215040 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 351304 Page 1 of 1
0 ONE CIVIC SQUARE HARE CHEVROLET INC
CARMEL, INDIANA 46032 2001 STONEY CREEK WAY CHECK AMOUNT: $230.88
PO BOX 1957 CHECK NUMBER: 215040
NOBLESVILLE IN 46060
CHECK DATE: 12/4/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 CTCS515624 230 . 88 REPAIR PARTS
2001 Stoney Creek Rd.
Noblesville, IN 46060
-a f/ Phone: 317-773-1090
Service Dept: 317-776-5040
"A DEALER FOR THE PEOPLE" www.HareChevy.com
CUSTOMER NO. ADVISOR TAG NO. INVOICE DATE INVOICE NO.
46420 10HN PENCE 2 /21/12 CTCSSIS624
LABOR RATE LICENSE NO. MILEAGE COLOR STOCK NO.
CITY OF CA RM E L STREET DEPT YEAR/MAKE/MODEL DELIVE Y DATE DELIVERY MILES
3400 W 131ST ST Hin 0 5 116 Z.0
CARMEL, IN 46074-8267 94 ALE I.D.N 2 5 n n SELLI G AL R O PRODUCTION DATE
F.T.E.NO. P O 90 R.O DATE
RESIDENCE PHONE BUSINESS PHONE COMMEN S
LABOR & PARTS---------------------------------------------------------------------- TERMS:STRICTLY CASH
UNLESS ARRANGEMENTS MADE
;FUEL/DRIVEABTLITY`;': :•��-%=°,:�`':'
C/S TRUCK HAS LACK OF POWER OR HAS TRANS PROBLEM AND WHEN "I hereby authorize the repair work hereinafter
YOU PUSH ON GAS HARD IT SEEMS TO SLIP ADVISE set forth to be done along with the necessary
TESTED AND FOUND THE FUEL FILTER PLUGGED UP AND REPLACED material and agree that you are not respon-
FUEL FILTER AND TRUCK WAS BETTER BUT STILL HAS PROBLEM, sible for loss or damage to vehicle or articles
TESTED ALL TRANS FUNCTIONS AND ALL OK, FURTHER FOUND THE left in vehicle in case of fire,theft,or any other
AIR BOX PLASTIC ELBOW PIECE WAS SMASHED IN NOT ALLOWING cause beyond your control or for any delays
AIR TO FLOW THRU AIR CHAMBER PROPERLY. USED A HEAT GUN caused by unavailability of parts or delays In
AND POPPED OUT THE SMASHED PART AND REINSTALLED AND parts shipments by the suppiier or transporter.
ALL TESTED OK. I hereby grant you and/or your employees
permission to operate the vehicle herein
PARTS------QTY---FP-NUMBER---------------DESCRIPTION--------------------UNIT PRICE- described on streets,highways,or elsewhere
JOB #k 1 1 25171792 FILTER KI 3.890 18.38 18.38 for the purpose of testing and/or inspection.An
JOB # 1 TOTAL PARTS 18.38 express mechanic's lien is hereby acknow-
ledged on below vehicle to secure the amount
JOB ## 1 TOTAL LABOR & PARTS 230.88 of repairs.thereto."_ _-
------------------------------------------------------------------------------------------------
COMMENTS---------------------------------------------------------------------------- "The Factory Warranty Constitutes All Of The
JEFF 417 5053 Warranties With Respect To The Sale Of This
ItemAtems.The Seller Hereby Expressly Dis-
TOTALS------------------------------------------------------------------------------------------ claims All Warranties, Either Express Or
Implied,Including Any Implied Warranty Of
PARTS DESIGNATED WITH AN * INDICATES LIFETIME GUARANTEE TOTAL LABOR.... 212.50 Merchantability Or Fitness For A Particular
THIS APPLIES TO CUSTOMER PAY REPAIRS ONLY. TOTAL PARTS.... 18.38 Purpose,And The Seller Neither Assumes Nor
TOTAL SUBLET... 0.00 Authorizes Any Other Person To Assume For
TOTAL G.O.G.... 0.00 It Any Liability In Connection With The Sale of
TOTAL MISC CHG. 0.00 This ItemlItems."
COMPLETELY SATISFIED ! TOTAL MISC DISC 0.00 MISCELLANEOUS
TOTAL TAX...... 0.00 MATERIAL CHARGE
TOTAL INVOICE $ 230.88 10%OF LABOR CHARGES TO A MAXIMUM
OF $15.00 IS CHARGES ON REPAIRS TO
THANK YOU ! COVER COSTS OF SUPPLIED BOUGHT IN
BULK USED IN REPAIRING YOUR VEHICLE
AND COSTS TO DISPOSE OF HAZARDOUS
WASTE.
TERMS
CASH OR CREDIT CARD ONLY
Any other arrangement must be approved by
the General Manager.For any credit account:
A FINANCE CHARGE OF 11/2% (minimum
charge of$.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%.
We a--a q" cots c &e_-lcy aa*q&d
a4ca acaa aeon,&e... *7�Vaca lraw am*
gueetcaca e4wemeur y aka&.046, Cale
me�t0t4astaelef.
IB/IPAGE01VF 1 CUSTOMER COPY [ END OF INVOICE ] 04:23pm
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hare Chevrolet
IN SUM OF $
2001 Stoney Creek Road
Noblesville, IN 46060
$230.88
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members
2201 I CTCS515624 I 42-370.001 $230.88 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
Thursd& 6ember 29, 2012
Street Commissioner
!7,trPPfi ( nom .^.,:—nn—
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))
11/21/12 CTCS515624 $230.88
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