HomeMy WebLinkAbout245102 5 /13/2015 CITY OF CARMEL, INDIANA VENDOR: 00352042
® ONE CIVIC SQUARE DON HINDS FORD CHECK AMOUNT: $******"910.11
s. CARMEL, INDIANA 46032 12610 FORD DRIVE CHECK NUMBER: 245102
vM�ruN _ _ FISHERS IN 46038 CHECK DATE: 05/13/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 32836 17996 863.11 REPAIR
1120 4351000 346854 47.00 AUTO REPAIR & MAINTEN
May, 6, 2015 9:35AM don hinds ford No, 8329 P. 1
1-y jy
• DPP
Ton 41MASQ
12610 Ford Drive * Fishers, IN 46038
Phone (317) 849-9000 * Fax (317) 813-1306
Parts Direct (317) 813-1301
www.donhinds.com
ALL RETURNEDPARTS MUST BERECEIVEOWITHIN 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 ENTEREDIYOURORDERNO, OATE SHIPPED INVOICE BATE INVOICE
07 APR 15 32836 09 APR 15 1 09 APR 15 NUM915R 17996
S w** DUPLS1 C A T E I N V 0 1 CE ***
0 ACCOUNT NO. CA2600 H PAGE 1 OF 1 15:09
D CITY OF CARMEL p
1 Civic so
p CARMEL, IN 46032-2584 0
317 571-2417
2620 CHARGE FISHERS TN
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PARTS 863.11
SUBLET
FREIGHT 0.001
• 0.00
tiA E SALES TAX
11300 C X600 - T.OTA1:= r'I:_' 863.11
DISCLAIMERS OF WARRANTIES
Any warranties on the pro4ucl sold hereby are those made by the manufaclurer,The seller hereby expressly dleValms aI(worranues,either expressed or Implied,Induding
any Implied warranty of merchanlablllty orftneaa for a pantcular purpose,and the seller neither assumes nor auLhodzes.any other person to assume for It any liability In
connection wilh the eels of said{products.
”"'0q' CUSTOMER COPY
coINDIANAf�° C����� RETAIL TAX EXEMPT PAGE
}JJJ111t ®,Jlr CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 383>�
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
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
Don Hinds Ford, Inc. Carmel Police Department
VENDOR SHIP 3 Civic Square
12610 Ford Drive TO Camiel, IN 46032
Fishers, IN 46038 (317)574 2553
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
.Account 43-510.00
1 Each Repair marts $863.11 X863.11
Sub Total: $863.11
L t k
ASL } i �`..�o•4r�' (•I::' •{�"' �+.`
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C""��x 1 yr'*, 31.�� • �4 -art ��s t�i9'�,
Send Invoice To:
r
Camiel Police Department
Attn: Pat Young
3 Civic Square
Camiel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
Carmel Police Dept. 4 , $BWAI
PAYMENT
'. A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
` NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
I VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT TARE IS AN UNT TOAAAANOBLIGATED BALANCE IN
•
THIS APPROPRIATION FICIEY
SHIP REPAID. FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL t
SHIPPING LABELS. CFtU of Pollee
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE (/
v
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 G 8 3 6 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF$
ON ACCOUNT OF APPROPRIATION FOR
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
J
Signature
_ ---- Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Don Hinds Ford, Inc.
IN SUM OF$
12610 Ford Drive
Fishers, IN 46038
$863.11
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
32836 17996 43-510.00 $863.11 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
/Friday, ay 08, 2015
41Z Chief of Police
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))
05/09/15 17996 repair parts $863.11
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
oY
JJ
CUSTOMER #: CI4283 346854 '
CITY OF CARMEL INVOICE
JASON 12610 Ford Drive * Fishers, IN 46038
2 CIVIC SQ Phone (317) 849-9000 * Fax (317) 849-0020
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: 8756 STEVE HARRISON
: ;...tICEISB.:::.:::.....Mi
CQLa:R YEAR MAKE/MQDE1 UIN ... .. I
13 FORD F150 PKUP 1FTFW1ET8DFC36416 25004 25004 T141R w
.. ;:<.
7...AATE: ::<WARR IuO, :.:;:: v
01JAN13 D WAIT 30APR15 N 0 . 00 CHG 30APR15
..... O,: <.i......:::::::..;:;::;::.:;:;::::;RSA.D ;.;:.;;;:.;:;.;;;:.;:;.:;. OPTIONS: DLR:47J034 ENG: 3 .5 Liter GTDI
14 :27 30APRIS 115:40 30APR15
LINE OPCODE TECH TYPE HOURS LIST NET TOTAL
A THE WORKS
WRKS. OIL CHANGE, TIRE ROTATION
3116 CP 22 . 55 22 . 55
1 AA5Z*6714*B FILTER ASY - OIL 5 . 10 5 .10 5.10
6 XO*5W30*BSP 5W30 BULK 2 . 90 2 . 90 17 .40
HWC HAZARDOUS WASTE CHARGE
9999 CHW 1. 95 1 . 95
25004 PERFORMED THE WORKS. RESET OIL LIGHT.
B MULTI POINT
99P REPORT CARD INSPECTION
3116 CP 0 . 00 0 . 00
25004 GTIRE GBRAKE GBAT
DISCLAIMER OF WARRANTIES
L.
OUR NIGHT OWL DROP BOX, LOCATED AT THE
::`::OI SGRlP7KQN`'' z :::: `:C;:<::;:::?;. QTAL..::::.:.::::::::::.
ANY WARRANTY ON THE PRODUCTS :::::..................................:...............
.........
....................................
SERVICE ENTRANCE, IS AVAILABLE DURING SOLD HEREBY ARE THOSE MADE BY LABOR AMOUNT 24 .50
THE . THSELLER
NON-BUSINESS HOURS. DON HIINDSACTUREFORDR INC., HEREBY PARTS AMOUNT 22 .50
SERVICE HOURS: MON - FRI 7:30 AM - 5:30 PM EXPRESSLY DISCLAIMS ALL WARRANTIES, GASOIL,LUBE
WARRANTIES, EITHER EXPRESSED OR 0 . 00
SAT 7:30 AM - 3:30 PM IMPLIED, INCLUDING ANY IMPLIED SUBLET AMOUNT 0 . 00
WARRANTY OF MERCHANTABILITY OR
FITNESS FOR A PARTICULAR PURPOSE, MISC.CHARGES 0 00
E AND DON HINDS FORD, INC. NEITHER
ASSUMES NOR AUTHORIZES ANY TOTAL CHARGES 47 . 00
OTHER PERSON TO ASSUME FOR IT
ANY LIABILITY IN CONNECTION WITH LESS DEDUCTIONS 0 . 00
THE SALE.OF SAID PRODUCTS. SALES TAX 0 00
CUSTOMER SIGNATURE
PLEASE PAY
THIS AMOUNT
CUSTOMER COPY
VOUCHER NO. WARRANT NO.
ALLOWED 20
Don Hinds Ford
IN SUM OF$
12610 Ford Drive
Fishers, IN 46038
$47.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 346854 43-510.00 $47.00 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
n.aAv 2015
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)
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))
346854 C46 $47.00
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