246485 06/17/15 0'�/ � CITY OF CARMEL, INDIANA VENDOR: 237560
ONE CIVIC SQUARE PEARSON FORD,INC CHECK AMOUNT: $****28,626.20*
® ,?� CARMEL, INDIANA 46032 10650 N MICHIGAN RD CHECK NUMBER: 246485
9,y, ZIONSVILLE IN 46077 CHECK DATE: 06/17/15
t��ON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
652 5023990 1FTBF2B67F 28,626.20 OTHER EXPENSES
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Date: 5/5/2015
Pearson Ford,Inc. Name: City of Carmel Utilities
Attention:
10650 North Michigan Road Address: 1 Civic Square
Zionsville,Indiana 46077
INVOICE City: Carmel, IN 46032
317.873.3333
www.pearsonford.net
Phone: -
Fax:AN, -
"4'. v ....t"`�� rtiIA? S.1
-. i` f� : '" �` MSRP/Sellin Price $ $38,950.00
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® New Used ❑Demo Optional Accessories:
Year: 2015 Make: Ford 1. 0 $ 0.00
j Model: F-250 Color: Red 2. 0 $ 0.00
# Stock#: 24359 Salesperson: C. Barkdull 3. 0 $ 0.00
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VIN#: 1 FTBF2B67FEC41862 4 0 $ 0.00
MILEAGE: 185 Actual/Not Actual 5 0 $ 0.00
*NOTES: 6 $- . 0.00
Sub-total $ 38,950.00
TRADE ALLOWANCE: - $ 0.00
r #iir�s � ina sie i�� Fleet Discount -) $ 10,323.80
'k Yi ` �iir id oto is` 1u Fleet Incentive: - $ 0.00
'i ��rsll�i.. 11 E 'Other $ 0.00
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TRADE-1N VEHICLE INFORMATION TOTAL SELLING PRICE $ 28,626.20
(1)Year: Make: 7% Sales Tax: + $ 0.00
Model: Color: TRADE PAYOFF (+ $
VIN#: Service Contract W $
Milea e: Tire Tax (+) $
Amount of Lien: Luxury Tax + $
Lienholder: Capped Acq Fee: +) $ " 0.00
Address: Other Amounts Owed + $
Total amount due =) $ 28,626.20
Phone: Down payment/Deposit - $ 0.00
Stock#: Rebate - $ 0.00
2 Year: Make. $
1, Model: Color: AMOUNT DUE AT DELIVERY $ 28,626.20
VIN#:
MILEAGE: Actual/Not Actual
Amount of Lien: By signing this "Vehicle Order Agreement" I/We
Lienholder: agree to the terms and conditions herein:
Address:
Company Name:
Phone
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VOUCHER # 155586 WARRANT# ALLOWED
237560 "
IN SUM OF $
PEARSON FORD INC
10650 NORTH MICHIGAN ROAD
ZIONSVILLE, IN 46077
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
i
Board members
PO# INV# ACCT# AMOUNT y Audit Trail Code
1 FTBF21367FI 02-2308-00 $28,626.20
Depreciation
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1
Voucher Total $28,626.20
Cost distribution ledger classification if
claim paid under vehicle highway fund f
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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
237560
PEARSON FORD INC Purchase Order No.
10650 NORTH MICHIGAN ROAD Terms
ZIONSVILLE, IN 46077 Due Date 5/27/2015
Invoice Invoice Description
Date Number (or note attached i;nvoice(s) or bill(s)) Amount
5/27/2015 1 FTBF2B67F $28,626.20
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