216418 01/15/2013 �. CITY OF CARMEL, INDIANA VENDOR: 351304 Page 1 of 1
-. ONE CIVIC SQUARE HARE CHEVROLET INC
i 0
CARMEL, INDIANA 46032 2001 STONEY CREEK WAY CHECK AMOUNT: $592.86
PO BOX 1957 CHECK NUMBER: 216418
NOBLESVILLE IN 46060
CHECK DATE: 1/1512013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 CTCS519550 592 . 86 AUTO REPAIR & MAINTEN
a air
www.hareauto.com
CHEVROLET
2001 Stoney Creek Road • Noblesville,Indiana 46060
Ph:317-773-1090• Fx:317-776-5038
CUSTOMER NO. 46420 JOHN PENCE 69 TAGNO.0050 INVOI�E,f7b4/13 CTCS 519550
•-} LABOR RATE LICENSE NO. MILEAGE COLOR 11��U STOCK NO.
CITY OF CARMEL STREET DEPT 88,991 RED/
3 400 W 131ST ST YEAR I MAKE/MODEL DELIVERY DATE DELIVERY MILES
CARMEL IN 46074-8267 04/GMC/3500 08/04/04
VEHICLE I.D.NO. SELLING DEALER NO. PRODUCTION DATE
1 G D J K 3 4 G 0 4 E 3 8 2 6 1 0
F.TE.N0031201550-020 P.1.N1_ R.0.01/03/13
RESIDENCE PHONE BUSINESS PHONE COMMENTS
317-733-2001 417-5053 1 MO: 8899
LABOR& PARTS
l# 103GUZENGINE REPAIRS` ��TECH(S).::992062u5U TERMS: STRICTLY CASH
' = 297• UNLESS ARRANGEMENTS MADE
C/S THE MOTOR MOUNTS ARE BAD ADVISE "I hereby authorize the repair work hereinafter
TESTED AND REMOVED AND REPLACED THE RF AND LF MOTOR set forth to be done along with the necessary
MOUNTS AND REINSTALLED ALL HARDWARE AND TESTED OK. material and agree that you are not respon-
sible for loss or damage to vehicle or articles
PARTS------QTY---FP-NUMBER---------------DESCRIPTION--------------------UNIT PRICE- left in vehicle in case of fire,theft,or any other
JOB # 1 1 15134285 MOUNT 0.027 146.68 146.68 cause beyond your control or for any delays
JOB # 1 1 15134285 MOUNT 0.027 146.68 146.68
caused by unavailability of parts or delays in
JOB # 1 TOTAL PARTS 293.36 parts shipments by the supplier or transporter.
JOB # 1 TOTAL LABOR & PARTS 590.86 I hereby grant you and/or your employees
permission to operate the vehicle herein
------"------------------------------------------------------------------------•--------•-••---- described on streets, highways or elsewhere
MISC------CODE--------DESCRIPTION-------------------------------CONTROL NO--------- for the purpose of testing and/or inspection.An
JOB # A 15LOFSS SUPPLIES 1.00 express mechanic's lien is herebl,l,.acknow-
JOB # A SS SHOP SUPPLIES/DISPOSAL FEES 1.00 ledged on below vehicle to secure the amount
TOTAL - MISC 2.00 of repairs thereto."
TOTALS------------------------------------------------------------------------------------------ "The Factory Warranty Constitutes A!IOfThe
Warranties With Respect To The Sale Of This
PARTS DESIGNATED WITH AN * INDICATES LIFETIME GUARANTEE TOTAL LABOR.... 297.50 Item/Items.The Seller Hereby Expressly Dis-
THIS APPLIES TO CUSTOMER PAY REPAIRS ONLY. TOTAL PARTS.... 293.36 claims All Warranties, Either Express Or
TOTAL SUBLET... 0.00 Implied, Including Any Implied Warranty Of
TOTAL G.O.G.... 0.00 Merchantability Or Fitness For A Particular
TOTAL MISC CHG. 2.00 Purpose, And The Seller Neither Assumes
COMPLETELY SATISFIED ! TOTAL MISC DISC 0.00 Nor Authorizes Any Other Person To Assume
TOTAL TAX...... 0.00 For It Any Liability In Connection With The
TOTAL INVOICE $ 592.86 Sale Of This Item/items."
THANK YOU ! MISCELLANEOUS
MATERIAL CHARGE
10%OF LABOR CHARGES TO A MAXIMUM
OF $15.00 IS CHARGED ON REPAIRS TO
COVER COSTS OF SUPPLIES BOUGHT IN
BULK USED IN REPAIRING YOUR VEHICLE
AND COSTS TO DISPOSE OF HAZARDOUS
N WASTE.
CUSTOMER SIGNAIURE
a TERMS
CASH OR CREDIT CARD ONLY
Any other arrangement must be approved by
U
the General Manager.For any credit account:
U A FINANCE CHARGE OF 11/2% (minimum
Z charge of$.50)on the total unpaid balance of
z
purchases and charges over 30 days will be
added to the balance on the account.Annual
percentage rate 18%.
E
U 7�'aale �cc/
We caaord ",w eoo0&&4 44tl4,4ed
well oum ¢ewece... 9a Vea lutve a"
- eacceatlaard eancezardgq tl1a. uaal¢. call
we A0td4 4&*.
PAGE 1 OF 1 CUSTOMER COPY [ END OF INVOICE ] 02:33pm
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))
01/04/13 CTCS519550 $592.86
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
$592.86
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I CTCS519550 I 43-510.001 $592.86 1 hereby certify that the attached invoice(s), or
I 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
p N / �Friday�January 1.1; 2013
� v
S;rStreet�,Q-om rnissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund