219448 04/24/2013 CITY OF CARMEL, INDIANA VENDOR: 00352792 Page 1 of 1
` ONE CIVIC SQUARE PENSKE CHEVROLET
CARMEL, INDIANA 46032 PO BOX 40319 CHECK AMOUNT: $386.02
o� INDIANAPOLIS IN 46240-0319 CHECK NUMBER: 219448
CHECK DATE: 4/24/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 575343CVW 215 . 84 REPAIR PARTS
651 5023990 575428 170 . 18 OTHER EXPENSES
Chevrolet Parts SPECIAL r•r •OR FACTORY ORDERED TEMS NOT NOT
CHEVROLET ' '
RESPONSIBLE O•ANY LABOR ON PARTS NOT D BY OUR 1'
Indiana :00 r PARTS MUST BE IN ORIGINAL AND UNDAMAGED CONTAINER.
REFUND ALL EXCHANGES AND CLAIMS MUST BE ACCOMPANIED: 1 0D
3210 E. 96TH ST. P.O. BOX 40319 National Wats(800) 533-6602 NO CASH REFUNDS.
INDIANAPOLIS,
846-6666 01- TO 5:30PM
SATURDAY 1 4'OOPM
CUSTOMER DD-
DISCLAIMER OF WARRANTIES
Any warranty on the products . . hereby are those made by
CHEVROLET,the manufacturer.The Seller, PENSKE
implied expressly disclaims all warranties,either expressed or implied,
including any .
CHEVROLET a particular purpose, and PENSKE
assumes nor authorizes any other person to assume for it any
liability in connection with the sale of . . ..
CUSTOMER NO. TAX EXEMPT NUMBER COST.P.O.N0. SHIP VIA PAY SOLD BY INVOICE DATE INVOICE NO.
t 201550-0 i t
317--733-2001
It U 131ST ST VIN-4E:375 56
QUANTITY PART NUMBER/DESCRIPTION Ell IN LIST NET AMOUNT
SHIP B.O.
.Yl..a.�Gy.Kr7:..`` !•jt:•-Y.V.K�•7:.{{'•'Y!
''r,
SUB-TOTAL A
L. L r}
TAX
FREIGHT
PAY THIS AMOUNT
3:.:,r�e�=ear}t.••-=y.,.�'e r}•�..�;
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))
04/18/13 575343 CVW $215.84
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Penske Chevrolet
IN SUM OF $
P. O. Box 40319
Indianapolis, IN 46240-0319
$215.84
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 575343 CVW I 42-370.001 $215.84 1 hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
° Fri i 2013
(MAIVY !W
St§;REtt&q�Mjsawver
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Chevrolet Parts
Direct (317) 846-2564
Indiana (800) 692-6370
3210 E. 96TH ST. • P.O. BOX 40319 National Wats (800) 533-6602
INDIANAPOLIS, INDIANA 46240-0319
(317) 846-6666
WEEK DAY PARTS DEPT. HOURS 8:OOAM TO 5:30PM
SATURDAY PARTS DEPT. HOURS 8:OOAM TO 4:OOPM
DISCLAIMER OF WARRANTIES
Any warranties on the products sold hereby are those made by the manufacturer.The Seller,Penske Chevrolet,hereby expressly disclaims all warranties,either expressed of implied,including any implied
warranty of merchantability or fitness for a particular purpose,and Penske Chevrolet,neither assumes nor authorizes any other person to assume for it any liability in connection with the sale of said products.
-.SPECIAL ORDER OR FACTORY ORDERED ITEMS NOT RETURNABLE. o ELECTRICAL PARTS NOT RETURNABLE. a 18%HANDLING CHARGE FOR RETURNED ITEMS. o WE ARE NOT RESPONSIBLE FOR ANY
LABOR ON PARTS NOT INSTALLED BY OUR SHOP. o RETURNED PARTS MUST BE IN ORIGINAL AND UNDAMAGED CONTAINER. ALL EXCHANGES AND REFUND CLAIMS MUST BE ACCOMPANIED BY THIS
INVOICE WITHIN 10 DAYS. o NO CASH REFUNDS. o ABSOLUTELY NO REFUNDS WITHOUT THIS INVOICE.
• • • • • •
5082 0031201550020 CAR54 CHARGE JAMES COOPER 04/17/13 575428
CVW
317-733-2855
B S
I CARMEL UTILITIES H 2G1WF55K039314590
� 3450 W 131ST STREET P
CARMEL, IN 46074
T T
0 0
PART NUMBER-/•
DESCRIPTION. •
0
1 0 12567867 ADAPTER 3.680 Y 70B 52.70 36.89 36.89
1 1 10056770 HANGER 3.616 N 66F 11.22 8.41 8.41
1 0 2743770 HINGE 10.450 N 169E 97.50 73.13 73.13
1 0 P2743769 HINGE 10.454 N 1691 69.00 51.75 51.75
0 1 38981043 LOCK 10.470 N SP-ORD 132.77 99.58 0.00
o _
U
Z
Vl
W
SUBTOTAL 170.18
PAYMENT METHOD AMOUNT$
❑CASH ❑MC ❑VISA ❑ DISC ❑CB ❑AE
TAX 0.00
a
❑OTHER
a ❑CK# DATE INITIALS
PARTS RECEIVED BY: FREIGHT 0.00
Q 170.18
1 iSTohAF:R PAY THIS AMOUNT PAGE 1 OF 1 16 PSK-2020-C
www.penskech'evy.com
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
72600
PENSKE CHEVROLET Purchase Order No.
PO BOX 40319 Terms
Indianapolis, IN 46240-0319 Due Date 4/18/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/18/2013 575428 $170.18
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
VOUCHER #' 135353 WARRANT # ALLOWED
72600 IN SUM OF $
PENSKE CHEVROLET
PO BOX 40319
Indianapolis, IN 46240-0319
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
575428 01-7500-02 $170.18
Voucher Total $170.18
Cost distribution ledger classification if
claim paid under vehicle highway fund