241573 1 /27/2015 `�� �q,,f� CITY OF CARMEL, INDIANA VENDOR: 237560
ONE CIVIC SQUARE PEARSON FORD,INC CHECK AMOUNT: $*******594.00*
v`® CARMEL, INDIANA 46032 10650 N MICHIGAN RD CHECK NUMBER: 241573
+M;___� ZIONSVILLE IN 46077 CHECK DATE: 01/27/15
ETON GO•
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 23694 297.00 REPAIR PARTS
2201 4237000 23695 297.00 REPAIR PARTS
INVOICE NUMBER
DATE OF ORDER CUSTOMER ORDER NO. TERMS
08/15/14 23695
DATE SHIPPED SHIP VIA PPD ADD COLL
SHIP F FIC-ARSON
AUTOMOTIVE
TO FGR A iiftTIME
L
10650 N Michi an Rd 9
Zionsville, IN 46033
PHONE 317-873-3333
SOLD City of Carmel Street Department
TO 3400 W/131 st ST FAX 317-733-3132
Carmel, IN 46074
QUANTITY QUANTITY
ORDERED BACKORDR DESCRIPTION PART NO. UNIT PRICE AMOUNT
1 Ford Factory Running Boards $297.00
VIN#1 FTBF21367FEC40969
SUBTOTAL $297.00
FREIGHT/SHPG
LABOR
TERMS: TAX
TOTAL INVOICE $297.00
INVOICE NUMBER
DATE OF ORDER CUSTOMER ORDER NO. TERMS
08/15/14 23694
DATE SHIPPED SHIP VIA PPD ADD COLL
SHIP
PEARSON
AUTOMOTIVE
TO
FOR A LIFETIME.
10650 N Michigan Rd
Zionsville, IN 46033
PHONE 317-873-3333
SOLD LL City of Carmel Street Department
TO 3400 W/131 st ST FAX 317-733-3132
Carmel, IN 46074
QUANTITY QUANTITY
ORDERED BACKORDR DESCRIPTION PART NO. UNIT PRICE AMOUNT
1 Ford Factory Running Boards $297.00
VIN#1 FTBF21367FEC40968
SUBTOTAL $297.00
FREIGHT/SHPG
LABOR
TERMS: TAX
TOTAL INVOICE $297.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pearson Ford
IN SUM OF$
10650 N. Michigan Road
Zionsville, IN 46077
$594.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
2201 23695 42-370.00 $297.00 1 hereby certify that the attached invoice(s), or
2201 23694 42-370.00 $297.00 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
ri
)0/ -,If/
Fr' , J 15
i ree I
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
01/23/15 23695 $297.00
01/23/15 23694 $297.00
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