216860 01/29/2013 CITY OF CARMEL, INDIANA VENDOR: 00350811 Page 1 of 1
ONE CIVIC SQUARE RENEWED PERFORMANCE INC(RPI) CHECK AMOUNT: $4,272.00
CARMEL, INDIANA 46032 PO BOX 196
o� TIPTON IN 46072-0196 CHECK NUMBER: 216860
CHECK DATE: 1129/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 6922 4 , 272 . 00 AUTO REPAIR & MAINTEN
IN VISE
Remit To: DATE INVOICE#
_ P.O.BOX 196
RENEWED PERFORNI:4NCE, INC. TIPTON, IN 46072-0196 1/11/2013 6922,
PH.(765)675-7586 FAX(765)675-7589
BILL TO:
Carmel Fire Department
Attn: Bob Vanvoorst
2 Civic Square
Carmel,:IN 46032
Customer Orde_r NO. TERMS
D'ae UpoirCompletion
® s 0
APPROVED ADDITIONS TO THE REFURBISHMENT OF ONE(1)CUSTOM KIWE FIRE'TRUCK
(ENGINE;45):
1. REPAIRED CORROSION•ON PUMP PANELS 29964:00
2'. REPLACED DOOR STAYS 120.00
3: REPAIRED L.H.SCENE LIGHT,TWO.(2)COMPARTMENT DOOR SWITCHES,R.H. FRONT
COMPARTMENT WRUNG 238.00
4. REPLACED SEVEN(7)4 X 6" LIGHT LENSES .220.00:
5. 'INSTALLED STAINLEWSTEEL SCUFF PLATES IN REAR CAB AREA 80.00
6". REPLACED FOUR(4) UPPER CAB DOOR PANELS 600.00.
7. INSTALLED MIRROR CUPS.ON REARVIEW MIRRORS' 50.00,
0 o a a TOTAL
$4;272..00
RP,Waj,,F,pat!iH—LW MPI,IG 165i•0:9•P554 t
VOUCHER NO. WARRANT NO.
ALLOWED 20
RPI
Renewed Performance Inc. IN SUM OF $
P.O. Box 196
Tipton, IN 46074
$4,272.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 I 6922 I 43-510.00 I $4,272.00 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
JAN 2 8 2013
Fire Chief
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))
6922 Additonal Repairs to E45 $4,272.00
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
120
Clerk-Treasurer