HomeMy WebLinkAbout242248 02/17/15 CITY OF CARMEL, INDIANA VENDOR: 00352042
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ONE CIVIC SQUARE DON HINDS FORD CHECK AMOUNT: $ .....575.80*
CARMEL, INDIANA 46032 12610 FORD DRIVE CHECK NUMBER: 242248 FISHERS IN 46038 CHECK DATE: 02/17/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4237000 15812 109.54 REPAIR PARTS
1110 4237000 32763 15812 372.60 REPAIR PARTS
1110 4237000 15862 93.66 REPAIR PARTS
AMP
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
07 FEB 15 107 FEB 15 NUMBER 15862
o ACCOUNT NO. CA2600 H PAGE 1 OF 1 11 : 58
D CITY OF CARMEL P,
1 CIVIC SQ
0 CARMEL, IN 46032-2584 0
317 571-2417
2620 CHARGE FISHERS, IN
U . .
PART:N :::<:::
ORD. . SHIP ::
3 6 P
O: DG1Z*542:"1`813*,A::':;.'..';..._ "LATCH:. '.; ' :::';::.. .< "..;1 5`:::73 ',.:::93 .66 : . = . 93" . .6
ARTS HOURS
Mon - Fri
7:30 - 5:30
. :. ... Saturday
..
8:00 - 3:00
SERVICE HOURS
L,,._._...:
-
-
Saturday
8:00 - 3:00
:
CASHIER E
-...;,
Mon Fri
AT 5:30
AT 3:00
BODY SHOP
Mon - Fri
......:..:.:..............
...... .
; . ......:: ''.: 800 - 500
PARTS 93 . 66
SUBLET
')s
FREIGHT 0 . 00
SALES TAX 0 . 0
CUSTOMER'S SIGNATURE
11300 Ix I TOTAL $93 . 66
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.
°
`'"'°°' CUSTOMER COPY
+&"As 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
06 FEB 15 32763 107 FEB 15 NUMBER 15812
S
ACCOUNT NO. CA2600 H PAGE 1 OF 1 11 : 05
L CITY OF CARMEL P
1 CIVIC SQ
0 CARMEL, IN 46032-2584 0
(317) 571-2417
SHIP VIA �ii_W. [/L NU. 1,0,B, N T
12620 CHARGE FISHERS, IN
::,: :.-
PART:N0,:::;: c
..0: DG1Z*.1015A WHEEL.. .: 270 0.0: 186 _:30 3;72 ..60 PARTS Mon - Fri
0 9L3Z*1A189*A KIT - TPMS S 86 . 60 54 . 77 109 . 54 7:30 - 5:30
..........:.::...:: Saturday
8:00 3:00
SERVICE HOURS
Mon - Fri
. ... ..:; . ..:. . ......... .
. :......: :. . .. . ..:
Saturday
�. 8:00 - 3:00
,. ;..
CASHIERCLOSES
Mon - Fri
AT 5:30
Saturday
AT 3.00
BODY SHOP
-
Mon
Fri
<.;:::;; 8.00 5.
PARTS 482 . 14
SUBLET
FREIGHT 0 . 00
SALES TAX 0 . 00
CUSTOMER'S SIGNATURE '
11300 Ix TOTAL. ..:_'_>:.:;:`::; 482 . 14
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.
CUSTOMER COPY
' City INDIANA RETAIL TAX EXEMPT PAGE
®f C4rmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
y
FEDERAL EXCISE TAX EXEMPT M763
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,IPIS,
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 - SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
2FM95
Don binda Ford, Inc. CamGI Police DGpaitmGnt
VENDOR
SHIP 3 CIVIC Squ:m
92590 Fo d Drina TO CwmG1, IN 4
FighGm, IN 4I (W)579
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 4C,,�y4�/0.09 p� e�y Q y�
9 Each Repair Peru 4372.60 $372.60
Sub Total: $372.50
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Send Invoice To: "'' �^ �!
CwmGI P®IIcG DGpartmon& —c'f
Attn: Pat Young
3 CIVIC squm
Carmel, IN 4m- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECTDEPARTA/1ENT ACCOUNT PROJECT
PROJECT ACCOUNT
NTGarmel Police Dept.
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT TH REfIIS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION OF IGIEfT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. /
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY q/
SHIPPING LABELS. b I OF PoIIcG
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 32763 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
a.
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I 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 _
20
_..- -..............................
- -- - -— - —
Signature
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))
02/07/15 15812 repair parts $372.60
07/02/15 15812 repair parts $109.54
07/02/15 15862 repair parts $93.66
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Don Hinds Ford, Inc.
IN SUM OF $
12610 Ford Drive
Fishers, IN 46038
$575.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
32763 15812 42-370.00 $372.60 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1110 15812 42-370.00 $109.54
materials or services itemized thereon for
1110 15862 42-370.00 $93.66 which charge is made were ordered and
received except
Thursday, February 12, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund