243697 03/31/15 `y'�a�q,,� CITY OF CARMEL, INDIANA VENDOR: 00352042
j; �l ONE CIVIC SQUARE DON HINDS FORD CHECK AMOUNT: $"""1,247.47`
CARMEL, INDIANA 46032 12610 FORD DRIVE CHECK NUMBER: 243697
•,;,roN�� FISHERS IN 46038 CHECK DATE; 03/31/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 343242 1,247.47 AUTO REPAIR & MAINTEN
�- E s
9
CUSTOMER W: CI4283 343242
UNIT# A45
CITY OF CARMEL FIRE DEPT. INVOICE
JASON
2 CIVIC S 12610 Ford Drive * Fishers, IN 46038 a
Q Phone (317) 84979000 * Fax (317) 849-0020
CARMEL, IN 46032-7543 PAGE 4 1-800-64HINDS (1-800-644-4637)
HOME: CONT:317-6 9 0-4 2 8 3 www.donhinds.com
BUS : CELL:317-690-4283 SERVICE ADVISOR: 7563 CHUCK CALLAHAN
CiJLR YEAR MAKE/MODEL V1N LICENSE MILEAGE fN(_OUT TAG
3
12 FORD F450 PKUP 1FDUF4GTOCEC39655 34911/34911 T814G
DELDATE PROD :DATE WARR EXP PROMISED;; PO NO.' RATE`. '.. PAYMENT INV. DATE
_. _
01JAN12 DEJ 17 : 00 26MAR15 N 0 . 00 CHG 26MAR15
0 .QP>NED REApI OPTIONS: DLR:47J034 ENG: 6 . 7_Liter
3
09 : 09 24MAR15 14 :41 26MAR15
LINE OPCODE TECH TYPE HOURS LIST NET TOTAL
8333 Griffin,Dennis LIC#: DENNIS
CP 14 . 00 14 . 00
1 BC3Z*9601*A ELEMENT ASY - AIR CLEANER 26 . 20 26 . 20 26 . 20
1 6C2Z*9628*AA CLAMP 22 . 25 22 . 25 22 . 25
34911 REPLACED AIR FILTER.
****************************************************
H** PERFORM MANUAL REGEN
L2 LEVEL 1 DIAG
5924 CP 39 . 50 39 . 50
34911 COMPLETED MANUAL REGEN USING IDS
****************************************************
I** N99 15509 PCM UPDATE AMBULANCE PACKAGE
CAUSE: 15S09
15SO9B Reprogram PCM/TCM:
5924 WP94 (NIC)
FC: PART#: COUNT:
. CLAIM TYPE: 15S09
AUTH CODE:
° 005924
34911 COMPLETED 15SO9 REFLASH
****************************************************
ENVIRONMENTAL &SUPPLY FEES 20 . 95
OUR NIGHT OWL DROP BOX, LOCATED AT THE DISCLAIMER OF WARRANTIES DESCRIPTION TOTALS
SERVICE ENTRANCE, IS AVAILABLE DURING ANY WARRANTY ON THE PRODUCTS
SOLD HEREBY ARE THOSE. MADE BY LABOR AMOUNT 649 .45
THE MANUFACTURER. THE SELLER,
NON-BUSINESS HOURS. DON HINDS FORD, INC„ HEREBY PARTS AMOUNT 577 . 07
EXPRESSLY ALL SERVICE HOURS: MON - FRI 7:30 AM - 5:30 PM WARRANTIES, EITHERLAIMS EXPRESSED OR GAS,OIL, LUBE 00
IMPLIED, INCLUDING ANY IMPLIED SUBLET AMOUNT 0 . 00
SAT 7:30 AM - 3:30 PM WARRANTY OF MERCHANTABILITY OR
FITNESS FOR A PARTICULAR PURPOSE, MSC. CHARGES 20 . 95
AND DON HINDS FORD, INC. NEITHER
ASSUMES NOR AUTHORIZES ANY TOTAL CHARGES 1247 .47
OTHER PERSON TO ASSUME FOR IT
ANY LIABILITY IN CONNECTION WITH LESS DEDUCTIONS 0 . 00
o ' THE SALE OF SAID PRODUCTS.
SALES TAX 0 . 00
CUSTOMER SIGNATURE PLEASE PAY
THIS AMOUNT 1247 .47
- - - CUSTOMER- COPY - - - -
•
CUSTOMER `#: CI4283 343242 '
UNIT# A45.
CITY OF CARMEL FIRE DEPT. INVOICEtoo _
JASON 12610 Ford Drive * Fishers, IN 46038
2 CIVIC. ,SQ Phone (317) 849-9000 * Fax (317) 849-0020 7
CARMEL, . IN 46032-7543 PAGE 1 1-800-64HINDS (1-800-644-4637)
HOME: . CONT:317-6 9 0-4 2 8 3 www.donhinds.com
BUS : CELL:317-690-4283 SERVICE ADVISOR: 7563 CHUCK CALLAHAN
COLOR YEAR. MAKE/MODEL VIN' LICENSE MILEAGE IN/OUT TAG is -
g
3
12 FORD F450 PKUP 1FDUF4GTOCEC39655 34911/34911 TR14G
............ TE PRk3, PATE ,1NARR EXP PROMfSED;' PO NO RATE': ;PAYMENT: INV. DATE
0
N
01JAN12 Dd 17 : 00 26MAR15 N 0 . 00 CHG 26MAR15
R 0' OPENED READY OPTIONS: DLR:47J034 ENG: 6 . 7 Liter
3
09: 09 24MAR15 14 :41 26MAR15
LINE OPCODE TECH TYPE HOURS LIST NET TOTAL
A *L87' SEEING-DROPS OF' COOLANT FROM LEFT FRONT OF VEHICLE
CAUSE: =8005
8005DD COOLING SYSTEM PRESSURE TEST - DIAGNOSIS
(8005) - L
5924 WP94 (NIC)
MTWIRING EXTRA TIME FOR WIRING
5924 WP94 (NIC)
8005A RADIATOR ASSY - REMOVE AND INSTALL OR
REPLACE (8005/8009) - L
5924 WP94 (NIC)
1 BC3Z*8005*E RADIATOR ASY (NIC)
8005 DM 03/25
2 VC*3*B ANTI-FREEZE (NIC)
2 DW1 DISTILLED WATER (N/C)
12 WA*14*SBA STRAP - WIRING (NIC)
FC: L87 D8
PART#: BC3Z*8005*E
COUNT:
CLAIM TYPE:
AUTH CODE:
005924
34911
VERIFIED LEAK, PRESSURE TESTED PRIMARY COOLING SYSTEM AND FOUND
RADIATOR TO BE LEAKING. TIME TO REPLACE REA_ DIATOR, M-TIME FOR AMBULANCE
WIRING AND LIGHTS ON
FRONT GRILL AND WIRING ON LOWER CORE SUPPORT. INSTALLED NEW
RADIATOR AND ALL
THAT WAS REMOVED. REINSTALLED WIRING AS REMOVED, VACUUM FILLED
COOLING SYSTEM AND ADDED COOLANT THAT WAS NEEDED. M-TIME . 5
:B DIESEL OIL AND FILTER CHANGE/LUBE (DELCINED DEF FLUID)
OFD67 6 . 7 LITER DIESEL OIL AND FILTER CHANGE
8333 Griffin,DenniS LIC#: DENNIS
CP 35 . 00 35 . 00
OUR NIGHT OWL DROP BOX, LOCATED AT THE DISCLAIMER OF WARRANTIES DESCRIPTION TOTALS
SERVICE ENTRANCE, IS AVAILABLE DURING ANY WARRANTY ON THE PRODUCTS LABOR AMOUNT
SOLD HEREBY ARE THOSE MADE BY
. THSELLER,
NON-BUSINESS HOURS. DON HIINDSACTUREFORDR INCE HEREBY PARTS AMOUNT
a EXPRESSLY DISCLAIMS ALL GAS,OIL, LUBE
SERVICE HOURS: MON - FRI 7:30 AM - 5:30 PM WARRANTIES, EITHER EXPRESSED OR
ED,SAT 7:30 AM - 3:30 PM WARIRANTYNDING OFUM RCHAN AANYBILITYLIOR SUBLET AMOUNT
FITNESS FOR A PARTICULAR PURPOSE, MISC. CHARGES
AND DON HINDS FORD, INC. NEITHER
ASSUMES NOR AUTHORIZES ANY TOTAL CHARGES
OTHER PERSON TO ASSUME FOR IT
ANY LIABILITY IN CONNECTION WITH LESS DEDUCTIONS
THE SALE OF SAID PRODUCTS. SALES TAX
CUSTOMER SIGNATURE PLEASE PAY
THIS AMOUNT
- - - - --
- - �`-- --- - �-------CUSTOMER--COPY--�---------
•
CUSTOMER 4: CI4283 343242
UNIT# A45
CITY OF CARMEL FIRE DEPT. INVOICE
JASON 12610 Ford Drive * Fishers, IN 46038
2 CIVIC SQ Phone (317) 849-9000 * Fax (317) 849-0020
CARMEL, IN 46032-7543 PAGE 2 1-800-64HINDS (1-800-644-4637)
HOME: CONT:317-69 0-42 83 www.donhinds.com
BUS : CELL:317-690-4283 SERVICE ADVISOR: 7563 CHUCK CALLAHAN
COLOR YEAR IVIAKi/MODEL VIN' LICEIV;5E MILEAGErfN/OUT TAG
12 FORD F450 PKUP 1FDUF4GTOCEC39655 34911 34911 ITAlAr'-
..........
DEL DATE PROD DAT[t ...
ARR EXP PRDMIS�O. PO NO .:, RATE'; PAYMENT INV. DATE
01JAN12 DII 1 17 : 00 26MAR15 N 0 . 00 CHG I 26MAR15
R 0 0!?ENED READY OPTIONS: DLR:47J034 ENG: 6 . 7 Liter
3
09 : 09 24MAR15 114 :41 26MAR15
LINE OPCODE TECH TYPE HOURS LIST NET TOTAL
1 BC3Z*6731*B KIT - ELEMENT & GASKET - OIL F 24 . 38 24 . 38 24 . 38
13 XO*1OW30*BSD 1OW30DSL 2 . 90 2 . 90 37 . 70
HWC HAZARDOUS WASTE CHARGE
9999 CHW 0 . 95 0 . 95
34911 DIESEL OIL AND FILTER CHANGE/LUBED.
****************************************************
C CHECK BRAKES, CROSS ROTATE TIRES
M REPLACED FRONT PADS/ROTORS/SERVICED
CALIPERS/ROTATED FRONT TIRES (INCLUDE
SIMULATORS)
8333 Griffin,Dennis LIC#: DENNIS
CPBT 280 . 00 280 . 00
M REPLACED REAR PADS/SERVICED REAR
ROTORS/CALIPERS/SLIDES/CROSS ROTATED REAR
TIRES
8333 Griffin,Dennis LIC#: DENNIS
CPBT 280 . 00 280 . 00
2 5C3Z*1125*CA ROTOR ASY 133 . 30 133 . 30 266 . 60
2 9C3Z*2001*A KIT - BRAKE LINING 99 . 97 99 . 97 199 . 94
34911 CROSS ROTATED ALL 6 TIRES WITH SIMULATORS .REPLACED FRONT
BRAKE PADS AND REPLACED FRONT BRAKE ROTORS LUBED HARDWARE.REPLACED REAR
BRAKE PADS AND LUBED HARDWARE.TEST DROVE TO VERIFIE REPAIRS .
D REPORT CARD" INSPECTION
99P REPORT CARD INSPECTION
8333 Griffin,Dennis LIC#: DENNIS
CP 0 . 00 0 . 00
GTIRE CHECK TREAD DEPTH. TREAD IS WEARING
PROPERLY AT THIS TIME.
8333 Griffin,Dennis LIC#: DENNIS
CP 0 . 00 0 . 00
GBATT BATTERY TEST. CRANK AMPS ARE FINE. NO
PROBLEM FOUND.
8333 Griffin,Dennis LIC#: DENNIS
OUR NIGHT OWL DROP BOX, LOCATED AT THE DISCLAIMER OF WARRANTIES ?DESCRIPTION TOTALS;
ANY WARRANTY ON THE
SERVICE ENTRANCE, IS AVAILABLE DURING SOD HEREBY ARE THOSE PMADECTS BY LABOR AMOUNT
THE THSELLER
i NON-BUSINESS HOURS. DON HNDSACTUREFORDR INCE HEREBY PARTS AMOUNT
SERVICE HOURS: MON - FRI 7:30 AM - 5:30 PM EXPRESSLY DISCLAIMS ALL GAS,OIL, LUBE
WARRANTIES, EITHER EXPRESSED OR
SAT 7:30 AM - 3:30 PM IMPLIED, INCLUDING ANY IMPLIED SUBLET AMOUNT
WARRANTY OF MERCHANTABILITY OR
FITNESS FORA PARTICULAR PURPOSE, MISC.CHARGES
I E AND DON HINDS FORD, INC. NEITHER
ASSUMES NOR AUTHORIZES ANY TOTAL CHARGES
OTHER PERSON TO ASSUME FOR IT
ANY LIABILITY IN CONNECTION WITH LESS DEDUCTIONS
THE SALE OF SAID PRODUCTS. SALES TAX
CUSTOMER SIGNATURE PLEASE PAY _
i THIS AMOUNT
i
- -------- ----- ---- - - - - -- -------------- --------CUSTOMER--COPY-._ ..__.- -
CUSTOMER'4: CI4283 343242 'w
UNIT'# A45
CITY OF CARMEL FIRE DEPT. INVOICE
JASON 12610 Ford Drive * Fishers, IN 46038
2 CIVIC SQ Phone (317) 849-9000 * Fax (317) 849-0020
CARMEL, IN 46032-7543 PAGE 3 1-800-64HINDS (1-800-644-4637)
HOME: CONT:317-69 0-42 83 www.donhinds.com -
BUS: CELL:317-690-4283 SERVICE ADVISOR: 7563 CHUCK CALLAHAN
COLOR YEAR MAKEIMODE6 VIN: LICENSE:. MILEAGE IN/OUT TAG
g
12 FORD F450 PKUP 1FDUF4GTOCEC39655 34911 34911 T814G
DEL
"DAT PROa..1JATE. .1NARR EXp PROMISED; Pb NO RATE;;: PAYMENT `.':INV..pATE
01JAN12 D 17 : 00 26MAR15 N 0 . 00 CHG 26MAR15
R O .bPEN.ED RhADY OPTIONS: DLR:47J034 ENG: 6 . 7 Liter
09 : 09 24MAR15 14 :41 26MAR15
LINE OPCODE TECH TYPE HOURS LIST NET TOTAL
CP 0 . 00 0 . 00
GBK BRAKE LINING WEAR CHECKED, BRAKES WEARING OK
AT THIS TIME
8333 Griffin,Dennis LIC#: DENNIS
CP 0 . 00 0 . 00
34911 INSPECTION.GBATT/GTIRES/GBK.
****************************************************
E N,99 14EO3 PCM RECALIBRATION
CAUSE: 14EO3
14EO3B Reprogram PCM
8333 Griffin,Dennis LIC#: DENNIS
WP94 (NIC)
FC: PART#: COUNT:
CLAIM. TYPE: 14EO3
AUTH CODE:
008333
34911 PERFORMED N99 E1403 PCM RECALIBRATION.
****************************************************
F** L26 LEFT FRONT MARKER LIGHT IS OUT
CAUSE: 13466
13465AT BULBS-EXTERIOR - REPLACE (13465/13466) -
L
5924 WP94 (N/C)
1 E5RY*13466*B BULB (N/C)
FC: L26 46
PART#: E5RY*13466*B
COUNT:
CLAIM TYPE:
AUTH CODE:
005924
34.911 REPLACED BOTH FRONT MARKER LIGHT BULBS
o
****************************************************
,G** REPLACE AIR FILTER
9601 AIR FILTER
OUR NIGHT OWL DROP BOX, LOCATED AT THE DISCLAIMER OF WARRANTIES ;DESCRIPTION TOTALS
SERVICE ENTRANCE, IS AVAILABLE DURING ANY WHEREBY A E THE PRODUCTS
SOLD HEREBY ARE THOSE MADE BY LABOR AMOUNT
THE MANUFACTURER. THE SELLER
NON-BUSINESS HOURS. , PARTS AMOUNT
EXPRESSLY DISCLAIMS ALL
DON HINDS FORDS INC., HEREBY
SERVICE HOURS: MON - FRI 7:30 AM - 5:30 PM WARRANTIES, EITHER EXPRESSED OR GAS,OIL,LUBE
SAT 7:30 AM - 3:30 PM IMPLIED, INCLUDING ANY IMPLIED SUBLET AMOUNT
WARRANTY OF MERCHANTABILITY OR
FITNESS FORA PARTICULAR PURPOSE, MISC.CHARGES 1
E AND DON HINDS FORD, INC. NEITHER
ASSUMES NOR AUTHORIZES ANY TOTAL CHARGES
OTHER PERSON TO ASSUME FOR IT
ANY LIABILITY IN CONNECTION WITH LESS DEDUCTIONS
THE SALE OF SAID PRODUCTS. SALES TAX
CUSTOMER SIGNATURE PLEASE PAY
THIS AMOUNT
i
I
- - - - -- -- -- -- - --------CUSTOMER- --
VOUCHER NO. WARRANT NO.
ALLOWED 20
Don Hinds Ford
IN SUM OF$
12610 Ford Drive
Fishers, IN 46038
$1,247.47
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#IrITLE AMOUNT Board Members
1120 343242 43-510.00 $1,247.47 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
MAR 3 0 1015
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
I
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
I
j Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
343242 9655 $1,247.47
i
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