251051 11/04/15 i Cqq
,,f CITY OF CARMEL, INDIANA VENDOR: 00352042
® ONE CIVIC SQUARE DON HINDS FORD CHECK AMOUNT: $**......27.67'
_. ?4, CARMEL, INDIANA 46032 12610 FORD DRIVE CHECK NUMBER: 251051
•.y_roN Eo; FISHERS IN 46038 CHECK DATE: 11/04/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4237000 21558 27.67 REPAIR PARTS
®n Hinds Ford, Inc®
12610 Ford Drive * Fishers, IN 46038
Phone (317) 849-9000 * Fax (317) 813-1306
Parts Direct (317) 813-1301
www.donhinds.com
ALL RETURNEDPARTS MUST BE RECEIVEDWITHIN 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 JINVOICE
16 JUL 15 TRK-24 117 JUL 15 1 17 JUL 15 NUMBER 21558
S *** D U P L SI C A T E I N V O I C E ***
0 ACCOUNT NO. CA2600 H PAGE 1 OF 1 08 :43
L CITY OF CARMEL P
1 CIVIC SQ
0 CARMEL, IN 46032-2584 0
(317) 571-2417
bt-111'VIA Z51-ZW. r/L NU. ERMS F.O.B.POINT
3833 CHARGE FISHERS IN
QUANTITY PART NO. COST COMP.
ORO, SHIP 8,0.
0 5C3Z*7A228*AC TUBE - OIL F 40 .10 27 . 67 27.67 2406 0
*** D U P L I C A T E I N V O I C E ***
TOTALS
PARTS 27 . 67 24061 0
SUBLET
FREIGHT 0 . 00
SALES TAX 0 . 00
CUSTOMER'S SIGNATURE
11300 C X600 TOTAL 671 1
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.
''P ACCOUNTING COPY
VOUCHER NO. WARRANT NO.
Don Hinds Ford, Inc. ALLOWED 20
IN SUM OF $
12610 Ford Drive
Fishers, IN 46038
$27.67
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 I 21558 I 42-370.00 I $27.67 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
Thursday, tober 29, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
i
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))
10/05/15 21558 repair parts $27.67
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