233834 06/18/14 +ur.CSA*ff
CITY OF CARMEL, INDIANA VENDOR: 237560
® it ONE CIVIC SQUARE PEARSON FORD,INC CHECK AMOUNT: S""""'..950.49'
q CARMEL, INDIANA 46032 10650 N MICHIGAN RD CHECK NUMBER: 233834
ZIONSVILLE IN 46077 CHECK DATE: 06/18/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 291386 950.49 AUTO REPAIR & MAINTEN
I
Dealer No:06761
5712500
Invoice No: 291386 Pearson Ford, Inc.
10650 North Michigan Road
Zionsville, IN 46077
:CITY OF CARMEL INVOICE 317.873.3333
1 CIVIC SQ PAGE 1 www.mylndyford.com
.CARMEL, IN 46032-2584 PARTS&SERVICE HOURS
Monday-Friday
Home:317-571-2500 Email: 7:00 am-6:00 pm
Bus: 317-733-2001
SERVICE ADVISOR: 2100 SCOTT KROUSE 7
COLOR YEAR MAKE/MODEL VIN LICENSE. MILEAGE IN /OUT TAG
RED 08 FORD F250 1FTNF21598EB43585 81059 81059 T501
DEL. DATE PROD. DATE WARR. EXP. PROMISED PO NO. RATE PAYMENT INV. DATE
19JUN07 D 17:00 29MAY14 BILL 3OMAY14
R,O. OPENED READY OPTIONS:W-COMP:G STK:13807 ENG:5.4L_EFI_V8
TRN:5-SPD_AUTOMATIC
14 : 02 28MAY14 09 : 00 30MAY14
LINE OPCODE TECH TYPE HOURS LIST NET TOTAL
A OUST STATES THAT THERE IS A ENG MISS AND CK ENG LIGHT IS ON
WDS COMPUTER ENGINE CONTROL DIAGNOSIS
2139 CFL 95 . 00 95 . 00
., , , , 81059 CEL LIGHT ON 1 . 00 IDS--PO300--P0306--P0316--MODE 6 SHOWS
, , , ,MISFIRE IN HISTORY ON #5 AND 47 ALSO--INJECTORS PASS--REL COMP-ALL ' 0 '
, , , ,AT THIS TIME
****************************************************
B** SPARK ;PLUG REPLACEMENT - 8 CYLINDER COIL-ON-PLUG
8CCOP SPARK PLUG REPLACEMENT - 8 CYLINDER
COIL-ON-PLUG
2139 CFL 474 . 50 474 . 50
7 PZH*14F* SPARK PLUG 19 . 16 17 . 24 120 . 68
3 3L3Z*12029*BA COIL ASY - IGNITION 83 . 64 75 . 28 225 . 84
, , , , 81059 SPARK PLUG REPLACEMENT--3 VALVE 7 . 30 REPLACE SPARK
-,, , , PLUGS--REPLACE IGNITION COILS ON--#5-6-7--4 BROKEN PLUGS
, , , , EXTRACTED--#4-5-6-7--HAS AFTERMARKET PROPANE HOSES INTERFERING ON PASS
, , , , SIDE--REDRIVE--OK.
CUSTOMER PAY SHOP SUPPLIES FOR REPAIR ORDER 34 . 47
*********** 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 DESCRIPTION TOTALS
ON BEHALF OF SERVICING DEALER, I HEREBY CERTIFY THAT THE AND LIMITATIONS OF LIABILITY
INFORMATION CONTAINED HEREON IS ACCURATE UNLESS OTHERWISE Thr to oq wa«a.ny, rarvy, Is the only wa,-y LABOR AMOUNT 569 50
SHOWN. SERVICES DESCRIBED WERE PERFORMED AT NO CHARGE TO with rrsmi to this sale. SELLER MAKES NO
OWNER. THERE WAS NO INDICATION FROM THE APPEARANCE OF THE WARRANTY WHATSOEVER AND EXPRESSLY PARTS AMOUNT 4 S2
VEHICLE OR OTHERWISE, THAT ANY PART REPAIRED OR REPLACED DISCLAIMS ALL WARRANTIES EITHER
0 00
UNDER THIS CLAIM HAD BEEN CONNECTED IN ANY WAY WITH ANY EXPRESS WARRANTY IMPLIED, INCLUDING ANY GAS,OIL, LUBE
IMPLIED SS FOROFMCULAR PURPOSE,
TY SUBLET AMOUNT
ACCIDENT, NEGLIGENCE OR MISUSE. RECORDS SUPPORTING THIS OR FITNESS FOR A PARTICULAR PURPOSE.
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. 34 47
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
974 . 75
CUSTOMER COPY ; m
ccavicc iuvmry r>xcnr
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))
05/30/14 291386 $950.49
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
$950.49
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 291386 ( 43-510.001 $950.49 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
0
RidaJeR�AlM 14
kzvvv Vi
t
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund