242514 02/24/15 CITY OF CARMEL, INDIANA VENDOR: 00352042
(� ONE CIVIC SQUARE DON HINDS FORD CHECK AMOUNT: $**--*`29.95*
CARMEL, INDIANA 46032 12610 FORD DRIVE CHECK NUMBER: 242514
FISHERS IN 46038 CHECK DATE: 02/24/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 16170 29.95 REPAIR PARTS
AW
O
12610 Ford Drive * Fishers, IN 46038
Phone (317) 849-9000 * Fax (317) 813-1306
Parts Direct (317) 813-1301 /
www.donhinds.com V
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.
1DATE ENTERED YOUR ORDER NO. DATE SHIPPED INVOICE DATE INVOICE
17 FEB 15 17 FEB 15 NUMBER 16170
o ACCOUNT NO. CA2615 H PAGE 1 OF 1 08 :44
D CARMEL FIRE DEPARTMENT P
TWO CIVIC SQUARE
0 CARMEL, IN 46032 0
(317) 571-2600
SHIP VIA bi-bM. [/L NO. 1-.0.13 HUN I
15064 CHARGE FISHERS, IN
PART_;NO:
oao SSP: a.o. PARTS HOURS
:::;0. 164*R8040.* :KEY :BLANK :-29 . 95 29. 9.5 ">29 . 9:5
Mon Fri
7:30 - 5:30
Saturday
800 300
SERVICE HOURS
Mon n
7:30 5:30
_... Saturday
8:00 - 3:00
CASHIER CLOSES
Mon - Fri
AT 5:30
-
Saturday
AT 3:00
BODY SHOP
Mon - Fri
800 - 500
PARTS 29 . 95
SUBLET
FREIGHT 0 . 00
SALES TAX 0 . 00 ru 10
CUSTOMER'S SIGNATURE
11300 Ix TOTAL $29 . 951
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.
0W loo CUSTOMER COPY
)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
vvhom, 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))
16170 VIN 8386 $29.95
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Don Hinds Ford
IN SUM OF $
12610 Ford Drive
Fishers, IN 46038
$29.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE FA7MOUNT Board Members
1120 16170 42-370.00 $29.95 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
FEB 2 3 2015
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund