249848 09/23/15 r C9_A
�' '; CITY OF CARMEL, INDIANA VENDOR: 00350363
b ONE CIVIC SQUARE PETTY CASH CHECK AMOUNT: $ ......46.00"
:'. CARMEL, INDIANA 46032 C/O MAYOR'S OFFICE CHECK NUMBER: 249848
9,N„�N�` C/O MAYOR'S OFFICE CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1160 4351000 46.00 AUTO REPAIR & MAINTEN
TOM MOOD PARTS & SERVICE
F0 R ®
Ca,5b,
3130 E. 96th Street - Indianapolis, IN 46240
(800) 423-4646 - (317) 846-4241 �,(l o
www.tomwoodford.com
CUST NUMBER ADVISOR TAG NOINVOICE DATE INVOICE NO.
251211 IREY SCRUGGS 71q71 15 10 —Q9104-14-1-5 1--nCS361982
LICENSE NO. ODOMETER COLOR STOCK NO.13, 309 )IFER TMPACT
CITY OF CARMEL — MAYOR'S OFFICE YEAR/MAKE/MODEL DELIVERY DATE DELIVERY ODOMETER
1 CIVIC SQUAREnN HYg T-1T_F
CARMEL, IN 46032 VIN SELLING DEALER NO. MANUFACTURED DATE
6 P 0_R_U_2_E .��
F.T.E.NO. P.O.NO. R.O.DATE
1 09/08/15
HOME PHONE BUSINESS PHONE INSTRUCTIONS
OB# 1 CHARGES--------------------------------------------------------------------------------- Disclaimer of Warranties Any warranties on
the products sold hereby are those made by
BOR•.•.-- :: ------ -------- ---- -• -
e manufacturer.
TOM WOOD
FORD, Inc hereby expressly disclaims all
•1.00FOZWRKS., .:THE WORKS=GAS^ENGIN . TECH(S):9977.77 23:50
THE WORKS GAS ENGINE-OIL CHANGE,TIRE ROTATION & MULTI-POINT warranties,either express or implied,including
INSPECTION any implied warranty of merchantability or
THE WORKS-GAS ENGINE -OIL CHANGE,TIRE ROTATION & MULTI-POINT fitness for a particular purpose. TOM WOOD
INSPECTION FORD, Inc., neither assumes nor authorizes
THE WORKS-GAS ENGINE-OIL CHANGE,TIRE ROTATION & MULTI POINT any other person tassume for it any liability
in connection with the
e sale of said products.
INSPECTION
I hereby agree to pay Tom Wood Ford
attorney's fees if collection hereof becomes
ARTS------QTY---FP-NUMBER•--------------DESCRIPTION---------LIST PRICE-UNIT PRICE- necessary.
1 FL-9105 FILTER ASY - Y 5.95 5.95 5.95 Not responsible for car or contents in case of
6 XO-5W20-DSP MOTORCRAFT S Y 1.80 1.80 10.80 fire or theft or freezing or any other cause.
TOTAL - PARTS 16.75 Storage will be charged 48 hours after repairs
OB# 1 TOTALS------------------------------------------------------------
are completed.
LABOR 23.50
PARTS 16.75
JOB# 1 JOURNAL PREFIX FOCS JOB# 1 TOTAL 40.25
OB# 2 CHARGES--------------------------------------------------------------------------------- X
BOR . ... --- 7.- -.7_-.- - •7.7 • - -- -
2:45FOZ13. STEER/SUSP RECALL TECH(S):997777 WARRANTY.;
15S14 STEERING GEAR MOTOR BOLT CORROSION
REPLACE 3 BOLTS IN STEERING GEAR AND SPRAY WITH SEALER
ARTS------QTY---FP•NUMBER----.•-•-------DESCRIPTION---------LIST PRICE-UNIT PRICE-
3 -W503298-5439 BOLT Y WARRANTY
s TOTAL - PARTS 0.00
wOB# 2 TOTALS------------------------------------------------------------
JOB# 2 JOURNAL PREFIX FOCS JOB# 2 TOTAL 0.00
OB# 3 CHARGES---•----••----------•-••-•---•-•-----------------------------------•-------------
BOR-- -. -- - - - ------ - -----.....-••............................
J#.3.70FOZDENT :DENT,.REPAIR _.` ;.,,.,;::. : TECH(S),-8500....:. . . ;;`.. : :;;;:,..:.'..:..`:.INTERNAL.
CUST REQ QUOTE ON PDR FOR THE RIGHT FRONT DOOR
TOOK TO 3D FOR FOR EVALUATION - TO LARGE AND LOCATION MEANS
NEEDS TO GO TO A BODY SHOP FOR PROPER REPAIR
NO WORK DONE - N/C
Z
OB# 3 TOTALS-----------•---•---------------------------------••---------
JOB# 3 JOURNAL PREFIX FOCS JOB# 3 TOTAL 0.00
OB# 4 CHARGES---------------------------------------------------------------------------------
9
BOR-----------•- : : - ------- -• -•-•- -------- --------
4 99FOZ99P :. .:;, MULTI POINT..INSPECT TECHS):99.7777 ...:;:< .:: .:: . :..... 0:00.
PERFORM MULTI-POINT INSPECTION.
PUT INSPECTION REPORT IN CUSTOMER VEHICLE
MAINT SERVICE
d
0
PAGE f OF 3 CUSTOMER COPY [CONTINUED ON NEXT PAGE] 03:35pm
TWF-4020
J
TOM WOOD
PARTS & SERVICE
FOR ®
3130 E. 96th Street - Indianapolis, IN 46240
(800) 423-4646 - (317) 846-4241
www.tomwoodford.com
CUST NUMBER ADVISOR TAG NO. INVOICE DATE INVOICE NO
LICENSE NO. ODOMETER COLOR STOCK NO
13,309 )FFI? IMPACT
CITY OF CARMEL — MAYOR' S OFFICE YEAR/MAKE/MODEL DELIVERY DATE DELIVERY ODOMETER
1 CIVIC SQUARE
CARMEL, IN 46032 VIN _DN HYB TIT SELLING DEALER NO MANUFACTURED DATE
F.T.E.NOP.O.NO. R.O DATE
HOME PHONE BUSINESS PHONE INSTRUCTIONS
�317—SZ1-2401_ Mo. 13310
PERFORM MULTI-POINT INSPECTION. Disclaimer of Warranties Any warranties on
IN CUSTOMER VEHICLE. the products sold hereby are those made by
the manufacturer. The Seller, TOM WOOD
OB# 4 TOTALS---------- ---------------------------------------- -------- FORD, Inc. hereby expressly disclaims all
warranties,either express or implied,including
JOB# 4 JOURNAL PREFIX FOCS JOB# 4 TOTAL 0.00 any implied warranty of merchantability or
OB# 5 CHARGES--------------------------------------------------------------------------------- fitness fora particular purpose. TOM WOOD
FORD, Inc., neither assumes nor authorizes
BOR;..-•-.•:r:-,---"•_-----•---------- ... ---------------------•--
an other person o assume or I anliability
Y P Y
- in connection with the sale of said products.
5+02EOZGBATT. : _>;::;GREEN BATTERY; ^';:'.'; ,;:::::_";"TECH($) 80:.. 0:00':. I hereby agree to pay Tom Wood Ford
dded Operation (8FSCRUGGS @ 09/09/2015 15:35) attorney's fees if collection hereof becomes
BATTERY TEST OK-COLD CRANKING AMPS,TERMINALS CLEAN-OK necessary.
TEST BATTERY Not responsible for car or contents in case of
GOOD BATTERY fire or theft or freezing or any other cause.
Storage will be charged 48 hours after repairs
OB# 5 TOTALS------------------------------------------------------------- are completed.
JOB# 5 JOURNAL PREFIX FOCS JOB# 5 TOTAL 0.00
OB# 6 CHARGES------------------••---------------••-------•--------------.-------------------•--
--- ----- --- ----
•-------- - -••------•-••------------- ----
0FBK ' R
" TECHS):80 0.w
Wed Operation (8FSCRUGGS @09/09/201515:35)
BRAKES CHECK -OK (DISC OVER 5MM.DRUM OVER2MM)
ATW BRAKE CHECK-OK
BRAKES OK
OB# 6 TOTALS----•-------------------_ ................................
JOB# 6 JOURNAL PREFIX FOCS JOB# 6 TOTAL 0.00
sOB# 7 CHARGES--------------------------------------------------------------------------------- I
BOR--- •.-------------------------------- ----•-•------------- -------------------
7+02FOZGTIRE GREEN:TIRES :`'>:: ;:": TECH(S):80;". "`>:'0':00"":
m dded Operation (8FSCRUGGS @ 09/09/2015 15:35)
TIRES CHECKED OK-ATW INSPECTION
TIRES OK
GREEN (OK) TIRE INSPECTION
OB# 7 TOTALS------------------------------------------------------------
JOB# 7 JOURNAL PREFIX FOCS JOB# 7 TOTAL 0.00
U
ISC-----•CODE--------DESCRIPTION-------------------------------CONTROL NO---------
OB # A LR* LOANER/RENTAL PER DAY 30.00
OB # A LR LOANER/RENTAL PER DAY -30.00
° JOB # A CW* COMPLIMENTARY CARWASH 15.00
OB # A CW COMPLIMENTARY CARWASH -15.00
OB # A Al SHOP SUPPLIES 4.58
9 TOTAL MISC 4.58
a
c
0
PAGE 2 OF 3 CUSTOMER COPY [CONTINUED ON NEXT PAGE] 03:35pm
TWF-4020
0,17"'30 M
WOOD PART SERVI�
FORD
3130 E. 96th Street o Indianapolis, IN 46240
(800) 423-4646 - (317) 846-4241
www.tomwoodford.com
CUST NUMBER ADVISOR TAG NO. INVOICE DATE INVOICE NO.
? S1211 TREY SCRUGGS 71 q7 11;10 —09-409-415 --nCc,361982
LICENSE NO. ODOMETER COLOR STOCK NO
13 '409 )FFP ACT
CITY OF CARMEL — MAYOR'S OFFICE YEAR/MAKE/MODEL DELIVERY DATE DELIVERY ODOMETER
1 CIVIC SQUARER TTT _W
CARMEL, IN 46032 VIN � SELLING DEALER NO. MANUFACTURED DATE
F T E.NO PO.NO R.O.DATE
HOME PHONE BUSINESS PHONE INSTRUCTIONS
317–S71-2401 moo 11310
OTALS------------------------------------------------------------------------------------------ Disclaimer of Warranties Any warranties on
the products sold hereby are those made by
**REQUEST AN INSURANCE QUOTE FROM ONE OF OUR ONSITE AGENTS TOTAL LABOR.... 23.50 the manufacturer. The Seller, TOM WOOD
OU MAY DISCOVER SOME GAPS IN COVERAGE OR IDENTIFY SOME TOTAL PARTS.... 16.75 FORD, Inc. hereby expressly disclaims all
PPORTUNITIES FOR SAVINGS! TOTAL SUBLET... 0.00 warranties,either express or implied,including
TOTAL G.O.G... 0.00 any implied warranty of merchantability or
ALL OR E-MAIL DAN AT (317)805-5510 danseefeldt@tomwood.com TOTAL MISC CHG. 49.58 fitness for a particular purpose.TOM WOOD
TOTAL MISC DISC -45.00 FORD, Inc., neither assumes nor authorizes
TOTAL TAX...... 1.17 any other person to assume for it any liability
in connection with the sale of said products.
TOTAL INVOICE $ 46.00 I hereby agree to pay Tom Wood Ford
attorney's fees if collection hereof becomes
THANK YOU FOR YOUR BUSINESS! necessary.
Not responsible for car or contents in case of
E WANT YOU COMPLETELY SATISFIED, NOT VERY SATISFIED. IF YOU fire or theft or freezing or any other cause.
E NOT "COMPLETELY" SATISFIED, PLEASE CALL TOM AT TOM WOOD Storage will be charged 48 hours after repairs
ORD. THERE'S NOTHING WE.WON'T DO TO INSURE YOUR HAPPINESS! are completed.
TOM
I
X
W
U
Z
N
W
U
K
0
O
N
w
tt
U
S
a
r7
c
rn
a
`m
°c
PAGE 3 OF 3 CUSTOMER COPY [ END OF INVOICE ] 03:35pm
TW F-4020
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))
09/09/15 Receipt $46.00
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
20Clerk-Treasurer
VOUCHER NO. WARRANT NO.
Petty Cash - Mayor Brainard ALLOWED 20
IN SUM OF $
One Civic Square
Carmel, IN 46032
$46.00
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1160 Receipt 43-510.00 $46.00 I 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
Frigy, September 18, 2015
Mayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund