241491 01/27/15 a°i'"qM
CITY OF CARMEL, INDIANA VENDOR: 00352042
`'/ \-\.. CHECK AMOUNT: $*******162.15*
.; ® ONE CIVIC SQUARE DON HINDS FORD
s. _�; CARMEL, INDIANA 46032 12610 FORD DRIVE CHECK NUMBER: 241491
9M�._,_.:. FISHERS IN 46038 CHECK DATE: 01/27/15
�roN�°
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 15281 162.15 REPAIR PARTS
12610 Ford Drive * Fishers, IN 46038
Phone (317) 849-9000 * Fax (317) 813-1306
Parts Direct (317) 813-1301
www.donhinds.com
ALL RETURNED PARTS MUST BE RECEIVED WITHIN 30 DAYS, BE-IN THE ORIGINAL-PACKAGE,AND ACCOMPANIED BY THIS INVOICE. WE ARE NOT
ALLOWED TO ACCEPT RETURNS ON ELECTRICAL OR SPECIAL ORDER PARTS. PLEASE PREPAY WHEN ORDERING SPECIAL ORDER PARTS.
DATE ENTERED YOUR ORDER NO. DATE SHIPPED INVOICE DATE INVOICE
22 JAN 15 C-4311 122 JAN 15 NUMBER 15281
o ACCOUNT NO. CA2615 H PAGE 1 OF 1 08 :21
D CARMEL FIRE DEPARTMENT P
TWO CIVIC SQUARE
T CARMEL, IN 46032 0
(317) 571-2600
SHIP VIA bLSM. TERMS F.O.B. POiNy
507 CHARGE FISHERS, IN
ShP PART NO:
PARTS HOURS
0..9L32*Z7682*CBCP::......,MIRROR............. ........ 170 65 170..65 Mon - Fri
7:30 - 5:30
>:;:>:;:. .; .;::: Saturday
8:00 3:00
SERVICE HOURS
. Mon - Fri
7.30 5.30
Saturday
8:00 - 3:00
CASHIER E
Mon - Fri
AT 5:30
Saturday
.. AT 3.00
BODY SHOP
8.00 - 5.00
PARTS 170. 65
SUBLET
FREIGHT 0 . 00
SALES TAX 0 . 00
CUSTOMER'S SIGNATURE
111300 ix $170. 65
DISCLAIMERS OF WARRANTIES
Any warranties on the product sold hereby are those made by the manufacturer.The seller hereby expressly disclaims all warranties,either expressed or implied,including
any implied warranty of 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 said products.
°1''�' CUSTOMER COPY
REMIT TO:
• ACCOUNTS DUE AND
PAGE 1 PAYABLE BY THE
1;0tk1>:OF THE MONTH
12610 Ford Drive Fishers, IN 46038
Phone(317)849-9000 ' Fax(317) 849-0020
ACCT. NO
1-800-64HINDS(1-800-644-4637)
CLOSING DATE
CARMEL FIRE DEPARTMENT 22DECI4:
TWO CIVIC SQUARE
CARMEL IN 46032
AMOUNT ENCLOSED
PLEASE RETURN THIS PORTION WITH YOUR CHECK S
`;: DATE ...... ................ DOCUMENT 1 TRANSACTfDN PURCHASES PnYwNTs&cREnirs BALANCE
PREVIOUS BALANCE
20MAR14' .. 324433 85 00 _.
14MAY14 32443376 . 50
.
ACCOUNT PAST DUE CURRENT
PLEASE PAY
STATUS
0 . 00 8 . 50- THIS AMOUNT. P 8 . 5 0-
OVER 30 _VER::6 ODER 9Q; OVER 120
0 . 00 0 .00 _ 0 . 00 0 . 00
FINANCE CHARGES will apply if the new balance is unpaid one month from the closing date of statement. The
"FINANCE CHARGES" are computed by a periodic rate of >1> 5' per month which is an ANNUAL PERCENTAGE
RATE of 18 applied to the unpaid balance after deducting current payments and/or credits appearing on this
. ...::.:...... .............
statement from the previous balance.
INQUIRIES CALL DEE@EXT 1328
CUSTOMER COPY
VOUCHER NO. WARRANT NO.
ALLOWED 20
Don Hinds Ford
IN SUM OF $
12610 Ford Drive
Fishers, IN 46038
$162.15
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 15281 42-370.00 $170.65 1 hereby certify that the attached invoice(s), or
1120 42-370.00 ($8.50) 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
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
i
i
rescribed 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
hom, 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))
15281 C4311 $170.65
CREDIT ($8.50)
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