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242410 02/17/15 a°�C4Ab CITY OF CARMEL, INDIANA VENDOR: 305700 ONE CIVIC SQUARE TOM WOOD FORD INC CHECK AMOUNT: $*-....114.95" CARMEL, INDIANA 46032 3130 E 96TH ST CHECK NUMBER: 242410 9gjh IUN G�.? INDPLS IN 46240 CHECK DATE: 02/17/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4351000 S349833 114.95 AUTO REPAIR & MAINTEN STATEMENT REMITTANCE Tuow"" M WOOD PLEASE DETACH AND MAIL WITH REMITTANCE TO: FORD 31308E. 96th Street o Indianapolis, IN 46240 77/� ®M ®®® (317) 846-4241 F 0 R D DATE 31 DEC 2014 162583 3130 E. 96th Street CITY OF CARMEL ENGINEERING Indianapolis, IN 46240 1 CIVIC SQ (317)846-4241 CARMEL,IN 46032-2584 317-571-2441 ****QUESTIONS?INVOICE COPIES??CONTACT JESSIE!!**** ****DIRECT(317)848-6702 EMAIL JESSIE_SCHIMMEL@TOMWOOD.COM**** SOURCES:3 SERVICE SALE-4 PARTS SALE- 5 PAYMENT- 11 ADJUSTMENT PLEASE CIRCLE INVOICES BEING PAID e e e e • • i e eBALANCE gig 9 -4 11PAN e• • i • 1120 114.95 ! ***** 1120 114.95 ' E 5 Di a.�r�d s ' C4 Or / w 22 d O _ •~' N AaMEL y3451000 Cq ' �b I 0 0 2 w V VVV a —CURflEf T 4r9 OVER 3DOVER 60 DAYDU YF0— i i ( 162583 o OVER 90 DAY®_0Q� OVER 120 DAY�0(_ NEW BAUM9 T#1T T�1 v — TO M ®�— D 400 1 � cm—Nu IV E ®_ _�_ PARTS&Sr=RVICE 3130 E. 96th Street • Indianapolis, Ind. 46240 (800) 423-4646 • (317) 846-4241 •Kin ,I,y u Disclaimer of Warranties:Any warranties on the products sold hereby are those made by the manufacturer.The Seller,TOM WOOD FORD,Inc.,hereby expressly disclaims all warranties,either expressed or implied,including any implied warranty of merchantability or fitness for a particular purpose,and TOM WOOD FORD, Inc.,neither assumes nor authorizes any other person to assume for it any.liability.in connectionwith the sale.of.said.products. . I hereby agree to pay Tom Woad Ford attorney's fees if collection hereof becomes necessary. Not responsible for car or contents in case of fire or theft or freezing or any other cause.Storage will be charged 48 hours after repairs are completed. X CUSICIAER Na ADVISOR VRD NO UmlcE mTE IN"OfCE NO 162583 PHILLIP CALDWELL 7203 158 12/26/14 FONS349833 LABOR RAIE LICENSE NO "IMAGEI COLOR srOCKNO CITY OF CARMEL ENGINEERING 90503 OX WHT CLRC YEAR I HANE1 MODEL �.._.. .._,. _..._. DELRERY DATE DELflERYNLES -• . . 1 CIVIC SQ 06 FORD TRUCK ESCAPE 4DR 4WD HYBRID 08/17/05 9 VEHICLE 10.NO SELLING OMER NO PROODC ZION OAIE 1 F M C U 9 6 H 7 6 K A 2 6 0 9 0 100 F.t.11" O. P,O NO RODAiE CARMEL IN 46032-2584 0031201550-020 12 15 14 RESIDENCE PNONE BUSD:ESS vNOr:E COENrs 17-571-2441 M!.IMO: 90503 [ ORIG DEL DATE ] 08/17/05 [ ORIG DEL MILES ] 9 JOB# 1 CHARGES--------------------------------------------------------------------- ----------- LABOR------------------------------------------------ ------------------------------ J# 1 47FOZ * AXLE/DIFFERENTIAL TECH(S) :7226 114.95 TEST DRIVE--GRINDING NOISE NOTICED FROM DRIVETRAIN AREA POSS PTU?? ADVISE PTU INTERNAL FAIL DECLINE TO REPLACE PTU DIAGNOSTC CHARGE ONLY JOB# 1 TOTALS------------------------------------------------------------ LABOR 114.95 JOB# 1 JOURNAL PREFIX FONS JOB# 1 TOTAL 114_95 JOB# 2 CHARGES--------------------------------------------------------------------- ----- LABOR--------------------------------------------------------------- --------------- J# 2 99FOZ99P MULTI-POINT INSPECT TECH(S) :7226 0.00 PERFORM MULTI-POINT INSPECTION. PUT INSPECTION REPORT IN CUSTOMER VEHICLE MAINT SERVICE PERFORM MULTI-POINT INSPECTION. IN CUSTOMER VEHICLE. JOB# 2 TOTALS------------------------------------------------------------ JOB# 2 JOURNAL PREFIX FONS JOB# 2 TOTAL 0_00 JOB# 3 CHARGES------------------------ ----------------------------------------- ------- LABOR------------------------------------------------------------------------------ J# 3+11FOZ * ENGINE MINOR TECH(S) :.7226 WARRANTY Added Operation (8PHILC Q 12/15/2014 12:49) RECALL 14519 RECALL INSPECTED MECP.REPAIR NEEDED NO PARTS AT THIS TIME JOB# 3 TOTALS------------------------------------------------------------ JOB# 3 JOURNAL PREFIX FONS JOB# 3 TOTAL 0_00 JOB# 4 CHARGES--------------------------------------------------------------------- ------- LABOR------------------------------------------------------------------------------ J# 4+02FOZGBATT GREEN-BATTERY TECH(S) :80 0.00 Added Operation (8PHILC @ 12/26/2014 17:57) BATTERY TEST OK-COLD CRANKING AMPS,TERMINALS CLEAN-OK TEST BATTERY GOOD BATTERY JOB# 4 TOTALS------------------------------------------------------------ JOB4 4 JOURNAL PREFIX FONS JOB# 4 TOTAL 0.00 JOB# 5 CHARGES--------------------------------------------------------------------- ----------- LABOR------------------------------------------------------------------------------ J# .5+02FOZGBK GREEN BRAKES TECH(S) :80 0.00 Added Operation (8PHILC12/26/2014 17:57) BRAKES CHECK -OK (DISC OVER SMM,DRUM OVER2MM) ATW BRAKE CHECK-OK BRAKES OK PAGE 1 OF 2 [CONTINUED ON NEXT PAGE] 05:59pm CD GEIVi.J1PARTS&SED 01M RVICE 0 3130 E. 96th Street • Indianapolis, Ind. 46240 (800) 423-464,6p• (317) 846-4241 Disclaimer of Warranties:Any warranties on the products sold hereby are those made by the manufacturer.The Seller,TOM WOOD FORD,Inc.,hereby expressly disclaims all warranties,either expressed or implied,including any implied warranty of merchantability or fitness for a particular purpose,and TOM WOOD FORD, Inc.,neither assumes nor authorizes any other person to assume for it any.liability.in connection with the sale-of said products. I hereby agree to pay Tom Wood Ford attorney's fees if collection hereof becomes necessary. Not responsible for car or contents in case of fire or theft or freezing or any other cause.Storage will be charged 48 hours after repairs are completed. X COSTONER Na AOVLSOR CARO NO UIVpICE bAtE 1.VLpICE NO 162583 PHILLIP CALDWELL 7203 158 12 26 14 FONS349833 LAQOR RAtE LICE NSE NO 90503 OX;WHT CLRC s'OCK Na CITY OF CARMEL ENGINEERING YEAHINAI(E i LIOOF.L .,. ...... ..._.. CEUVERY OA TE DELIVER/'ARES •-•• 1 CIVIC SQ 06 FORD TRUCK ESCAPE 4DR 4WD HYBRID 08 17 05 9 VEHICLE IO 06/F% SELUNGCEALERNO PROOUCROUMTE 1 F M C U 9 6 H 7 6 K A 2 6 0 9 0 100 F t.E.NO P.a NO ROWE CARMEL IN 46032-2584 0031201550-020 12 15 14 RESIOc'NCE PNO.VE OUSIl:ESS R ONE co 17-571-2441 MO: 90503 JOB# 5 TOTALS------------------------------------------------------------ JOB# 5 JOURNAL PREFIX FONS JOB# 5 TOTAL 0.00 JOB# 6 CHARGES---------------------------------------------------------------------- ----------- LABOR J# ------------------------------------------- ---------- LABORJ# 6+02FOZGTIRE GREEN TIRES TECH(S) :80 0.00 Added Operation (8PHILC p 12/26/2014 17:57) TIRES CHECKED OK-ATW INSPECTION TIRES OK GREEN (OK) TIRE INSPECTION JOB# 6 TOTALS------------------------------------------------------------ JOB# 6 JOURNAL PREFIX FONS JOB# 6 TOTAL 0.00 TOTALS------------------------------------------------------------------------------ ********************+*****+********************* TOTAL LABOR. . . . 114.95 * * TOTAL PARTS. . . . 0.00 [ ] CASH [ ] CHECK CK NO. ( ] * TOTAL SUBLET. . . 0.00 * [ j VISA ( ) MASTERCARD * TOTAL G.O.G. . . . 0.00 * TOTAL MISC CHG. 0.00 * [ ] OTHER [ ] CHARGE * TOTAL MISC DISC 0.00 * * TOTAL TAX. . . . . . 0.00 **********************************************+* TOTAL INVOICE $ --114.95 THANK YOU FOR YOUR BUSINESS! WE WANT YOU COMPLETELY SATISFIED, NOT VERY SATISFIED. IF YOU ARE NOT "COMPLETELY" SATISFIED, PLEASE CALL TOM AT TOM WOOD FORD. THERE'S NOTHING WE WON'T DO TO INSURE YOUR HAPPINESS! TOM -------------------------------- CUSTOMER SIGNATURE PAGE 2 OF 2 ( END OF INVOICE ] 05:59pm 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 Tom Wood Ford Purchase Order No. 3130 E. 96th Street Terms Indianapolis, IN 46240 Date Due Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s) Amount 12/31/2014 S349833 Diagnostics on E-5 $ 114.95 Total $ 114.95 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 I VOUCHER NO WARRANT NO. Tom Wood Ford ALLOWED 20 3130 E. 96th Street IN SUM OF $ Indianapolis, IN 46240 $ 114.95 ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#!TITLE AMOUNT DEPT# I hereby certify that the attached invoice(s), or 0 S349833 2200-4351000 $ 114.95 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 2/16/2015 Signature City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund