213133 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 00352792 Page 1 of 1
ONE CIVIC SQUARE PENSKE CHEVROLET
0 CHECK AMOUNT: $75.63
CARMEL, INDIANA 46032 PO BOX 40319
INDIANAPOLIS IN 46240-0319 CHECK NUMBER: 213133
CHECK DATE: 9/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 557149 75 . 63 REPAIR PARTS
3210 E. 96TH ST. • P.O. BOX 40319
INDIANAPOLIS, INDIANA 46240-0319
EAW49AVAE APA (317) 846-6666
EVROLE4 Chevrolet Parts
Direct (317) 846-2564
Indiana (800) 692-6370
National Wats (800) 533-6602
PENSKE CHEVROLET
THANK YOU FOR YOUR BUSINESS!!
PARTS HOURS 8:OOAM TO 5:30PM
MONDAY THRU FRIDAY
91 • • • • . �INVOICE . •
NUMBER 2063 0031201550020 4505 W/C CHARGE MIKE ROSEBOOM 09%17/12 557149
Cvw
317-571-2600
B S
I CARMEL FIRE DEPARTMENT H THANKS JASON
� 2 CIVIC SQUARE P VIN-77255966
CARMEL, IN 46032 LH LATCH SIDE
T T
O O
ATITY. PAR-(NUMBER/•
DESCRIPTION
•
•
1 0 19121537 BELT KIT 16.714 857H 91.67 75.63 75.63
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� DISCLAIMEq OF WgRgqNT1E5 SUBTOTAL
O My warranties on Iha products sdd Irma ere those made by the na—fac m.The Seller,Penske Chevrolet,bereby expressly diacl9ims all warranties,
W either expressed or Implied,Includlrg any imptieIt--ty,of m a,hantabildy or fitness tar a part-lar purpose,and Penske Chevrolet,neither assumes nor
X authorizes any other person to assume for it any Ilablllty in connection wide the Is of said pmducts.
U_
2
a SPECIAL ORDER OR FACTORY ORDERED ITEMS NOT RETURNABLE.ELECTRICAL PARTS NOT RETURNABLE. TAX 0.00
0 18%HANDLING CHARGE FOR RETURNED ITEMS.
2 WE ARE NOT RESPONSIBLE FOR ANY LABOR ON PARTS NOT INSTALLED BY OUR SHOP.
a RETURNED PARTS MUST BE IN ORIGINAL AND UNDAMAGED CONTAINER.
ALL EXCHANGES AND REFUND CLAIMS MUST BE ACCOMPANIED BY THIS INVOICE WITHIN 10 DAYS.
a
RECEIVED BY: NO REFUNDS WITHOUT
FREIGHT 0.00
Q
THIS INVOICE 75.63
1:54:15 CUSTOMER COPY NET512 PAY THIS AMOUNT PAGE 1 OF 1
PSK-2020-C WWW.penskechevy.com
Prescribed by State Board of Accounts City Form No.201 (Rev. 1995)
A'_"0UW71 ,'.', PAYABLE VOUCHER
CITY OF CARMEL
An invoice or Bill to be properly iternizcd muci kind of service,where performed, dates service rendered, by
whom, rai!:s per day, fl'u'.'."ki:%Fr Of hOUrs, rain, 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))
557149 C4505 $75.63
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
Penske
IN SUM OF $
1D.O. Box /11,0319
Indianapolis, IN 46240 ------ -- -
$75.63
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
1120 I 557149 I 42-370.00 I $75.63 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
SFp242012
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund