249866 09/23/15 i
41 us Cqq��
CITY OF CARMEL, INDIANA VENDOR: 361010
d ONE CIVIC SQUARE QUICK LANE TIRE&AUTO CENTER CHECK AMOUNT: $**"****436.45*
:. CARMEL, INDIANA 46032 10650 N MICHIGAN RD CHECK NUMBER: 249866
9.y. ZIONSVILLE IN 46077 CHECK DATE: 09/23/15
ON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4350900 90135 436.45 OTHER CONT SERVICES
CUSTOMER #: 2'Lp 0 - L13 S OI) 90135
,'
--, i PEARSON
TRE S AUTO CENTER AUTI7MOTtvE
ACCOUNTING
10650 North Michigan Road
Zionsville, IN 46077
317.733.0410
PAGE 1 www.q-lane.com
HOME: CONT:N/A
BUS: CELL: SERVICEADVISOR: 7630 JEREMY D LINN
COLOR YEAR MAKE/MODEL VIN LICENSE MILEAGE IN/OUT I TAG
WHITE. 06 FORD ESCAPE HYBRID I 1FMCU96H76KA26090 1 91552/91552 IT1476
DEL.DATE PROD.DATE WARR.EXP. PROMISED PO NO. RATE PAYMENT INV.DATE
DEJ 17 :00 02SEP15 I CASH 09SEP15
R.O.OPENED READY OPTIONS: STK:24946A
ENG:2 .3_Liter_w/AC_Synchronous_motor
11:34 02SEP15 17 :56 09SEP15
LINE OPCODE TECH TYPE A/HRS S/HRS COST SALE COMP LIST NET TOTAL
A REMOVE LIGHT BAR
CONCERN CODE:
QR5M REMOVED LIGHT BAR AND WIRING HARNESS
2887 IUC 5 . 00 6500 40745 407 .45 407 .45
PARTS: 0 . 00 LABOR: 407.45 OTHER: 0 . 00 TOTAL LINE A: 4__-07":4:5a
INTERNAL PAY SHOP CHARGE FOR REPA 0 2900 29 ._00
TRGT/ACCOUNT SALE COST CONTROL TRGT/ACCOUNT SALE COST CONTROL
3/57350 40745 6500 24946A 3/79700 . 2900 0 _
1/13600 40745 ******* 24946A 3/79700 2900 ******* ............
-- —'�
COST SALE & COMP TOTALS 6500 43645 0
ON BEHALF OF SERVICING DEALER, I HEREBY CERTIFY THAT THE STATEMENT OF DISCLAIMER DESCRIPTION TOTALS
INFORMATION CONTAINED HEREON IS ACCURATE UNLESS OTHERWISE The factory warranty constitutes all LABOR AMOUNT 0 , 00
SHOWN. SERVICES DESCRIBEDWERE PERFORMEDAT NO CHARGE TO of the warranties with respect to the
OWNER.THERE WAS NO INDICATION FROM THE APPEARANCE OF THE sale of this iThe Seller PARTS AMOUNT 0 , 00
hereby expreesslyssly emdisclaims all
VEHICLE OR OTHERWISE, THAT ANY PART REPAIRED OR REPLACED warranties either express or implied, GAS,OIL,LUBE 0, 00
UNDER THIS CLAIM HAD BEEN CONNECTED IN ANY WAY WITH ANY including any implied warranty of
ACCIDENT, NEGLIGENCE OR MISUSE. RECORDS SUPPORTING THIS merchantability or fitness for a SUBLET AMOUNT 0 , 00
CLAIM ARE AVAILABLE FOR 1 YEAR FROM THE DATE OF PAYMENT particular purpose. Seller neither
assumes nor authorizes any other MISC.CHARGES 0 , 00
NOTIFICATION AT THE SERVICING DEALER FOR INSPECTION BY person to assume for it any liability in
MANUFACTURER'S REPRESENTATIVE. connectionwith the sale of this TOTAL CHARGES 0 , 00
itemfitems. LESS 0 . 00
I received a copy of this invoice. SALES TAX 0, 00
(SIGNED) DEALER,GENERAL MANAGER OR AUTHORIZED PERSON (DATE) CUSTOMER SIGNATURE PLEASE PAY
THIS AMOUNT 0 . 00
Co,,I,12N0ADP.Inc SERVICE INVOICE p2 XS12C FILE COPY
CUSTOMER #: 90135 441
-MW
PEARSON
TIRES AUTO CENTER AUTOMOTIVE
INVOICE
10650 North Michigan Road
Zionsville,IN 46077
317.733.0410
PAGE 1 www.q-lane.com
HOME: CONT:N/A
BUS: CELL: SERVICE ADVISOR: 7630 JEREMY D LINN
COLOR YEAR MAKE/MODEL VIN LICENSE MILEAGE IN/OUT I TAG
WHITE. 06 FORD ESCAPE HYBRID 1FMCU96H76KA26090 91552/91552 IT1476
DEL.DATE PROD.DATE WARR.EXP. PROMISED PO NO. RATE PAYMENT INV.DATE
D 17 : 00 02SEP15 CASH 09SEP15
R.O.OPENED READY OPTIONS: STK:24946A
ENG:2 . 3_Liter_w/AC_Synchronous_motor
11:34 025EP15 17 : 56 09SEP15
LINE OPCODE TECH TYPE HOURS LIST NET TOTAL
A REMOVE LIGHT BAR
QR5M REMOVED LIGHT BAR AND WIRING HARNESS
2887 IUC 5 . 00 (N/C)
****************************************************
INTERNAL PAY SHOP CHARGE FOR REPAIR ORDER (NIC)
ON BEHALF OF SERVICING DEALER, I HEREBY CERTIFY THAT THE STATEMENT OF DISCLAIMER DESCRIPTION TOTALS
INFORMATION CONTAINED HEREON IS ACCURATE UNLESS OTHERWISE The factory warranty constitutes all LABOR AMOUNT 0 . 00
SHOWN. SERVICES DESCRIBEDWERE PERFORMEDAT NO CHARGE TO of the warranties with respect to the
sale of this item/items.di The Seller PARTS AMOUNT . 0
OWNER.THERE WAS NO INDICATION FROM THE APPEARANCE OF THE hereby expressly disclaims all
VEHICLE OR OTHERWISE, THAT ANY PART REPAIRED OR REPLACED warranties either express or implied, GAS,OIL,LUBE 0 . 00
UNDER THIS CLAIM HAD BEEN CONNECTED IN ANY WAY WITH ANY including any implied warranty of
ACCIDENT, NEGLIGENCE OR MISUSE. RECORDS SUPPORTING THIS merchantability or fitness for a SUBLET AMOUNT 0. 00
CLAIM ARE AVAILABLE FOR 1 YEAR FROM THE DATE OF PAYMENT particular purpose. Seller neither MISC.CHARGES . 0 0
assumes nor authorizes any other
NOTIFICATION AT THE SERVICING DEALER FOR INSPECTION BY person to assume for it any liability in TOTAL CHARGES 0 .00
MANUFACTURER'S REPRESENTATIVE. connectionwith the sale of this
itenVitems. LESS 0 . 00
I received a copy of this invoice. SALES TAX 0 .00
(SIGNED) DEALER,GENERAL MANAGER OR AUTHORIZED PERSON (DATE) CUSTOMER SIGNATURE PLEASE PAY
THIS AMOUNT 0 . 00
Cwp ghtZMADP,Inc. SERVICE INVOICE 92 XS12C 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
QuickLane Purchase Order No.
10650 North Michigan Road Terms
Zionsville, In 46077 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s) Amount
9/2/2015 90135 Removal of Light Bar off of E5 $ 436.45
Total $ 436.45
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.
20
Clerk-Treasurer
_r_ _ V-Pr! W_
VOUCHER NO WARRANT NO.
�V.
QuickLane ALLOWED 20
10650 North Michigan Road
IN SUM OF$
Zionsville, In 46077 ,p
$ 436.45
w ...
SYS
ON ACCOUNT OF APPROPRIATION FOR ' .
Board Members ¢.
X
PO#or
DEPT# INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s), or '.
bill(s) is (are)true and correct and that the
0 90135 22oo-as5osoo $ ass.as
materials or services itemized thereon for
- which charge is made were ordered and
received except
" 9' /21/2015 9/21/2015
Si nature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund
i