elsewhere
for the purpose of testing and /or inspection. An
JOB 2 TOTAL LABOR PARTS 0.00 express mechanic's lien is hereby acknow-
ledged on below vehicle to secure the amount
TOTALS=-------------------•----------------------------------•--- of repairs thereto.
PARTS DESIGNATED WITH AN INDICATES LIFETIME GUARANTEE TOTAL LABOR.... 85.00 The Factory Warranty Constitutes All Of The
THIS APPLIES TO CUSTOMER PAY REPAIRS ONLY. TOTAL PARTS.... 0.00 Warranties With Respect To The Sale Of This
TOTAL SUBLET... 0.00 ItemAtems. The Seller Hereby Expressly Dis-
TOTAL G.O.G.... 0.00 claims All Warranties, Either Express Or
TOTAL MISC CHG. 0.00 Implied, Including Any Implied Warranty Of
COMPLETELY SATISFIED TOTAL MISC DISC 0.00 Merchantability Or Fitness For A Particular
TOTAL TAX 0.00 Purpose, And The Seller Neither Assumes Nor
TOTAL INVOICE 85.00 Authorizes Any Other Person To Assume For
It Any Liability In Connection With The Sale of
THANK YOU This ItemAtems."
MISCELLANEOUS
MATERIAL CHARGE
10% OF LABOR CHARGES TO A MAXIMUM
OF z IS CHARGES ON REPAIRS TO
COVER COSTS OF SUPPLIED BOUGHT IN
BULK USED IN REPAIRING YOUR VEHICLE
TU ME AND COSTS TO DISPOSE OF HAZARDOUS
WASTE.
TERMS
CASH OR CREDIT CARD ONLY
Any other arrangement must be approved by
the General Manager. For any credit account:
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%.
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PAGE 1 OF 1 CUSTOMER COPY_ END OF INVOICE 09:44am
[B/RP SC104 3/12
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))
04/24/12 CTCS494419 $85.00
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
Hare Chevrolet
IN SUM OF
2001 Stoney Creek Road
Noblesville, IN 46060
$85.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 I CTCS494419 I 43- 510.001 $85.00 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
d® Wednesday, May 02, 2012
/Y. d
Street Commissioner
JIGGl VW111i11iJ:, V(It;i
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund