246767 06/30/15 1�W C�p�P
CITY OF CARMEL, INDIANA VENDOR: 00352042
4 ® t•, ONE CIVIC SQUARE DON HINDS FORD CHECK AMOUNT: $*******736.73*
r. ,?� CARMEL, INDIANA 46032 12610 FORD DRIVE CHECK NUMBER: 246767
vy:_ ,�, FISHERS IN 46038 CHECK DATE: 06/30/15
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 350515 736.73 OTHER EXPENSES
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a AS
CUSTOMER #: CA2 6 3 4 350515
CARMEL WASTEWATER UTILITIES INVOICE
JOE FAUCETT 12610 Ford Drive Fishers, IN 46038 -
9609 HAZEL DELL PKWY Phone (317) 849-9000 * Fax (317) 849-0020
INDIANAPOLIS, IN 46280-2935 PAGE 2 1-800-64HINDS (1-800-644-4637)
HOME: 317-571-2634 CONT: 317-571-2634 www.donhinds.com
BUS : 317-571-2645 CELL:317-716-3905 SERVICE ADVISOR: 4808 ZAC FOUTZ
COLOR YEAR MAKE/MQDEL VIN LICENSE MILEAGE IN/OUT. TAG
i
07 FORD F250 PKUP 1FTNF21537EA90834 80628 80628 fT676G
DEL DATEPROD. DATE WARS: EXP. PROMISED PO NO. . RATE'': -PAYMENT INV. DATE
01JAN07 DE 17 : 00 11JUN15 S15206 0 . 00 CHG 16JUN15
R.O.OPENED READY OPTIONS: W-COMP:G DLR:47JO34 ENG: 5 .4 Liter EFI "
08 : 52 IOJUN15 08 : 08 16JUN15
LINE OPCODE TECH TYPE HOURS LIST NET TOTAL
80628 UNABLE TO DUPLICATE, INSPECTED BRAKES 7-8MM ALL 4
D** REPLACE IN-OP BULBS
2BULB REPLACE 2 BULBS
6774 RIEGNER,HANS LIC#: 0
CP 18 . 00 18 . 00
2 D8BZ*13466*A BULB 2 . 03 1. 87 3 . 74
80628 REPLACED THIRD BRAKE BULB AND RIGHT THIRD RUNNING LIGHT
ENVIRONMENTAL & SUPPLY FEES 20 . 95
0 e0e ve s�nvey
0 0 oto @o Cany r
e35
CO L ELY S -SF:E
c0 fast o e Ice
9- r�
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s ' e s etL�r 5
OU may
DS ®RID« " j
OUR NIGHT OWL DROP BOX, LOCATED AT THE DISCLAIMER OF WARRANTIES DESCRIPTION TOTALS
ANY WARRANTY ON THE PRODUCTS
SERVICE ENTRANCE, IS AVAILABLE DURING SOLD HEREBY ARE THOSE MADE BY LABOR.AMOUNT 342 . 00
THSELLER,
NON-BUSINESS HOURS. DON HNDSAFORD, INCE HEREBY PARTS AMOUNT 444 . 32
SERVICE HOURS: MON - FRI 7:30 AM - 5:30 PM EXPRESSLY DISCLAIMS ALL GAs,OIL,LUBE
WARRANTIES, EITHER EXPRESSED OR 0 . 00
SAT 7:30 AM - IMPLIED; INCLUDING ANY IMPLIED SUBLET AMOUNT 0 . 00
3:30 PM
WARRANTY OF MERCHANTABILITY OR
FITNESS FOR A PARTICULAR PURPOSE, MISC.CHARGES 20 95
AND DON HINDS FORD, INC. NEITHER
ASSUMES NOR AUTHORIZES ANY TOTAL CHARGES 807 .27
OTHER PERSON TO ASSUME FOR IT
ANY LIABILITY IN CONNECTION WITH LESS DEDUCTIONS 70 . 54
THE SALE OF SAID PRODUCTS. SALES TAX 0 00
1`IE � CUSTOMER SIGNATURE PLEASE PAY
THIS AMOUNT 736>.73
- - - - - - - - - --CUSTOMER--COPY - - - - - - - -- - - - - - -
I
CUSTOMER #? CA2 6 3 4 350515
TOM"
n
CARMEL WASTEWATER UTILITIES INVOICE
JOE FAUCETT 12610 Ford Drive * Fishers, IN 46038
9609 HAZEL DELL PKWY Phone (317) 849-9000 * Fax (317) 849-0020
INDIANAPOLIS, IN 46280-2935 PAGE 1 1-800-64HINDS (1-800-644-4637)
HOME: 317-571-2634 CONT: 317-571-2634 www.donhinds.com
BUS: 317-571-2645 CELL: 317-716-3905 SERVICE ADVISOR: 4808 ZAC FOUTZ
COCOIR YEAR MAKE/MODEL: VN LICENSE MILEAGE fNf OUT:,'. TAG
07 FORD F250 PKUP 1FTNF21537EA90834 80628/8062R IT676G
DEL DATE PROD,DATE . WARR.1✓XP.. PRo ISED PO N0. RATE: PAYMENT IN DATE
01JAN07 DE 17 : 00 11JUN15 S15206 0 . 00 CHIS 16JUN15
OPENED -READY.:.,. . OPTIONS: W-COMP:G DLR:47JO34 ENG: 5 .4 Liter_EFI
3
08 : 52 lOJUN15 08 : 08 16JUN15
LINE 0 TECH TYPE HOURS LIST NET TOTAL
A *FUEL GAUGE STAYS ON E, SHOULD BE A LITTLE UNDER 3/4 OF A TANK. (HAD
AFTERMARKET SENDING UNIT LAST YEAR, NEVER CHANGED)
L1 LEVEL 1 DIAG
5345 PHOENIX,BRAD LIC#: 0
CP 79 . 00 79 . 00
M REPLACED FUEL SENDER ASSEMBLY
5345 PHOENIX,BRAD LIC#: 0
CP 210 . 00 210 . 00
1 6C3Z*9H307*AA SENDER AND PUMP ASY 734 .30 440 . 58 440 . 58
80628 VERIFIED, PERFORMED SELF TEST, B1201, PERFORMED PINPOINT TEST
A, REPLACED FUEL SENDER ASSEMBLY, RETEST OK
B REPORT CARD INSPECTION'
99P REPORT CARD INSPECTION
6774 RIEGNER,HANS LIC#: 0
CP 0 . 00 0 .00
GTIRE CHECK TREAD DEPTH. TREAD IS WEARING
PROPERLY AT THIS TIME.
6774 RIEGNER,HANS LIC$#: 0
CP 0 . 00 0 . 00
GBATT BATTERY TEST. CRANK AMPS ARE FINE. NO
PROBLEM FOUND.
6774 RIEGNER,HANS LIC# : 0
CP 0 . 00 0 . 00
GBK BRAKE LINING WEAR CHECKED. BRAKES WEARING OK
AT THIS TIME
6774 RIEGNER,HALTS LIC#: 0
CP 0 .00 0 . 00
80628 GTIRE, GBATT
C** CHECK BRAKES, NOISEY AT TIMES, PEDAL FEELS A LITTLE SOFT
BR11 INSPECT FRT/REAR BRAKES
6774 RIEGNER,HANS LIC# : 0
CPB 35 . 00 35 . 00
OUR NIGHT OWL DROP BOX, LOCATED AT THE DISCLAIMER OF WARRANTIES „DESCRIPTION TOTALS
ANY WARRANTY ON THE PRODUCTS LABOR AMOUNT
SERVICE ENTRANCE, IS AVAILABLE DURING SOLD HEREBY ARE THOSE MADE BY
NON-BUSINESS HOURS. DON HIINDSACTUREFORDR INC., HEREBY PARTS AMOUNT
SERVICE HOURS: MON - FRI 7:30 AM - 5:30 PM EXPRESSLY DISCLAIMS ALL GAS,OIL,LUBE
WARRANTIES, EITHER EXPRESSED OR
IMPLIED, INCLUDING ANY IMPLIED SUBLET AMOUNT
SAT 7:30 AM - 3:30 PM WARRANTY OF MERCHANTABILITY OR
FITNESS FOR.A PARTICULAR FORD, C. NETT SE, MISC.CHARGES
AND DON HINDS FORD, INC. NEITHER
ASSUMES NOR AUTHORIZES ANY TOTAL CHARGES
OTHER PERSON TO ASSUME. FOR IT I
ANY LIABILITY IN CONNECTION WITH LESS DEDUCTIONS
THE SALE OF SAID PRODUCTS. SALES TAX
' T CUSTOMER SIGNATURE
PLEASE PAY !
THIS AMOUNT
- -- -- --- --- ---- - - - - - - - --- - - ---- -- - - --CUSTOMER--COPY------------- - --------- - - -- - -
- --- - -I
J
VOUCHER # 155753 WARRANT # ALLOWED
00352042
IN SUM OF $
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DON HINDS FORD
12610 FORD DRIVE
FISHERS, IN 46038
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
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Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
350515 01-7502-06 $736.73
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Voucher Total $736.73
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 6/18/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/18/2015 350515 $736.73
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