217172 02/13/2013 *f CITY OF CARMEL, INDIANA VENDOR: 351304 Page 1 of 1
ONE CIVIC SQUARE HARE CHEVROLET INC CHECK AMOUNT: $715.40
CARMEL, INDIANA 46032 2001 STONEY CREEK WAY
" + PO BOX 1957 CHECK NUMBER: 217172
NOBLESVILLE IN 46060
CHECK DATE: 2/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 CTCS522294 715 . 40 AUTO REPAIR & MAINTEN
11,are
www.hareauto.com
CHEVROLET
2001 Stoney Creek Road • Noblesville,Indiana 46060
Ph:317-773-1090• Fx:317-776-5038
CUSTOMER NO. ^G/�2O JOHN PENCE 69 TAG NO. 631 '"vo'01/31/13 INVOICE
�-{V�{ LABOR RATE LICENSE NO. MILEAGE COLOR STOCK NO.
CITY OF CARMEL STREET DEPT 120,824 RED/
3 400 w 131ST ST YEAR/MAKE/MODEL DELIVERY DATE DELIVERY MILES
CARMEI IN 46074-8267 04/GMC/2500 HD 06/17/04
VEHICLE I.D.NO. SELLING DEALER NO. PRODUCTION DATE
1 G T H K 2 3 U 7 4 F 2 5 0 63 6'
F.T.E.NO.0031201550-020 P.O.ND. R 01/30/13
RESIDENCE PHONE BUSINESS PHONE COMMENTS
317-733-2001 417-5053 Mo: 12082
LABOR & .PARTS •-
s ,F, TERMS:STRICTLY CASH
ENGINE:,REPAIRS � x r � k � , 4.7.5 00� UNLESS ARRANGEMENTS MADE
C/S CHECK MOTOR MOUNTS. HAS ONE BROKEN. CK AND ADVISE. "I hereby authorize the repair work hereinafter
TESTED AND REMOVED ALL NEEDED HARDWARE AND BOTH MOUNTS set forth to be done along with the necessary
HAD BOLTS BROKEN OFF IN THE FRAME AND REMOVED AND DRILLED material and agree that you are not respon-
OUT AND TAPPED AND REPLACED ALL NEEDED BOLTS AND BOTH sible for loss or damage to vehicle or articles
MOTOR MOUNTS AND REINSTALLED ALL HARDWARE. left in vehicle in case of fire,theft,or any other
cause beyond your control or for any delays
PARTS---•--QTY---FP-NUMBER---------------DESCRIPTION--------------------UNIT PRICE- caused by unavailability of parts or delays in
JOB # 1 1 25828247 MOUNT 0.027 109.72 109.72 parts shipments by the supplier or transporter.
JOB #.1 1 25828247 MOUNT 0.027 116276 109.72 109:72 1 hereby grant you and/or your employees
JOB # 1 6 11518017 RETAINER 8.940 2.66 •15.96
JOB # 1 TOTAL PARTS 235.40 permission to operate the vehicle herein
described on streets, highways or elsewhere
for the purpose of testing and/or inspection.An
JOB # 1 TOTAL LABOR & PARTS 710.40 express mechanic's lien is hereby acknow-
= r -,H d F- - ----—•� - -- ledged on below vehicle to secure the amount
.. li,Y' _.x3 :.K d „ tiu.****'��n.,y,'7x'a4 :
3# 20.0GVZINSP,EC:T.,,;,�VEHICLE,wINSPECT=ION�;�,, _.,„��',�, TEGH,(S)„99264.7 � � � .;�� O.,OO.a of repairs thereto." 1-
PERFORM GM 27 POINT INSPECTION
ADVISED ENG OIL COOLER LINES AND TRANS LINES NEEDED "The Factory Warranty Constitutes All Of The
Warranties With Respect To The Sale Of This
PARTS---- -QTY-•-FP-NUMBER-•-------------DESCRIPTION--------------------UNIT PRICE- Item/Items.The Seller Hereby Expressly Dis-
JOB # 2 TOTAL PARTS 0.00 claims All Warranties, Either Express Or
Implied, Including Any Implied Warranty Of
JOB # 2 TOTAL LABOR & PARTS 0.00 Merchantability Or Fitness For A Particular
Purpose, And The Seller Neither Assumes
MISC----•-CODE--------DESCRIPTION•------------------------------CONTROL NO--------- Nor Authorizes Any Other Person To Assume
JOB # A 15LOFSS SUPPLIES 1:00 For It Any Liability In Connection With The
JOB # A SS SHOP SUPPLIES/DISPOSAL FEES 4.00 Sale Of This Item/Items."
TOTAL - MISC 5.00
COMMENTS------------------------------------------------------------------------ MISCELLANEOUS
417-5053 MATERIAL CHARGE
10%OF LABOR CHARGES TO A MAXIMUM
OF $15.00 IS CHARGED ON REPAIRS TO
TOTALS------------------------------------------------------------------------------------------ COVER COSTS OF SUPPLIES BOUGHT IN
BULK USED IN REPAIRING YOUR VEHICLE
PARTS DESIGNATED WITH AN * INDICATES LIFETIME GUARANTEE TOTAL LABOR.... 475.00 AND COSTS TO DISPOSE OF HAZARDOUS
N THIS APPLIES TO CUSTOMER PAY REPAIRS ONLY. TOTAL PARTS.... 235.40 WASTE.
TOTAL SUBLET... 0.00
TOTAL G.O.G.... 0.00 TERMS
° TOTAL MISC CHG. 5.00 CASH OR CREDIT CARD ONLY
COMPLETELY SATISFIED ! TOTAL MISC DISC 0.00 Any other arrangement must be approved by
TOTAL TAX...... 0.00 the General Manager.For any credit account:
= A FINANCE CHARGE OF 1h% (minimum
TOTAL INVOICE $ 715.40 charge of$.50)on the total unpaid balance of
THANK YOU ! purchases and charges over 30 days will be
added to the balance on the account.Annual
percentage rate 18%.
E
2f/e uagt ryou coax�leteley aatlQaied 'I
CUSTOMER cull�c o�vc ¢esvlee... 7� yocc laue 4"
gueatlasrd eaaccr�causcq tlsia u�aak, ca&
we Oeirao 44.
PAGE 1 OF 1 CUSTOMER COPY [ END OF INVOICE ) 03:10pm,... .
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))
01/31/13 CTCS522294 $715.40
hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accordance
vith 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
$715.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
2201 I CTCS522294 I 43-510.001 $715.40 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 , eb . 08, 013
VV
St �Q !§����ier
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund