248787 08/26/15 t• CITY OF CARMEL, INDIANA VENDOR: 00352042
j; ® it . ONE CIVIC SQUARE DON HINDS FORD CHECK AMOUNT: $ .....133.29`
CARMEL, INDIANA 46032 12610 FORD DRIVE CHECK NUMBER: 248787
+,;,ioN,�,<' FISHERS IN 46038 CHECK DATE: 08/26/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 20583 41.07 OTHER EXPENSES
1120 4237000 22387 92.22 REPAIR PARTS
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12610 Ford Drive Fishers, IN 46038
Phone (317) 849-9000 * Fax (317) 813-1306
Parts Direct (317) 813-1301
www.donhinds.com _
3
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 PREPAY-WHEN,O,RDERING'SPECIAL ORDER,PA'RTS.-
DATE ENTERED YOUR ORDER NO. DATE SHIPPED INVOICE:DATE INVOICE
19 JUN-15 515227 19 JUN .,15 NUMBER .20583
o ACCOUNT NO CA2634 H PAGE 1 OF
z p { CAR MEL.'WASTEWATER UTILITIES P_
JOE FAUCETT
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.oao SHIP:. Bo : PART No PARTS HOURS
0' BC32*13404*ACP LAMP::-ASY R 54 76 41 07 41 07
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-30
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8�0® ¢5 00
h¢ fA'RTS 4107
$- ” ,,S U B L ET- r
�b',FREIGHTAl � i"000
' SALES TAX,! 0 0110
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a"=>at - � a , ` - �� _ '."�"Po X Fes ` TOTAL; :
„, - =,- '�” - -- -CLAIMER616me - - - _ 'T`- ,r , `d e«
2%-7j-DISWARRANTIES +d e _
-
AnyBwarranties on the product sold hereby are those made=by,'the�manufacturer The seller hereby.Fexpressly disclaims all warranties ;'eitherdexpressed ori l,ed including£°
any implied,warranty of merchantability or-fitness'fdr a particular purpose, and the seller neither'assumes nor authorizes any other person fo assume for,lt any-liability in---.'
ddnnecvonwrth=the sale ofsald=products ,
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 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 8/17/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/17/2015 20583 $41.07
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audited same in accordance withIC5-11-10-1.6
Date Officer
VOUCHER # 156091 WARRANT # ALLOWED
00352042 IN SUM OF $
DON HINDS FORD
12610 FORD DRIVE
FISHERS, IN 46038
Carmel Wastewater Utility '
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
i
20583 01-7500-02 $41.07
i
f
Voucher Total $41.07
Cost distribution ledger classification if
claim paid under vehicle highway fund
C
Ad�00
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 PREPAY WHEN ORDERING SPECIAL ORDER PARTS.
DATE ENTERED YOUR ORDER NO. DATE SHIPPED INVOICE DATE INVOICE
10 AUG 15 A45 10 AUG 15 NUMBER 22387
S S
O ACCOUNT NO. CA2615 H PAGE 1 OF 1 09 : 02
D CARMEL FIRE DEPARTMENT P
TWO CIVIC SQUARE
0 CARMEL, IN 46032 0
(317) 571-2600
bHIH VIA T717= TERMS F.U.b FIUINI
1710 CHARGE FISHERS, IN
: Ib:I N ET: AMOUNT
.ORD SHIP_ B.0 .. .. P S
ARTS HOUR
0. BC3Z*.:6_F073*A .. TUBE OUTLE:: 133_ :65 92'.:22 ...__ 92 .22
Mon - Fri
7:30 - 5:30
Saturday
800 300
SERVICE HOURS
Mon - Fri
7:30 - 5:30
Saturday
8:00 - 3:00
CASHIERE
Mon - Fri
AT 5:30
...:.....
_......- .
AT 3.00
BODY SHOP
MonFri
800 500
PARTS 92 .22
SUBLET
FREIGHT 0 . 00
SALES TAX 0 . 00
CUSTOMER'S SIGNATURE dd
11300 Ix TOTAL, $92 . 22
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.
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))
22387 A45 $92.22
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
Don Hinds Ford
IN SUM OF $
12610 Ford Drive
Fishers, IN 46038
$92.22
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 22387 42-370.00 $92.22 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 AUG 2 4 2915
J�
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund