245802 06/03/15 CITY OF CARMEL, INDIANA VENDOR: 00352042
j> ® ONE CIVIC SQUARE DON HINDS FORD CHECK AMOUNT: $****19,712.13"
CARMEL, INDIANA 46032 12610 FORD DRIVE CHECK NUMBER: 245802
FISHERS IN 46038 CHECK DATE: 06/03/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
652 5023990 13760 19,243.00 FORD ESCAPE
651 5023990 19122 . 469.13 OTHER EXPENSES
DON HINDS FORD, INC 0 RETAIL BUYERS ORDER
12610 Ford Drive
Fishers, IN 46038 .1�� fes'-s� JRN::}0 11 20 22 23
317-849-9000 I)OR P A X Z RCL
866-906-7712 n ( www.donhindsford.com
Purchaser Name: CITY OF CARMEL (/ COST# CA2600
Deal 90788
1 CIVIC SQ
I�
CARMEL, IN 46032-2584
Home Telephone#: 317-571-2417 Work Telephone#: 317-571-2417 Delivery Date: 04/13/2015
Cell Telephone#: In-Sery Date:
Year: 2015 Make: FORD Model: ESCAPE Type: UT
Color: OXFORD WHITE Vin: 1FMCU9GX5FUC13760 Stock #: FT6075
Mileage: 13
Trade 1 Description:
Year: 2005 Make: CHEVROLET _Model: EQUI_N_OX
Vin: 2CDL73
NF956082032 Owed to: Balance Owed`$ N/A y
Trade 2 Description: .
Year: Make: Model:
Vin: Owed to: Balance Owed $ N/A
Financed by:
Term: Beginning Payment: days
Affidavit for Trade-In Selling Price 23243.00
By signing below I state that I am the sole true and lawful Trade Allowance 4000.00
owner of the used car described in this contract for trade-in or Trading Difference 19243.00
replacement on sale in accordance with the terms thereof; Title Fee N/A
there is no lien, mortgage, unpaid balance on any conditional Document Fee N/A
sales agreement, or other encumbrances of any kind or Sales Tax N/A
character, including lien of any judgment or execution except Luxury Tax N/A
which has previously been stated and given in writing to Don Tire Tax N/A
Hinds Ford, Inc. I further agree that this statement is made for Quantum N/A
the purpose of guaranteeing title to the above mentioned used Maintenance N/A
car to be as aforesaid and that all statements made herein are Service Contract NIA
true and correct, and that all statements are made of my own Credit Guard N/A
free will. ID Guarantee N/A
Anti Theft N/A
Trade-in Certification Tire & Wheel N/A
The undersigned certifies that the trade-in vehicle has never Ownerguard Gap N/A
been titled under a state or federal brand such as "defective", Total 19243.00
"rebuilt", "salvage", "flood", etc.
Balance on Trade N/A
Total Balance Due 19243.00
Air Bag Certification Less Cash Rcvd N/A
The undersigned certifies that to the best of their knowledge Less Cust. Rebate N/A
the air bags in the trade-in vehicle have never been Unpaid Balance 19243.00
disconnected and are operable. N/A
Financed Amount
Amount Due All A19243.00
CAM CORNETT RANDOLPH WALKERJU 04/13/2015
Salesperson - /////I
Dealer Representative MUT
as r ignature CITY OF CARMEL Date
ORDER NOT VALID UNTIL SIGNED AND ACCEPTED BY DEALER ORORIZED REPRESENTATIVE
AGREEMENT
I agree to pay the balance on the terms specified and accept delivery of Car or Truck within forty-eight hours after I have
been notified that it is ready. In case I fail to take delivery of Car or Truck when notified, my deposit may be retained as
liquidated damages for your expense and efforts in the matter, and you may-dispose of the Car or Truck without any
liability to me whatsoever.
If an allowance on a used car is involved in this purchase, it is agreed that in the event the used car is delivered to you and
this order is thereafter cancelled, you will return the used car to me upon receipt of payment for your reasonable charges
for storage and for any repairs made by you while in'your possession. If the used car has been sold by you before said
cancellation, you agree to pay me the proceeds of such sale less a selling commission of fifteen percent (15%) and less
any expense incurred by you in storing, conditioning and advertising the said car for sale. If my used car is not delivered to
you until I receive the within ordered Car or Truck, it is agreed that the used car will be subject to re-appraisal and that
your appraisal at the time of delivery is to be the allowance for my used car.
It is agreed that cash, or used car—or proceeds from the sale of such used car, accepted as a deposit on this order shall be
held in trust by you until delivery is effected.
he purchaser acquires no right, title, or interest in or to the property which he agrees to
is expressly agreed that t q 9
It p .y g p
purchase hereunder until such property is delivered to him and either the full purchase price is paid in cash or a satisfactory
deferred payment agreement is executed by the parties hereto, the terms of which shall thereafter be controlling.
The price quoted is for immediate delivery, but if the price of either Car or Truck, or accessories should be changed by the
Manufacturer before Car or Truck has been assigned to me, then this order shall be construed as if the changed price was
originally inserted herein or shall be annulled at my option.
9 Y
It is understood that there is no relationship of principal and agent between the dealer and the manufacturer and that the
dealer is not authorized to act, attempt to act, or represent himself, directly or by implication, as agent of the.
manufacturer, or in any manner assume, or create,' or attempt to assume or create, any obligation on behalf of or in the
name of the manufacturer.
There is no other express warranty on this vehicle.
1. As to a new vehicle or chassis, the most recent printed Ford Motor Company warranty applicable to such new
vehicle or chassis, which is made a part of this Order as if here set forth in full. Such printed warranty has been
explained to-the-Purchaser-and-a-copy-thereof-will be-furnished-to-the-purchaser upon-delivery_of-the-vehicle-or
chassis.
2. As to a used vehicle or chassis, such warranty, if any, may be expressed completely in writing by the Selling
Dealer or Ford Motor Company on this Order or a separate instrument delivered to the Purchaser.
Neither Ford nor any of its dealers shall have any responsibility for loss of use of the vehicle, loss of time,,,inconvenience,
commercial loss or consequential damages.
VOUCHER # 155587 WARRANT # ALLOWED
00352042 IN SUM OF $
DON HINDS FORD j
12610 FORD DRIVE
FISHERS, IN 46038 {
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
1
I
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
I
I
i
1 FMCU9GX51 02-2308-00 $19,243.00
Depreciation
l:
Voucher Total $19,243.00
Cost distribution ledger classification if I
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
00352042
DON HINDS FORD Purchase Order No.
12610 FORD DRIVE Terms
FISHERS, IN 46038 Due Date 5/27/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/27/2015 1 FMCU9GXr $19,243.00
i
,
I hereby certify that the attached invoice(s), or bill(s) is(are)true and
correct and I have audited same in accordance with IC 5-11-10-1.6
-
Date Officer
12610 Ford Drive * Fishers, IN 46038
Phone (317) 849-9000 * Fax (317) 813-1306
Parts Direct (317) 813-1301
www.donhinds.com
ALL RETURNED PARTS MUST BE RECEIVED WITHIN 30 DAYS, BE IN THE ORIGINAL PACKAGE, AND ACCOMPANIED BY THIS INVOICE. WE ARE NOT
-ALLOWED-TO ACCEPT RETURNS ON ELECTRICAL OR SPECIAL ORDER PARTS. PLEASE-PReEPAY WHEN ORDERING SPECIAL ORDER PARTS.
DATE ENTERED YOUR ORDER NO. DATE SHIPPED INVOICE DATE INVOICE
07 MAY 15 S15092 08 MAY 15 1 1 NUMBER 19122
0 ACCOUNT NO. CA2634 H PAGE 1 OF 1 09 : 08
L CARMEL WASTEWATER UTILITIES P
JOE FAUCETT
0 9609 HAZEL DELL PKWY 0
INDIANAPOLIS, IN 46280-2935
(317) 571-2634
SHIP VIA bLbM. [/L NO. TERMS F.U.b.VU I
262 1 CHARGE FISHERS IN
O.7. SHIP a:o PART NO:
PARTS HOURS
0 DC3Z*17:682*$A. ... M RROR;.A5Y;: . ...6:79 .90 .. 69:.13 . 469. ...3; Mon - Fri
7:30 - 5:30
. ...;:;:..: :;::;.
Saturday
`. 800 300
SERVICE HOURS
Mon
- Fri
- :
..
. .. ...: .. .... :... ...:... . .
..
730 530
Saturday
8:00 - 3:00
.. . .. .. .
A
ES
;. CASHIER CLOS
.. .. :.;..,:::. ': Mon - Fri
AT 5:30
Saturday.
..
_.... ...._:. . -.,.:.. AT 3.00
BODY SHOP
,;<.. -
Mon Fn
8.00 - 5.00
PARTS 469 . 13
SUBLET
FREIGHT 0. 00
SALES TAX 0 . 00
CUSTOMER'S SIGNATURE
11300 x TOTAL.... .. 4 6 9. 13
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.
`'0".'o)' CUSTOMER COPY
VOUCHER # 155588 WARRANT # ALLOWED
00352042 IN SUM OF $
DON HINDS FORD
i
12610 FORD DRIVE
FISHERS, IN 46038
t
1
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
19122 01-7502-06 $469.13
I
i
i
i
I
i
I
I
Voucher Total $469.13
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
00352042
DON HINDS FORD Purchase Order No.
12610 FORD DRIVE Terms
FISHERS, IN 46038 Due Date 5/27/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/27/2015 19122 $469.13
i
i
i
a .
-I
i�
tt
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
Date Officer