221190 06/18/2013 ".f CITY OF CARMEL, INDIANA VENDOR: 00352792 Page 1 of 1
ONE CIVIC SQUARE PENSKE CHEVROLET
CARMEL, INDIANA 46032 PO BOX 40319 CHECK AMOUNT: $912.77
INDIANAPOLIS IN 46240-0319 CHECK NUMBER: 221190
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 578413-1 137 . 60 OTHER EXPENSES
2201 4237000 578748-1 CVW 544 . 30 REPAIR PARTS
2201 4237000 578748-CVW 108 . 86 REPAIR PARTS
2201 4237000 578828-1 CVW 25 . 72 REPAIR PARTS
2201 4237000 579268-1 CVW 96 . 29 REPAIR PARTS
Chevrolet Parts SPECIAL ORDER OR FACTORY ORDERED ITEMS NOT NOT
CHEVROLET Direct(317) : . ., 1•RETURNED ITEMS.
• •1• �• :1'ON PARTS NOT INSTALLED BY OUR 1•
Indiana (800) • RETURNED PARTS MUST BE IN ORIGINAL AND UNDAMAGED
1' ACCOMPANIED • I DAYS.
3210 E. • . P.O. • : I0 660 ,CASH REFUNDS.
INDIANAPOLIS, ,
846-6666
WEEK DAY PARTS DEPT. HOURS 8-00AN TO 5--3
SATURDAY PART,S DEPT. O 5i.
products DISCLAIMER OF WARRANTIES
Any warranty on the .. hereby are those made .
CHEVROLET,the manufacturer.The Seller, PENSKE
expressly disclaims all warranties,either expressed or implie i
purpose,including any implied warranty of merchantability or fitness fo
a particular o
-•
assumes nor authorizes any other person to assume for it an
liability in connection with the sale of . . ..
CUSTOMER NO ! r TAX EXEMPT NUMBER-.- COST.P.O.,NO SHIP VIA PAY •SOLD BY INVOICE DATE INVOICE NO.
308 TRK E2 0031201550-020 • • I 4 i
ICU
CARMEL STREET DEPT H THANKS KEVIN
L ' 3-TRKS TOTAL
UESTFIELD, IN 46074--8267 2006--c
QUANTITY PART NUMBER/DESCRIPTION BIN LIST NET AMOUNT
SHIP '.B.O.
•i Sir[5( AL, l'rj•i('`L, A- -'
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Chevrolet SPECIAL ORDER OR FACTORY ORDERED ITEMS NOT NOT
Direct(317) • 1 1'' 1
CHEVROLET 1 RESPONSIBLE, FOR ANY LABOR ON , 1 1: OUR SHOP
Indiana : 1 1 692-6370 1' 1' 1 UNDAMAGED CONTAINER.
ALL EXCHANGES 1 REFUND CLAIMS MUST BE ACCOMPANIED BY THIS INVOICE 11•
3210- • • P.O. BOX 40319 National 811 61 ,CASH REFUNDS.
INDIANAPOLIS, / / 46240-031
(317) 846-6666 WEEK DAY PARTS DEPT. HOUF'S 8-00AN TO 5:30PM
SATURDAY PARTS DIL* PT. • 56
DISCLAIMER OF
Any warranty on the products . . hereby are those made b)!M
CHEVROLET the manufacturer.The Seller, PENSKE
expressly disclaims all warranties,either .including any implied
particular purpose, and PENSKE CHEVROLET
assumes nor authorizes any other person to assume for it an
liability in connection with the sale of • products.
CUSTOMER NO TAX`EXEMPT NUMBER, ..'. `CUSTrP.O NO"x • '` SHIP VIA ' PAY . SOLD BY r'INVOI-
` M { 1 4 • ", CE DATE INVO CE NO'
Al
MW
1
CARMEL STREET DEPT H THANKS KEVIN
WESTFIELD IN 46074-8267 rlR---BIN
QUANTITY `. a ' • �� fr. v ''9� •-' �v S�r
PART NUMBER/DESCRIPTION BIN° LIST NET AMOUNT yr y! K.6� r yak K' v
SHIPab B O..
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Chevrolet
ORDER OR FACTORY ORDERED ITEMS NOT NOT
Direct(317)846-2564 1 RESPONSIBLE' FOR ANY LABOR ON • 1 1: OUR SHOP
. CHEVROLET WE ARE Indiana • 1 1' 1 UNDAMAGED CONTAINER.
ALL EXCHANGES D REFUND CLAIMS MUST BE ACCOMPANIED t 1 10 DAYS.
3210 E. • • P.O. 40319 National i 533-6602 NO CASH REFUNDS.
INDIANAPOLIS, t . 46240-0319
.317) 846-6666 IWEEK DAY PARTS DEPT. HOURS 8*00AN TO 5-130PM
SATURDAY PARTS DE.PT.
o �o�
DISCLAIMER.OF
Any warranty on the products . . hereby are those made ba
CHEVROLET,the manufacturer.The Seller, PENSKE
expressly disclaims all warranties,either expressed or implied,
implied including any .
purpose,a particular -•
assumes nor authorizes any other person to assume for it an
liability in connection with the sale of lip . . ..
CUSTOMER NO TAX EXEMPT NUMBER CUST.P.O NO " SHIP
IP VIA" .- PAY SOLD BY .t�; INVOICE,DATE `.INVOICE NO•
66 `d
M
CVW
WESTFIELD, IN 46074-8261"
• •
QUA cvr a •-: r a f-�,.
SHIP NTITY
PART NUMBER/DESCRIPTION BIN LIST NET AMOUNT b �!ti oA 'i• f7. 1 pt •r III
0.
16520063 LENS 2.682 N
ii�f7':r� R:�••fry y p
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0AFAff4WAKAF Chevrolet Parts SPECIAL ORDER OR FACTORY ORDERED ITEMS NOT RETURNABLE.ELECTRICAL PARTS NOT RETURNABLE.
• Direct ., 1•RETURNED ITEMS.
1 RESPONSIBLE' FOR ANY LABOR ON PARTS NOT INSTALLED BY OUR 1•
Indiana (800)692-6370 RETURNED PARTS MUST BE IN ORIGINAL AND UNDAMAGED CONTAINER.
1: 0D
P.O.3210 E 96TH ST. o, • :00 60 ,CASH REFUNDS.
INDIANAPOLIS, ,0
. . . .
p••
DISCLAIMER OF WARRANTIES
Any warranty on the products .. hereby are those made by
CHEVROLET,the manufacturer.The Seller, PENSKE
expressly disclaims all warranties,either expressed or implied,
implied including any .
purpose,a particular -•
person assumes nor authorizes any other assume for it any
liability in connection with the sale of . . ..
I
CUSTOMER TAX EXEMPT HUMBER^' CUST.P.O NO 9SHIP VIA PAY SOLD BY ' INVOICE.DATE INVOICE NO
A�
13 S
L MO W 131ST ST F,
I�ESTFIELEI, IN 46074---8267
• •
06A'NTITY PART NUMBER L DESCRIPTION BIN -LIST. NET AMOUNT fy Y�
SHIP. rte. k 4114 VA v
. V
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Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
E
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. p
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
05/29/13 578748 CVW $108.86
05/30/13 578748-1 CVW $544.30
05/30/13 578828-1 CVW $25.72
06/05/13 579268-1 CVW $96.29
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.
` Penske Chevrolet ALLOWED 20
IN SUM OF $
P. 0. Box 40319
Indianapolis, IN 46240-0319
$775.17
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 578748 CVW 42-370.00 $108.86 1 hereby certify that the attached invoice(s), or
2201 578748-1 CVW 42-370.00 $544.30 bill(s) is (are) true and correct and that the
2201 578828-1 CVW 42-370.00 $25.72
materials or services itemized thereon for
2201 579268-1 CVW 42-370.00 $96.29
- which charge is made were ordered and
received except
r day e 14, 2013
ti
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
P, Chev' rolet Parts SPECIAL ORDER OR FACTORY ORDERED ITEMS NOT RETURNABLE.ELECTRICAL PARTS NOT RETURNABLE.
• D O•RETURNED ITEMS.
• RESPONSIBLE• FOR ANY LABOR O D BY OUR SHOP.
R.O. Indiana (800)692-6370 RETURNED PARTS MUST BE IN ORIGINAL AND UNDAMAGED CONTAINER.
3210 E. 96TH ST. 9 • :00 60 NO CASH REFUNDS.
INDIANAPOLIS, ,0
(317) 846-6666 WEEK DAY PARTS DEPT. HOURS 8:OOAM TO 5-30PM
SATURDAY PARTS DEPT. • ADDRESS
DISCLAIMER OF
CHEVROLET,Any warranty on the products sold hereby are those made by
the manufacturer.The Seller, PENSKE
including expressly disclaims all warranties,either expressed or implied,
• -• warranty of merchantability or
particular purpose, and PENSKE CHEVRO
authorizes assumes nor other person
liability in connection with the sale of said products.
CUSTOMER NO. TAX EXEMPT NUMBER COST.P.O.NO. I SHIP VIA PAY SOLD BY .INVOICE DATE INVOICE NO.
r
�1082 0031201550020 1 Ii ' 05/24/13 578413-1
317-733-'2855 CYW
• •
QUANTITY
PART NUMBER/DESCRIPTION BIN LIST NET AMOUNT �A'f7 7 ci •►% fy y�c[ •►
SHIP B.O. A
'Yr:4•�G':.K!•.7:ll ('ti•1'.4:K'^7:.1l Y
'fit}G;;; •'Yrr'�'�t}F-
YY,
A.
�i:..-y•.�:�` 7}•f: rYrr•�'aJr}•p.
is fi�;v,'''.ti' �;�;v,:c.!34• �
D. .�, .err.:ct�..r I` .•I• ce.•�
. 'Yr.'ti•�.':K!.7:.FF r:4'.1�.,.K..7?. •YI
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 Purchase Order No.
PO BOX 40319 Terms
Indianapolis, IN 46240-0319 Due Date 6/10/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/10/2013 578413-1 $137.60
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
A////,
Date ff er
VOUCHER # 131799 WARRANT # ALLOWED
72600 IN SUM OF $
PENSKE
PO BOX 40319
Indianapolis, IN 46240-0319
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
" PO# INV# ACCT# AMOUNT Audit Trail Code
.r 578413-1 01-6500-05 $137.60
i
i
Voucher Total $137.60
Cost distribution ledger classification if
claim paid under vehicle highway fund