218193 03/13/2013 CITY OF CARMEL, INDIANA VENDOR: 00352792 Page 1 of 1
` ONE CIVIC SQUARE PENSKE CHEVROLET CHECK AMOUNT: $178.69
s` CARMEL, INDIANA 46032 PO BOX 40319
INDIANAPOLIS IN 46240-0319 CHECK NUMBER: 218193
CHECK DATE: 3113/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 570700 120 . 29 OTHER EXPENSES
2201 4237000 570784CVW 58 .40 REPAIR PARTS
Chevrolet
SPECIAL ORDER OR FACTORY ORDERED TEMS NOT NOT
•° i+ • •i 1 1" 1
WE ARE 1 '1• 1'ANY LABOR ON • 1 1 OUR SHOP
Indiana 1 1' 1 UNDAMAGED CONTAINER.
ALL EXCHANGES D REFUND CLAIMS MUST BE ACCOMPANIED: 1 11'
3210 96TH • • National NO CASH REFUNDS.
INDIANAPOLIS, INDIANA 46240-0319
846-6666 `
SATURDAY PARTS DEPT. • • 1
CUSTOMER DDRESS
DISCLAIMER OF
Any warranty on products •1 •1 y'are those made by
the manufacturer.The Seller, PENSKE CHEVROLET,
expressly disclaims all warranties,either expressed or implied,
including any implied warranty of merchantability or fitness for
parlicular purpose, and PENSKE CHEVROLET
assumes nor authorizes other person
liability in connection with the sale of said products.
CUSTOMER NO TAX EXEMPT"NUMBER`" CUSL`P.O NO SHIP VIA° , PAY SOLD BY -"INVOICEaDATE INVOICE,NO k'
x
y
3082 0031201550-020 TRK -1102 3,DELIVER CHARGE MIKE 1
CVW
B CARMEL STREET DEPT S THANKS ED
3460 W 1
46074-8267 2007-C
QUANTITY .. ( a, �,. ?S j �A fri � Ni
PART NUMBER/DESCRIPTION y, BINM LIST NET >AMOUNT ti+ 1 cX 'K fy.w pl w
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Penske Chevrolet
IN SUM OF $
P. O. Box 40319
Indianapolis, IN 46240-0319
$58.40
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 570784CVW I 42-370.001 $58.40 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
° rid arch 8 2013
A A,4 A 14.44
pWer
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))
02/22/13 570784CVW $58.40
1 hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer
Chevrolet Parts
Direct (317) 846-2564
EVROLERV Indiana (800) 692-6370
3210 E. 96TH ST. • P.O. BOX 40319 National Wats (800) 533-6602
INDIANAPOLIS, INDIANA 46240-0319
(317) 846-6666 ;-
WEEK DAY PARTS DEPT. HOURS 8:OOAM TO 5:30PM
SATURDAY PARTS DEPT. HOURS 8:OOAM TO 4:OOPM
DISCLAIMER OF WARRANTIES
Any warranties on the products sold hereby are those made by the manufacturer.The Seller,Penske Chevrolet,hereby expressly disclaims all warranties,either expressed of implied,including any implied
warranty of merchantability or fitness for a particular purpose,and Penske Chevrolet,neither assumes nor authorizes any other person to assume for it any liability in connection with the sale of said products.
•SPECIAL ORDER OR FACTORY ORDERED ITEMS NOT RETURNABLE. o ELECTRICAL PARTS NOT RETURNABLE. a 18%HANDLING CHARGE FOR RETURNED ITEMS. o WE ARE NOT RESPONSIBLE FOR ANY
LABOR ON PARTS NOT INSTALLED BY OUR SHOP. o RETURNED PARTS MUST BE IN ORIGINAL AND UNDAMAGED CONTAINER. ALL EXCHANGES AND REFUND CLAIMS MUST BE ACCOMPANIED BY THIS
INVOICE WITHIN 10 DAYS. o NO CASH REFUNDS. o ABSOLUTELY NO REFUNDS WITHOUT THIS INVOICE.
i _ 1
5082 0031201550020 TRUC 145 CHARGE BOB PAYNE 02/22/13 570700
317-733- 0_ Y� CVW
B CARMEL UTILITIES H CARMEL WATER
L I
L 3400 W 131ST STREET P
T CARMEL, IN -4t"-2-0109 T
e
• • e
e
1 0 25887456 HOSE 6.670 119M 121.07 90.81 90.81
1 0 15257387 FITTING 6.673 118G 39.30 29.48 29.48
cp
i
Z!
y
U
� SUBTOTAL
PAYMENT METHOD AMOUNT$
W
❑CASH ❑ MC ❑VISA ❑ DISC ❑CB ❑AE
TAX 0.00
a
❑OTHER
o,
❑CK# DATE INITIALS
PARTS RECEIVED B •� C FREIGHT 0.00
120.29
1:57:15 CUSTOMER COPY I NFT512 PAY THIS AMOUNT PAGE 1 OF 1
PSK-2020-C
www.penskechevy.com
VOUCHER # 131021 WARRANT # ALLOWED
72600 IN SUM OF $
PENSKE
PO BOX 40319
Indianapolis, IN 46240-0319
I
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
t.
PO# INV# ACCT# AMOUNT Audit Trail Code
570700 01-6500-05 $120.29
,
1
I
i
I
I
d
Voucher Total $120.29
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 C:ARMEL
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 Purchase Order No.
PO BOX 40319 Terms
Indianapolis, IN 46240-0319 Due Date 3/5/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/5/2013 570700 $120.29
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
Date Officer