229618 2/25/2014 CITY OF CARMEL, INDIANA VENDOR: 237560 Page 1 of 1
ONE CIVIC SQUARE PEARSON FORD,INC
CARMEL, INDIANA 46032 10650 N MICHIGAN RD CHECK AMOUNT: $3,246.37
ZIONSVILLE IN 46077 CHECK NUMBER: 229618
CHECK DATE: 2/25/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 286151 2, 722 .46 AUTO REPAIR & MAINTEN
601 5023990 287917 523 . 91 OTHER EXPENSES
Dealer No:06761
3175712653 invoice No: 286151 Pearson Ford,Inc.
10650 North Michigan Road
Zionsville,IN 46077
CITY OF CARMEL INVOICE 317.873.3333
760 3RD AVE SW PAGE 1 www.mylndyford.com
CARMEL, IN 46032-2072 PARTS&SERVICE HOURS
Monday-Friday
Home: Email: 7:00 am-6:00 pm
Bus:
SERVICE ADVISOR: 2100 SCOTT KROUSE
OCENSE -
...... JCEN
-YEAR IN rj!,�L i�17.11 S E-,. MwEAGE'INYjb0T4.,,j.;
RED 06 FORD F550 11FDAF56P86EC579361 102114 1021141 T352
P _NO�',% 'f TE-f,- IPA
.r,DELfIDATE,��- ,DATE "WARR.,'�,EXP7,9, �O -%RA YMENT
ytj',4qj.,_-_To1,7t
ROMISEDJ'k� �4
05MAY06 D 05APR061 17:00 18NOV13 BILL 09DEC13
-R.
-�
0OPENE 4'V -5""'5: OPTIONS:W-Comp:G ENG:6.0 Liter
09:37 18NOV13 1 07:21 09DEC13
LINE OPCODE TECH TYPE HOURS LIST NET TOTAL
A CUST STATES THAT THERE IS A OIL LEAK FROM ENG AREA
R5M OWNER INSPECTION
7342 CFL 1044.00 1044.00
1 5C3Z*6608*B COVER 578 .03 520.23 520.23
1 3C3Z*6A642*CA KIT 439.83 395 .85 395.85
1 TA*29* SEALANT - SILICONE 20 .35 18.31 18.31
2 3C3Z*9439*AA GASKET - INTAKE MANIFOLD 15.09 13 .58 27.16
3 VC*7*B ANTI-FREEZE 16 .47 14 .82 44.46
1 FL*2016* KIT - ELEMENT & GASKET - OIL F 29.43 26 .49 26.49
15 XO*15W40*QSD MOTORCRAFT SAE 15W-40 API CJ-4 5. 12 4 .61 69.15
1 B7A*8287*AA CLAMP - HOSE 1. 91 1.72 1.72
1 4C3Z*9P456*AJ COOLER - EGR 505.57 455.01 455.01
1 2L1Z*9F479*AA SENSOR ASY 96.20 86.58 86.58
. . . . 102114 12.00 DIAG REPLACED EGR COOLER AND OIL COOLER REPLACE FRONT
, , , ,ASSY
CUSTOMER PAY SHOP SUPPLIES FOR REPAIR ORDER 33 .50
ATTENTION CUSTOMER
MAKE A SERVICE APPOINTMENT FROM THE COMFORT
OF YOUR HOME OR OFFICE ANYTIME, JUST GO TO
MYINDYFORD.COM AND CLICK ON THE .SERVICE TAB
IT'S QUICK, EASY AND AVAILABLE 24 HOURS A DAY
DISCLAIMER OF WARRANTIES �li'T,--:,�A,16ESdkiptidNif-i* '%:iv
ON BEHALF OF SERVICING DEALER, I HEREBY CERTIFY THAT THE AND LIMITATIONS OF LIABILITY
INFORMATION CONTAINED HEREONIS ACCURATE UNLESS OTHERWISE -away wwmmy,if-Y,I.am-1y wwmaty LABOR AMOUNT 1044 ,00-
SHOWN. SERVICES DESCRIBEDWERE PERFORMEDAT NO CHARGE TO wfth-p...LM. k.SELLER MAKES NO
OWNER.THERE WAS NO INDICATION FROM THE APPEARANCEOF THE WARRANTY WHATSOEVER AND EXPRESSLY PARTS AMOUNT 1f;44 ge
DISCLAIMS ALL WARRANTIES EITHER
VEHICLE OR OTHERWISE,THAT ANY PART REPAIRED OR REPLACED EXPRESS OR IMPLIED, INCLUDING ANY GAS,OIL,LUBE
UNDER THIS CLAIM HAD BEEN CONNECTED IN ANY WAY WITH ANY IMPLIED WARRANTY OF MERCHANTABILITY FILET AMOUNT
ACCIDENT, NEGLIGENCE OR MISUSE. RECORDS SUPPORTING THIS OR FITNESS FOR A PARTICULAI.PURPOSE
--- n on
CLAIM ARE AVAILABLE FOR(1) YEAR FROM THE DATE OF PAYMENT SELLER'S MAXIMUM LIABILITY HEREUNDER MISC.CHARGES C;()
L AL
NOTIFICATION AT THE SERVICING DEALER FOR INSPECTION BY ASELLER SHALL R
ISAND LIMITED TO THE ORIGINAVE *SALES PRICE
10 LIABILITY TOTAL CHARGES 9,722 4f;
MANUFACTURER'S REPRESENTATIVE. FOR ANY INCIDENTAL OR CONSEQUENTIAL-
DAMAGES FOR LOST SALES,LOST PROFITS, LESS INSURANCE n or)
INJURIES TO PERSONS OR PROPERTY OR-
OTHER INJURIES OR DAMAGES, SALES TAX n nn
(SIGNED) DEALER.GENERAL MANAGER OR AUTHORIZED PERSON CUSTOMER SIGNATURE
PLEASE PAY }-
q-nn gu
THIS AMOUNT
CUSTOMER COPY
SEWAGEO"QXWC
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))
12/09/13 286151 $2,722.46
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
Pearson Ford
IN SUM OF $
10650 N. Michigan Road
Zionsville, IN 46077
$2,722.46
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
2201 I 286151 I 43-510.001 $2,722.46 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
l
6
uathd k 1 2014
treetaem9 ,
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Dealer No:06761
6205
Invoice No: 287917 Pearson Ford, Inc.
10650 North Michigan Road
Zionsville, IN 46077
CITY OF .CARMEL WATER UTILITIES INVOICE 317.873.3333
3450 W 131ST ST PAGE 1 www.mylndyford.com
CARMEL, IN 46074-8267 PARTS&SERVICE HOURS
Monday-Friday
Home 317-733-2855 Email: 7:00 am-6:00 pm
Bus:
SERVICE ADVISOR:
,. COLOR'; YEAR. MAKE/MODEL„ VIN LICENSE . MILEAGE IN /OUT. ::. TAG
BLUE 08 FORD F250 11FTNF21538EE05701 89892 89892 T163
"DEL:'DATE: PROD:DATE WARRr.EXPt;>:'=: !PROMISED:. PO:NO. ' RATE, PAYMENT INV. DATE:
08FEB13 D 02JAN13 17:00 27JAN14 SEE BELOW BILL 27JAN14
R'"O. OPENED READY<>::; ...... OPTIONS:w_COMP:G ENG:5.4 Liter SOHO
09 : 13 27JAN14 15 : 17 27JAN14
LINE OPCODE TECH TYPE HOURS LIST NET TOTAL
A NO BRAKES CUST INSTALLED NEW MASTER CYL AND BRAKE BOOSTER BUT CANT
GET ALL OF THE AIR OUT OF THE SYSTEM
R5M OWNER INSPECTION
2139 CFL 267 . 00 267 . 00
1 8C3Z*2140*BB CYLINDER ASY - MASTER 229 . 12 206 . 21 206 . 21
4 PM*l*C FLUID - BRAKE 4 . 78 4 . 30 17 .20
, , , , 89892 NO BRAKES 3 . 00 BRAKE DIAG--REPLACE MASTER CYLINDER--ABS
, , , , SYSTEM BLEED--NOW OK
****************************************************
CUSTOMER PAY SHOP SUPPLIES FOR REPAIR ORDER 33 . 50
** PO NO. : 146MATTMCNULTY **
*********** ATTENTION CUSTOMER **************
MAKE A SERVICE APPOINTMENT FROM THE COMFORT
OF YOUR HOME OR OFFICE ANYTIME, JUST GO TO
MYINDYFORD. COM AND CLICK ON THE SERVICE TAB
IT' S QUICK, EASY AND AVAILABLE 24 HOURS A DAY
*********************************************
DISCLAIMER OF WARRANTIES
ON BEHALF OF SERVICING DEALER, I HEREBY CERTIFY THAT THE AND LIMITATIONS OF LIABILITY DESCRIPTION TOTALS
INFORMATION CONTAINED HEREON IS ACCURATE UNLESS OTHERWISE The factory warranty, ifay, is na,oaty wa«aaty LABOR AMOUNT
SHOWN. SERVICES DESCRIBED WERE PERFORMED AT NO CHARGE TO with resr� to this sale. SELLER MAKES NO
OWNER. THERE WAS NO INDICATION FROM THE APPEARANCE OF THE WARRANTY WHATSOEVER AND EXPRESSLY PARTS AMOUNT
VEHICLE OR OTHERWISE, THAT ANY PART REPAIRED OR REPLACED DISCLAIMS ALL WARRANTIES EITHER
UNDER THIS CLAIM HAD BEEN CONNECTED IN ANY WAY WITH ANY EXPRESS WARRANTY IMPLIED, INCLUDING AN7' GAS,OIL,LUBE
IMPLIED SSFOR OF PARTICMERCHANTABILITY SUBLET AMOUNT
ACCIDENT, NEGLIGENCE OR MISUSE. RECORDS SUPPORTING THIS OR FITNESS FOR A PARTICULAR PURPOSE.
n on
CLAIM ARE AVAILABLE FOR (1) YEAR FROM THE DATE OF PAYMENT SELLER'S MAXIMUM LIABILITY HEREUNDER MISC.CHARGES
NOTIFICATION AT THE SERVICING DEALER FOR INSPECTION BY IS LIMITED TO THE ORIGINAL SALES PRICE
MANUFACTURER'S REPRESENTATIVE. 33 50
AND SELLER SHALL HAVE NO LIABILITY TOTAL CHARGES
FOR ANY INCIDENTAL OR CONSEQUENTIAL
DAMAGES FOR LOST SALES,LOST PROFITS, LESS INSURANCE
INJURIES TO PERSONS OR PROPERTY OR
OTHER INJURIES OR DAMAGES. SALES TAX
(SIGNED) DEALER,GENERAL MANAGER OR AUTHORIZED PERSON (DATE) CUSTOMER SIGNATURE PLEASE PAY
THIS AMOUNT
CUSTOMER COPY
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
237560
PEARSON FORD INC. Purchase Order No.
10650 N. MICHIGAN RD. Terms
ZIONSVILLE, IN 46077 Due Date 2/13/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/13/2014 287917 $523.91
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
Date O icer
r
VOUCHER # 134083 WARRANT# ALLOWED
237560 IN SUM OF $
PEARSON FORD INC.
10650 N. MICHIGAN RD.
ZIONSVILLE, IN 46077
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
287917 01-6500-05 $523.91
Voucher Total $523.91
Cost distribution ledger classification if
claim paid under vehicle highway fund