The URL can be used to link to this page

Home My WebLink About217589 02/26/2013 CITY OF CARMEL, INDIANA VENDOR: 359589 Page 1 of 1 ONE CIVIC SQUARE CHAMPION CHRYSLER JEEP AND DOD GE +. CHECK AMOUNT: $226.65 �. CARMEL, INDIANA 46032 4505 W 96TH STREET INDIANAPOLIS IN 46268 CHECK NUMBER: 217589 CHECK DATE: 2/26/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4351000 25643 CHQS154780 226 . 65 KEY FOB NOBODY BEATS A C"HAMPION Jeep 4505 W.96th Street INDIANAPOLIS, INDIANA 46268 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIII111111111111111111111111IIIININ (317)872-6200 0101ICHQS154780 CUSTOMER NO. ADVISOR TAG NO. INVOICE DATE INVOICE NO.' 44107 - JOHN I UTA -1 0-6 LABOR RATE LICENSE NO, MILEAGE COLOR sT0CR NO. CARMEL POLICE DEPARTMENT YEAR/MAKE/MODEL ELIVERY DATE DELIVERY MILES 3 CIVIC SQUARE pPP�GRA-ND—C-HE-RBK«E�4 CARM E L, IN 46032 V 1'L I.0 U. SELLING DEALER NO. PRODUCTION DATE —IH—R-4-8— ,:15- F. .E. O./��.,��.y��.(�/�.y.��.,�� P.O.N R.O.DATE RESIDENCE PHONE BUSINESS PHONE COMMEN 5 Z33-4600 Mo. 54171 LABOR ARTS -- - -- - .. ---- — DISCLAIMER OF WARRANTIES KEYAND�PROGRAM��,.yHOURS. �„TECH(S?��.•564 '� g� CUT KEY AND PROGRAM The seller, Champion Chrysler-Jeep- SOP IN SEE GARVIN Dodge, Inc., hereby expressly disclaims CUT KEY AND PROGRAM all warranties, either express or implied, COMPLETED CUT KEY AND PROGRAM including any implied warranty of merchantability or fitness for a particular PARTS------QTY---FP-NUMBER---------------DESCRIPTION---------LIST PRICE-UNIT PRICE- purpose, and Champion Chrysler-Jeep- JOB # 1 1 68029829-AB KEY BLANK 23017001 29.14 29.14 29.14 Dodge, Inc. neither assumes nor JOB # 1 1 68066848-AD KEY FOB I 8059057 152.51 152.51 152.51 authorizes any other person to assume for JOB # 1 TOTAL PARTS 181.65 it any liability in connection with the sale. JOB # 1 TOTAL LABOR & PARTS 226.65 ------------------------------------------------------------------------------------------------ J# 2�O,OGHZ03x � �IOWMILEAGE�INSPECT'`HOURS..°`' 03�,O.OTEGH(dS).. 8.4;7 "°'0,..00 , SAFETY WALK AROUND PERFORMED SAFETY WALK AROUND PARTS------QTY---FP-NUMBER---------------DESCRIPTION---------LIST PRICE-UNIT PRICE- JOB # 2 TOTAL PARTS 0.00 JOB # 2 TOTAL LABOR & PARTS 0.00 -----------------------------------------------•-----------------•-----------------------------. COMMENTS---------------------------------------------------------------------------- WAITER TOTALS------------------------------------------------------------------------------------------ ********************IMPORTANT******************** TOTAL LABOR.... 45.00 • WE THANK YOU FOR ALLOWING US TO SERVICE YOUR * TOTAL PARTS.... 181.65 • VEHICLE TODAY AND HOPE YOU HAD A CHAMPION * TOTAL SUBLET... 0.00 • VISIT. ANY FEEDBACK YOU WOULD LIKE TO SHARE * TOTAL G.O.G.... 0.00 • PLEASE FEEL FREE TO CALL JEFF KLEIN AT * TOTAL MISC CHG. 0.00 • 317-872-6200 EXT 2009. YOU MAY RECIEVE A SURVEY TOTAL MISC DISC 0.00 * FROM CHRYSLER AND OUR GOAL IS TO RECIEVE ALL * TOTAL TAX...... 0.00 • 10'S. PLEASE INITIAL TO ACKNOWLEDGE THE * -- ----- o * FOLLOWING QUESTIONS AS THEY ARE VERY IMPORTANT* TOTAL INVOICE $ 226.65 m * * * DO YOU UNDERSTAND ALL THE WORK PERFORMED ON * YOUR VEHICLE YES NO m * * * DID YOU RECEIVE A COPY OF YOUR VEHICLE Z *. INSPECTION REPORT YES NO CUSTOMER SIGNATURE w U K O N W U_ S a O c a a O C Q PAGE 1 OF 1 CUSTOMER COPY [ END OF INVOICE ] 11:17am CHAMP-1235 REV.08/10 INDIANA RETAIL TAX EXEMPT PAGE City ® Ii C sane l CERTIFICATE NO.003120155 002 0 Jl \��J// �Yl PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION Champion ChrYsiorJeep Dodge Carmel Police Department VENDOR SHIP TO CIVIC square M W. 96t�i Street Carmel, IN 46M Indianapolis, IN 4M (317)571- CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY I UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43-616.00 I Each key fob (replacement) $227.94 '$227.14 Saab Total: $227.14 >, a � ' � 5 �" °• 2" •. �N � � em ... Send Invoice To: Camel Police Department e. Attn: Tereoa Anderson 3 Civic Square Carmel, IN 4662- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept, _ �y ' PAYMENT $227.14 t� A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. ^J NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFYITHAT THERE IS AN UNOBLIGATED BALANCE IN •SHIP REPAID. THIS APPROPRIATION SUFFICIENT'TO PAY FOR THE ABOVE ORDER. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY ✓ } /''�t�'•� •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ! SHIPPING LABELS. t• •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE lot of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 6 DOCUMENT CONTROL NO. 34 COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. ...__:.WARRANT ALLOWED 20 IN THE SUM OF$ ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I 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...........-................................--. -- — -- - 20 ............................................... ...... __ . Signature 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)) 02/15/13 CHQS154780 key fob replacement $226.65 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. Champion Chrysler Jeep Dodge ALLOWED 20 IN SUM OF $ 4505 W. 96th Street Indianapolis, IN 46268 $226.65 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 25643 I CHQS154780 I 43-510.00 I $226.65 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 Thursday, February 21, 2013 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund