245585 05/20/15 ou ��q
` *F. CITY OF CARMEL, INDIANA VENDOR: 237560
d i ONE CIVIC SQUARE PEARSON FORD,INC CHECK AMOUNT: $ ...`*839.49"
CARMEL, INDIANA 46032 10650 N MICHIGAN RD CHECK NUMBER: 245585
?y_roN_�o� ZIONSVILLE IN 46077 CHECK DATE: 05/20/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 300249 839.49 AUTO REPAIR & MAINTEN
05-13-15; 12;21PM; ; 317-873-1181 # 1/ 1
6200
Dealer No:06761
invoice No: 300249 Pearson Ford,Inc.
10650 North Michigan Road
Zionsville,IN 46077
CITY OF CARMEL STREET DEPARTMENT INVOICE 317,673.3333
3400 W 131ST ST PAGE 1 www_mylndyford.com
CARMEL, IN 46074-8267 PARTS A SERVICE HOURS
Home; Email: Monday-Friday7:00 am-6:00 pm
Bus: 317-733-2001
SERVICE ADVISOR:
COLOR YEAR MAKE/MODEL VIN LICENSE MILEAGE IN/OUT TAG
F1 RED CLE 09 1 FORT? F250 IFTNF21529EA02259 90638/901538 T412
DEL.DATE PROD.DATE I WARR.EXP, PROMISED PO NO, RATE PAYMENT INV.DATE
130CT08 D 22SEP08 17:00 20MAR15 I SILL 23MAR15
R.O.OPENED I READY I OPTIONS:w_coNP:w STK:14979 ENG,995_5.4L_EF1V-8_ENGINE
11:20 20MAR15
TPN:44x_5_SPEED AUTOMATIC_TRANS AXL BUCKED
16:33 23MAR15
LINE OPCODE TECH TYPE HOURS LIST NET TOTAL
A OUST STATES THAT THE ABS LIGHT WAS ON AND HAVING FALSE ACTIVATION- SEE
SCOTT FOR DETAILS
ABS ANTI-LOCK BRAKE SYSTEM DIAGNOSIS
2139 CFL 222.50 222.50
1 AC3Z*1104*F HUB AND BEARING ASY - WHEEL 650.93 58$,84 585.84
, , , , 90638 ABS DIAG TEST ABS--NORMAL LIGHT SEQUENCE--PASS--NO
, , , ,CMDTC--TEST DRIVE--FOUND ERRATIC SPIKES IN SIGNAL FROM RF--REPLACE RF
, , , ,HUB ASSY--REDRIVE--NO ERRATIC SIGNALS AT THIS TIME
**wwwwwww,r,rwww**wwwwwww,r**wwwwww*wwwwwwww***,rwww****
CUSTOMER PAY SHOP SUPPLIES FOR REPAIR ORDER 31.15
ww*www***ww ATTENTION CUSTOMER ****w*ww******
MAKE A SERVICE APPOINTMENT FROM THE COMFORT
OF YOUR HOME OR OFFICE ANYTIME, JUST GO TO
MYINDYFORD.COM AND CLICK ON THE SERVICE TAB
IT'S QUICK, EASY AND AVAILABLE 24 HOURS A DAY
wwww*,t***w*w****wwwwwwwwww***wwwwwwwww*wwww**
DISCLAI
R OF WAkkANTIPs
ON BEHALF OF SERVICING DEALER, I HEREBY CERTIFY THAT THE NDLIMITATIONS LIABILITY DESCRIPTION TOTALS
INFORMATION CONTAINED HEREONIS ACCURATE UNLESS OTHERWISE LABOR AMOUNT
SHOWN. SERVICES DESCRIBEDWERE PERFORMEDAT NO CHARGE TO wkn WOE[w Ud.-It SELLER MAKES NO
OWNER.THERE WAS NO INDICATION FROM THE APPEARANCE OF THE WARILA14TY WHATSOEVER AND FXPRESSLY PART$AMOUNT
VEHICLE OR OTHERWISE,THAT ANY PART REPAIRED OR REPLACED DISCLAIMS ALL WARRANTIES EMIER
RXI-kRss OR IMPLIED, EVCLUDING ANY GAS,OIL,LUBE
UNDER THIS CLAIM HAD BEEN CONNECTED IN ANY WAY WITH ANY IMPLIED WAkkANTYOP MIIRCIIANTAOILI T
ACCIDENT, NEGLIGENCE OR MISUSE, RECORDS SUPPORTING THIS OR FITNESS POR A PAkTICULAk PUkPDSIL SUBLET AMOUNT
NOTIFICATION AT THE SERVICING DEALER FOR INSPECTION
CLAIM ARE AVAILABLE FOR(1) YEAR FROM THE DATE OF PAYMENT SELLERS MAXIMUM LIADILITY IMMUNDEK 00
MI$C.CHARGES
BY IS LIMITED TO THE OkIOWAL SALES 1-kICB
MANUFACTURER'S REPRESENTATIVE. AND SELLER Slue R.R
HAVE NO LIADT
FOR ANY INCIDENTAL OR CONSF.OWENInAL TOTAL CHARGES
DAMAGES FOR LOST SALES,LOST PROPTPS, LESS INSURANCE
IN;URIES TO PERSONS OR PROPERTY OR
OTHER INIUNESOR DAMAGES. SALES TAX
(SIGNED) DEALER,GENERAL MANAGER OR AUTIiORIZEO PERSON (DATE) CUSTOMER SIGNATURE PLEASE PAY
THIS AMOUNT
CUSTOMER COPY
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))
03/23/15 300249 $839.49
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
Pearson Ford
IN SUM OF $
10650 N. Michigan Road
Zionsville, IN 46077
$839.49
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 I 300249 I 43-510.001 $839.49 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
Tui`rsd , ay 14, 2015
ua"
Street CommissitAr
Sa......sr�9rTl l e�Iencr
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund