214669 11/20/2012 CITY OF CARMEL INDIANA VENDOR: 351304 Page 1 of 1
`a ONE CIVIC SQUARE HARE CHEVROLET INC
CARMEL, INDIANA 46032 2001 STONEY CREEK WAY CHECK AMOUNT: $1,562.98
PO BOX 1957 CHECK NUMBER: 214669
NOBLESVILLE IN 46060
CHECK DATE: 11120/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 CTCS511974 1, 562 . 98 REPAIR PARTS
` 2001 Stoney Creek Rd.
° Noblesville, IN 46060
Phone: 317-773-1090
I--° ----(a Service Dept: 317-776-5040
"A DEALER FOR THE PEOPLE" www.HareChevy.com
CUSTOMER NO ADVISOR TAG NO. INVOICE DATE INVOICE NO.
A AT LICENSE NO, LEAGE COL T
CITY OF CARMEL YEAR/MAKE/MODEL f S
1 civic SQ
CARMEL, IN 46032-2584 SELLI PRODUCTION DAT
..E. JFO. R.O.DATE
RESIDENCE PH NIARMEI T71'17-571 USINESS PHONE COM
3171 -84.6 .7499 3
LABOR..&•PARTS
----------------------------------------------------------------------- TERMS:STRICTLY CASH
UNLESS ARRANGEMENTS MADE
J#... ENGINE.<REPAIRS :``,:;` "':' ::;.;;TECH($') 437 [ <:;_; „-:v;`''.` :.;.436":QO "I hereby authorize the repair work hereinafter
C/S IS LOSING ABOUT A GALLON OF COOLANT EVERY COUPLE HOURS set forth to be done along with the necessary
OF RUN TIME AND SEEN COMING OUT THE EXHAUST ADVISE material and agree that you are not respon-
TESTED AND FOUND 1 OF THE 2 EGR COOLERS LEAKING COOLANT sible for loss or damage to vehicle or articles
AND 1 HAS BEEN REPLACED AND WILL REPLACE 1 UNDER WARRANTY left in vehicle in case of fire,theft,or any other
AND REPLACED THE OTHER EGR COOLER AND ALL LINE FITTINGS cause beyond your control or for any delays
AND CONNECTORS NEEDED AND FILLED NEW COOLANT AND TESTED OK caused by unavailability of parts or delays in
parts shipments by the supplier or transporter.
PARTS------QTY---FP-NUMBER---------------DESCRIPTION--------------------UNIT PRICE- I hereby grant you and/or your employees
JOB # 1 1 98030583 COOLER: EGR 443.46 443.46 permission to operate the vehicle herein
JOB # 1 1 97603889 GASKET: COOLER 35.57 35.57 described on streets,highways,or elsewhere
JOB # 1 1 98046192 GASKET: EGR PIP 30.28 30.28 for the purpose of testing and/or inspection.An
JOB # 1 1 97600167 GASKET: EGR PIP 20.80 20.80 express mechanic's lien is hereby acknow-
JOB # 1 1 97601144 GASKET: EGR VLV 28.86 28.86 ledged on below vehicle to secure the amount
JOB # 1 1 98030583 COOLER; EGR 0.00 0.00 of repairs thereto."
WARRENTY PART
JOB # 1 1 15052353 FITTING 8.846 17.45 17.45 "The Factory Warranty Constitutes All Of The
MIKE P SEE ED Warranties With Respect To The Sale Of This
JOB # 1 2 12346290 COOLANT 8.800 19.28 38.56 ItemAtems.The Seller Hereby Expressly Dis-
JOB # 1 TOTAL PARTS 614.98 claims All Warranties, Either Express Or
Implied,Including Any Implied Warranty Of
JOB # 1 TOTAL LABOR & PARTS 1550.98 Merchantability Or Fitness For A Particular
------------ -------'------ -----•-•-- Purpose,And The Seller Neither Assumes Nor
MTSC------CODE----•---DESCRIPTION-------------------------------CONTROL NO--------- Authorizes Any Other Person To Assume For
JOB # A 15LOFSS SUPPLIES 1.00 It Any Liability In Connection With The Sale of
JOB # A SS SHOP SUPPLIES/DISPOSAL FEES 11.00 This ItemAtems."
TOTAL - MISC 12.00
MISCELLANEOUS
TOTALS MATERIAL CHARGE
10%OF LABOR CHARGES TO A MAXIMUM
PARTS DESIGNATED WITH AN * INDICATES LIFETIME GUARANTEE TOTAL LABOR.... 936.00 OF$15.00 IS CHARGES ON REPAIRS TO
THIS APPLIES TO CUSTOMER PAY REPAIRS ONLY. TOTAL PARTS.... 614.98 COVER COSTS OF SUPPLIED BOUGHT IN
TOTAL SUBLET... 0.00 BULK USED IN REPAIRING YOUR VEHICLE
TOTAL G.O.G.... 0.00, AND COSTS TO DISPOSE OF HAZARDOUS
TOTAL MISC CHG. 12.'00 WASTE.
COMPLETELY SATISFIED ! TOTAL MISC DISC 0.00
TOTAL TAX...... 0.00 TERMS
CASH OR CREDIT CARD ONLY
OTAL INVOICE $ 1562.98 Any other arrangement must be approved by
THANK YOU ! the General Manager.For any credit account:
A FINANCE CHARGE OF 1112% (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%.
cu,jrOMER SIGNATURE
We waste "w eomAZeee4 Qateeaced
scat!0=aezvece... '9�VW Crave 4"
grceaaua coacerraeaq,elua awt4, call
me Aewtwa&5.
IB/RP-SC 104 3/12
PAGE 1 OF t CUSTOMER COPY [ END OF INVOICE ] 04:12pm
i
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hare Chevrolet
IN SUM OF $
2001 Stoney Creek Road
Noblesville, IN 46060
$1,562.98
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I CTCS511974 1 42-370.001 $1,562.98 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
ra
/ Thursday, November 15, 2012
I l /l v � ,_s/
VWVVY 4&T _b�
F �
S.� treet,,Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
11/01/12 CTCS511974 $1,562.98
I 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
120
Clerk-Treasurer