243299 3 /18/2015 < % o,A*f. CITY OF CARMEL, INDIANA VENDOR: 237560
„(� 4 CHECKAMOUNT: $********95.00*
'�l• ONE CIVIC SQUARE PEARSON FORD,INC
, �; CARMEL, INDIANA 46032 10650 N MICHIGAN RD CHECK NUMBER: 243299
''�Ir`ori�°' ZIONSVILLE IN 46077 CHECK DATE: 03/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 299086 95.00 AUTO REPAIR & MAINTEN
Dealer No:06761
6200 invoice No: 299086 Pearson Ford,Inc.
10650 North Michigan Road
Zionsville,IN 46077
CITY OF CARMEL STREET DEPARTMENT INVOICE 317.873.3333
3400 W 131ST ST PAGE 1 www.mylndyford.com
CARMEL, IN 46074-8267 PARTS&SERVICE HOURS
Monday-Friday
Home: Email: 7:00 am-6:00 pm
Buo: 317-733-2001
SERVICE ADVISOR: 2100 SCOTT KROURTP,
C0L0RVIN 'LICENSE' ', MILEAGE IN/OUT.
V!1,N-r& !F!01 -N,,EAR'�%-'�":'i�INMAKEIMODEL�'-
RED 08 FORD F250 11FTNF21578EB43584 88807 88807 T927
!;PRODi..'.'DAT.E;l:%WARR.-'EXP'.-;:[.:....... :PROMISED PO NO. RATE PAYMENT'
02FEB08 D 02JAN08I 1 17:00 05FEB15 BILL 12FEB15
READWF4E-.
OPTIONS:W-comp:W STK:13806 ENG:5.4L EFI V8
TRN:5-SPD—AUTOMATIC
10:55 OSFEB15rn9 12B15
LINE OPCODE TECH TYPE HOURS LIST NET TOTAL
A CUST- STATES THAT AFTER DRIVING AWHILE AT A STEADY SPEED THE -ENG
. STARTS TO BUCK AND JERK
WEIS COMPUTER ENGINE CONTROL DIAGNOSIS
760 CFL 95. 00 95. 00
. . . . 88807 1.00 IDS CK OUT NO PROBLEM FOUND
ATTENTION CUSTOMER
MAKE A SERVICE APPOINTMENT FROM THE COMFORT
OF YOUR HOME OR OFFICE ANYTIME, JUST GO TO
MYINDYFORD.COM AND CLICK ON THE SERVICE TAB
IT'S QUICK, EASY AND AVAILABLE 24 HOURS A DAY
DISCLAIMER OF WARRANTIES DESCRIPTION
ON BEHALF OF SERVICING DEALER, I HEREBY CERTIFY THAT THE AND LIMITATIONS OF LIABILITY
INFORMATION CONTAINED HEREON IS ACCURATE UNLESS OTHERWISE Th-ruto-Y--my.if-Y,is d,-only ws—ty LABOR AMOUNT 95. 00
SHOWN. SERVICES DESCRIBEDWERE PERFORMEDAT NO CHARGE TO with mspu to ibis.1a SELLER MAKES NO
OWNER.THERE WAS NO INDICATION FROM THE APPEARANCE OF THE WARRANTY WHATSOEVER AND EXPRESSLY PARTS AMOUNT
DISCLAIMS RR
VEHICLE OR OTHERWISE,THAT ANY PART REPAIRED OR REPLACED EXPRESS OR IMPLIEDALL WA, IANTIESNCLUDEITHER
ING ANY GAS,OIL,LUBE
0 on
UNDER THIS CLAIM HAD BEEN CONNECTED IN ANY WAY WITH ANY IMPLIED WARRANTY OF MERCHANTABILITY
ACCIDENT, NEGLIGENCE OR MISUSE. RECORDS SUPPORTING THIS OR FITNESS FOR A PARTICULAR PURPOSE. SUBLET AMOUNT n n
CLAIM ARE AVAILABLE FOR(1) YEAR FROM THE DATE OF PAYMENT sELLE-----LIABILITY HEREUNDER MISC.CHARGES 0 . 00
NOTIFICATION AT THE SERVICING DEALER FOR INSPECTION BY IS LIMITED TO THE ORIGINAL SALES PRICE -
AND SELLER SHALL HAVE NO LIABILITY TOTAL CHARGES
MANUFACTURER'S REPRESENTATIVE. FOR ANY INCIDENTAL OR CONSEQUENTIAL
DAMAGES FOR LOST SALES,LOST PROFITS, LESS INSURANCE n ()o
INJURIES TO PERSONS OR PROPERTY OR
OTHER INJURIES OR DAMAGES. SALES TAX n n o
(SIGNED) DEALER,GENERAL MANAGER OR AUTHORIZED PERSON (DATE) CUSTOMER SIGNATURE PLEASE PAY
THIS AMOUNT
CUSTOMER COPY
SEMiCEUMICES2 XS12C
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pearson Ford
IN SUM OF$
10650 N. Michigan Road
J
Zionsville, IN 46077
$95.00
ON ACCOUNT OF APPROPRIATION FOR 4
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#IrITLE AMOUNT
Board Members
2201 299086 43-510.00 $95.00
I herebycertify that the attached invoice(s), or
fY
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
4 #rid 015
SMbP9c`? tom' W81R&r
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
r
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))
02/12/15 299086 $95.00
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