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215388 12/11/2012 CITY OF CARMEL, INDIANA VENDOR: 00352792 Page 1 of 1 ONE CIVIC SQUARE PENSKE CHEVROLET % CARMEL, INDIANA 46032 PO BOX 40319 CHECK AMOUNT: $221.80 + INDIANAPOLIS IN 46240-0319 CHECK NUMBER: 215388 CHECK DATE: 12/11/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 564028CVW 47 . 29 REPAIR PARTS 651 5023990 CVCS328311 174 . 51 TRANSPORTATION EXPENS Chevrolet Parts SPECIAL ORDER OR FACTORY ORDERED ITEMS NOT RETURNABLE.ELECTRICAL PARTS NOT RETURNABLE. CHEVROLET Direct(317) 846-2564 18%HANDLING CHARGE FOR RETURNED ITEMS. Indiana (800)692-6370 RETURNED PARTS MUST BE IN ORIGINAL AND UNDAMAGED CONTAINER. ALL EXCHANGES AND REFUND CLAIMS MUST BE ACCOMPANIED BY THIS INVOICE WITHIN 10 DAYS. 3210 E. 96TH ST. P.O. BOX 40319 • 11)533-6602 NO REFUNDS. INDIANAPOLIS, (317)-846-6666 WEEK DAY PARTS DEPT. HOURS 8,-00AM TO 5,30PM SATURDAY PARTS DEPT. e OF WARRANTIES Any warranty on the products .. hereby are those mad'e by CHEVROLET,the manufacturer.The Seller, PENSKE expressly disclaims all warranties,either expressed or implied, implied including any or purpose,a particular •• person assumes nor authorizes any other .assume said products. CUSTOMER NO.I TAX EXEMPT NUMBER CUST.oP.O NO','�" SHIP VIA PAY" SOLD BY INVOICE DATE INVOICE NO. QUANTITY r z a • w :��,v,; • ",• • PART`NUMBER/_DESCRIPTION.; � w BIN LIST - NET AMOUNT ?4:f;:!y« 7� �► Yr�.:•.�-:.K-,.gyp r-�:'��-.:K-',..r 8904691.6 HORN KIT 2.810 47. ye K Zvi;,• �.�..�+�••rr�:��: y-c••�:•; �'t:•i►�: •.fir;:. :9K:AC'�:. i• r.: �.v'' 9 r.. �.v'S' JYr: •ti•a11:.'f►:�•'f:t+Y•cA;'.:il tY �A:E:f±•Y:cA:t7f4t.�•jl!•Y'cr{;.:f►t� ;.?i•:y�(�:: PAYMENT METHOD AMOUNTS 0 CASH 0 MC El VISA El DISC 11 CB AE ■ OTHER Jvr- '�i:cri:•use,•' 'I ti �:�•e' I El CK# DATE iW! , INITIALS PARTS RECEIVED BY: VOUCHER NO. WARRANT NO. ALLOWED 20 Penske Chevrolet IN SUM OF $ P. O. Box 40319 - Indianapolis, IN 46240-0319 - $47.29 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 I 564028 CVW I 42-370.001 $47.29 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 Frida y/Decemfber 07,/,2012 �Stree't Comirissione"r 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)) 12/06/12 564028 CVW $47.29 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 CVCS328311 n Invoice N 3210 E. 96th St., P.O. Box 40319 w N PFjV49KE Indianapolis, Indiana 46240-0319 00 ® T (317) 846-6666 CHEVR I(IIII VIII�I�I I�III�I VIII I�1111111 III�I III I11111nII VIII l�il l��1111 tIN 0101ICVCS328311 CUSTOMER NO. ADVISOR TAG NO. INVOICE DATE MYOKKX ND. 5082 JERRY BRONSON 7649 6357 09/21/12 CvCS321311 LABOR RATE LICENSE NO. MILEAGE COLOR STUCK NO. CARMEL UTILITIES 62,657 WHITE/ P O BOX lO9 YEAR/MAKE/MODEL DELIVERY DATE DELIVERY MILES 06/CHEVROLET/IMPALA/4 DOOR SEDAN 3400 w 131ST STREET VEHICLE I.D.NO, SEWNG DEALER NO PRODUCTION DATE CARMEL, IN 46082-0109 2 G 1 w S 5 510693 76370 F.T.E NO. P.O.NO. R.O.DATE 0031201550020 09/21/12 RESIDENCE PHONE BUSINESS PHONE COMMENTS 317-571-2443 317-733-2870 LABOR.& PARTS------.-------.;-----.---------------------------------------------------------.. _ . ......;.:,,:...-.....__. , ....,. _ FlNANCE CHARGE: After 30 days your }#-1 25CVZTFLUSH TRANS.FLUSH ='::.;;_;_ ' : _, TECHtS}tZ04A`: :: FINANCE CHARGE is computed by a single CUSTOMER REQUESTS TRANS FLUSH periodic rate of 1+/A%on the total unpaid bal- MAINTENANCE ance of purchases and other unpaid charges FLUSH TRANS WITH MACHINE AND COMPLETE FLUID CHANGE which is an ANNUAL PERCENTAGE RATE of 18%. PARTS------QTY---FP-NUMBER--------•------DESCRIPTION---------LIST PRICE-UNIT PRICE- JOB # 1 1 VP094 AUTO TRAM 24.97 24.97 24.97 DISCLAIMER OF WARRANTIES JOB # 1 1 PKATF TRANSMISSION FLUSH 47.84 47.84 47.84 THE Aims SELLER,PENSKE CHEVROLET,HEREBY JOB # 1 16 88862156 FLUID 8.800 **** **** **** EXPRESS ALL WARRANTIES EITHER EXPRESS OR IMPLIED INCLUDING ANY JOB # 1 TOTAL PARTS 72.51 IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE JOB # 1 TOTAL LABOR & PARTS 162.51 AND PENSKE CHEVROLET NEITHER ASSUMES ------- ---- NOR AUTHORIZES ANY OTHER PERSON TO ..-._.... ASSUME FOR IT ANY LIABILITY IN CONNED J# 2 00CVZZZ PERFORM;INSPECTION: TECHtS) 7044::. '0`:00:;. PERFORM 22 POINT INSPECTION TION WITH THE SALE OF THE PRODUCTS. COMPLETED FREE 22 POINT INSPECTION 1 ACKNOWLEDGE RECEIPT OF THE PARTS AND PARTS------QTY---FP-NUMBER---------------DESCRIPTION---------LIST PRICE-UNIT PRICE- LABOR LISTED BELOW JOB # 2 TOTAL PARTS 0.00 JOB # 2 TOTAL LABOR & PARTS 0.00 x ------------------------------------------------------------------------------------------------ MISC-----•CODE--------DESCRIPTION------------•----------- -CONTROL NO--------- Thank you for this opportunity to serve you.It JOB # A SS SHOP SUPPLIES 11.70 is out aim to perform all the repairs requested TOTAL MISC 11.70 on this repair order to your complete satisfac- tion. If our service was satisfactory tell your friends,if not,please tell us immediately. COMMENTS--------------------------------- Thank You CALL JEFF 317-716-5882 TOTALS------------------------------------------------------------------------------------------ **********�**************�***** TOTAL LABOR.... 90.00 * PAYMENT METHOD DATE TOTAL PARTS.... 72.81 * [ ] CASH [ ] CHECK # * TOTAL SUBLET... 0.00 * [ ] AMEX [ ] VISA/MC * TOTAL G.O.G.... 0.00 * [ I DISCOVER * TOTAL MISC CHG. 11.70 * [ ] A/R ACCOUNT # CASHIER * TOTAL MISC DISC 0.00 ****************************************************** TOTAL TAX...... 0.00 SHOP SUPPLY CHARGES COVER SUCH ITEMS AS WASTE OIL & FILTER ........ DISPOSAL. LUBRICANTS. SOLVENTS, AND CLEANERS USED SERVICING TOTAL INVOICE$ 174.51 VEHICLE. THIS IS IN PLACE TO SAVE A CUSTOMER THE EXPENSE OF AN ENTIRE CONTAINER OF A GIVEN PRODUCT WHEN ONLY A PART OF THE CONTAINER IS USED. UU�i]UMER SIGNATURE ************************** D U P L I C A T E I N V O I C E PAGE 1 OF 1 ACCOUNTING COPY ( END OF INVOICE ] 09:34am Copyrlght*IM 716, EBa1 ds NVE SF6060t?9(08N2) VOUCHER # 126264 WARRANT # ALLOWED 72600 IN SUM OF $ PENSKE CHEVROLET PO BOX 40319 Indianapolis, IN 46240-0319 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code CVCS328311 01-7502-06 $174.51 Voucher Total $174.51 Cost distribution ledger classification if claim paid under 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 72600 PENSKE CHEVROLET Purchase Order No. PO BOX 40319 Terms Indianapolis, IN 46240-0319 Due Date 12/4/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 12/4/2012 CVCS32831' $174.51 I hereby certify that the attached invoice(s), or bill(s) is (are)true and -orrect and I have audited same in accordance with IC 5-11-10-1.6 Date Officer