220638 06/04/2013 CITY OF CARMEL, INDIANA VENDOR: 351304 Page 1 of 1
ONE CIVIC SQUARE HARE CHEVROLET INC
CARMEL, INDIANA 46032 2001 STONEY CREEK WAY CHECK AMOUNT: $85.00
PO BOX 1957 CHECK NUMBER: 220638
NOBLESVILLE IN 46060
CHECK DATE: 6/4/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 CTCSS534053 85 . 00 AUTO REPAIR & MAINTEN
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www.hareauto.com
CHEVROLET
2001 Stoney Creek Road • Noblesville,Indiana 46060
Ph:317-773-1090• Fx:317-776-5038
CUSTOMER NO. ADVISOR I TAG NO INVOICE DATE INVOICE NO.
46420 JOHN PENCE 691 1570 05/22/13 CTCS534053
LABOR RATE LICENSE NO. MILEAGE COLOR STOCK NO.
CITY OF CARMEL STREET DEPT 1 114 346 RED
YEAR/MAKE/MODEL DELIVERY DATE DELIVERY MILES
3400 W 131ST ST 04 GMC SIERRA 2500 CAB
CARMEL, IN 46074-8267 VEHICLE I.D.NO, SELLING DEALER NO. PRODUCTION DATE
1 G T H K 2 4 U 6 4 E 3 7 6 9 9 2
F.T.E.NO. P.O.NO. R.O.DATE
0031201550-020 05/22/13
RESIDENCE PHONE BUSINESS PHONE COMMENTS
317-733-2001 417-5053
LABOR & PARTS-------
- -- - --=� .:._:.:�.>:.;::�>,n TERMS:STRICTLY CASH
F.UEL/DRIVEAB°ILITY _' wTEGHT$)`.''702w Y �°:: <,u _,-: ....w85a0 UNLESS ARRANGEMENTS MADE
C/S THE SES LIGHT IS ON ADVISE- "I hereby authorize the repair work hereinafter
TESTED AND SET 02 SENSOR CODES P0141 P0161 AND TRACED set forth to be done along with the necessary
CIRCUITS AND FOUND 2 NEW REAR 02 SENSORS AND FURTHER FOUND material and agree that you are not respon-
THE FUSE BLOWN TO THE REAR 02 SENSORS AND CHECK ALL WIRING sible for loss or damage to vehicle or articles
AND REPLACED FUSE AND DID NOT BLOW AGAIN AND ADVISED TO left in vehicle in case of fire,theft,or any other
DRIVE AND SEE IF LIGHT RETURNS cause beyond your control or for any delays
caused by unavailability of parts or delays in
JOB # 1 TOTAL LABOR & PARTS 85.00 parts shipments by the supplier or transporter.
---•------------•-------•-••------------------------•------•------...------------------. ....... I hereby grant you and/or your empldyees
TOTALS------------------------------------------------------------------------------------------ permission to operate the vehicle herein
described on streets, highways or elsewhere
PARTS DESIGNATED WITH AN * INDICATES LIFETIME GUARANTEE TOTAL LABOR.... 85.00 for the purpose of testing and/or inspection.An
THIS APPLIES TO CUSTOMER PAY REPAIRS ONLY. TOTAL PARTS.... 0.00 express mechanic's lien is hereby ackrtow-
TOTAL SUBLET... 0.00 ledged on below vehicle to secure the amount
TOTAL G.O.G.... 0.00 of repairs thereto."
TOTAL MISC CHG. 0.00
COMPLETELY SATISFIED ! TOTAL MISC DISC 0.00 "The Factory Warranty Constitutes All Of The
TOTAL TAX...... 0.00 Warranties With Respect To The Sale Of This
--...... item/items.The Seller Hereby Expressly Dis-
TOTAL INVOICE $ 85.00 claims All Warranties, Either Express Or
Implied, Including Any Implied Warranty Of
THANK YOU ! Merchantability Or Fitness For A Particular
Purpose, And The Seller Neither Assumes
Nor Authorizes Any Other Person To Assume
For It Any Liability In Connection With The
Sale Of This Item/Items"
MISCELLANEOUS
MATERIAL CHARGE
10%OF LABOR CHARGES TO A MAXIMUM
OF $15.00 IS CHARGED ON REPAIRS TO
COVER COSTS OF SUPPLIES BOUGHT IN
BULK USED IN REPAIRING YOUR VEHICLE
AND COSTS TO DISPOSE OF HAZARDOUS
N / WASTE.
a TERMS
CASH OR CREDIT CARD ONLY
Any other arrangement must be approved by
the General Manager.For any credit account:
a A FINANCE CHARGE OF 11/z% (minimum
charge of$.50)on the total unpaid balance of
purchases and charges over 30 days will be
added to the balance on the account.Annual
w percentage rate 18%.
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PAGE 1 0 F 1 CUSTOMER COPY [ END OF INVOICE ] 04:41 pm
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))
05/22/13 CTCS534053 $85.00
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hare Chevrolet
IN SUM OF $
2001 Stoney Creek Road
Noblesville, IN 46060
$85.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
2201 I CTCS534053 I 43-510.001 $85.00 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
/�huj 2013
0 '*All 'JA,
Str:RCe&6@emssiislse5ner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund