252750 12/15/15 °�"AM
;� _ CITY OF CARMEL, INDIANA VENDOR: 237560
j; ® I ONE CIVIC SQUARE PEARSON FORD,INC CHECK AMOUNT: $**.....882.93*
�. r� CARMEL, INDIANA 46032 10650 N MICHIGAN RD CHECK NUMBER: 252750
�°"r.o��� ZIONSVILLE IN 46077 CHECK DATE: 12/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 306112 548.04 AUTO REPAIR & MAINTEN
1120 4351000 306986 334.89 AUTO REPAIR & MAINTEN
Dealer No:06761
5712500 Invoice No: 306112 Pearson Ford, Inc.
10650 North Michigan Road
CITY OP CARMEL UTILITIES Zionsville, IN 46077
OAR 400 357 985 INVOICE 317.873.3333
1 CIVIC SQ PAGE 1 www.mylndyford.com
CARMEL, IN 46032-2584 PARTS&SERVICE HOURS
Monday-Friday
Home317-571-2500 Email: 7:00 am-6:00 pm
Bus: 317-733-2001 SERVICE ADVISOR: 2100 SCOTT KROUSE
-F-TAG
MILEAGE IN;:/COLOR:: YEAR MAKE/MODEL: :WIN ::::::LICENSE
RED 08 FORD F550 1FDAF57R68EIB43582 112183/112183 1 T2589
RATE .
DEL. DATE PROD. DATE WARR�. EXP. PROMISED. �EPAYMENT INV. DATE
:. PO NO.
19JUN07 D 17:00 28OCT15 BILL 02NOV15
F.D. OPENED READY
I OPTIONS:W-COMP:G STK:13805 ENG:6.4L-V8-DIESEL
TRN:TORQSHIFT_5-SPD
09 : 58 30SEP15 10 :45 02NOV15
LINE OPCODE TECH TYPE HOURS LIST NET TOTAL
A -CUST STATES THAT AFTER DRIVING AWHILE WRENCH LIGHT REDUCED POER
LIGHTS COME ON AND WONT ACCEL IF TURNED OFF AND LET SIT FOR
AWHILE IT WILL BE OK UNTIL DRIVEN FOR A PERIOD OF TIME
DIESEL DIESEL PERFORMANCE / HARD START / NO-START
DIAGNOSIS
7342 CFL 0 . 00 0 . 00
B THERMOSTAT REPLACEMENT: REPLACE BOTH THERMOSTATS (229941366)
R5M THERMOSTAT REPLACEMENT: REPLACE BOTH
THERMOSTATS (229941366)
7342 CFL 356 . 00 356 . 00
1 8C3Z*8575*D THERMOSTAT ASY 38 . 00 34 . 20 34 . 20
1 8C3Z*8075*C HOSE ASY 56 .42 50 . 78 50 . 78
1 8C3Z*8592*L CONNECTION - WATER OUTLET 47 . 72 42 . 95 42 . 95
2 VC*7*B ANTI-FREEZE 16 . 47 14 . 82 29 . 64
. . . . 112183 278 :
CUSTOMER PAY SHOP SUPPLIES FOR REPAIR ORDER 34 .47
ATTENTION CUSTOMER
MAKE A SERVICE APPOINTMENT FROM THE COMFORT
OF YOUR HOME OR OFFICE ANYTIME, JUST GO TO
MYINDYFORD. COM AND CLICK ON THE SERVICE TAB
IT' S QUICK, EASY AND AVAILABLE 24 HOURS A DAY
DISCLAIMER OF WARRANTIES
TbTALS`�*
ON BEHALF OF SERVICING DEALER, I HEREBY CERTIFY THAT THE AND LIMITATIONS OF LIABILITY ....DESCRIPTION
INFORMATION CONTAINED HEREON IS ACCURATE UNLESS OTHERWISE T1w fwy wa....ity. if any. is th,,Jy warrant. LABOR AMOUNT 356 00
SHOWN. SERVICES DESCRIBED WERE PERFORMED AT NO CHARGE TO with resf t,this �Ic.SELLER MAKES NO
1 S 7 7
OWNER. THERE WAS NO INDICATION FROM THE APPEARANCE OF THE WARRANTY WHATSOEVER AND EXPRESSLY PARTS AMOUNT
VEHICLEALL WARRANTIES .
VEHICLE OR OTHERWISE, THAT ANY PART REPAIRED OR REPLACED EXPRESS OR IMPLIED. INCLUDING ANY GAS, OIL, LUBE n no
UNDER THIS CLAIM HAD BEEN CONNECTED IN ANY WAY WITH ANY IMPLIED WARRANTY OF MERCHANTABILITY
ACCIDENT, NEGLIGENCE OR MISUSE. RECORDS SUPPORTING THIS OR FITNESS FOR A PARTICULAR PURPOSE- SUBLET AMOUNT o o n
CLAIM ARE AVAILABLE FOR (1) YEAR FROM THE DATE OF PAYMENT SELLER'S MAXIMUM LIABILITY HEREUNDER MISC. CHARGES 34 .47
NOTIFICATION AT THE SERVICING DEALER FOR INSPECTION BY IS LIMITED TO THE ORIGINAL SALES PRICE
AND SELLER SHALL HAVE NO LIABILITY TOTAL CHARGES c;4 A 04
MANUFACTURER'S REPRESENTATIVE. FOR ANY INCIDENTAL OR CONSEQUENTIAL
DAMAGES FOR LOST SALES.LOST PROFITS. LESS INSURANCE n In
INJURIES TO PERSONS OR PROPERTY OR -
OTHER INJURIES OR DAMAGES. I SALES TAX In n 0
(SIGNED) DEALER,GENERAL MANAGER OR AUTHORIZED PERSON (DATE) CUSTOMER SIGNATURE
PLEASE PAY
THIS AMOUNT
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))
11/02/15 306112 $548.04
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pearson Ford
IN SUM OF $
10650 N. Michigan Road
Zionsville, IN 46077
$548.04
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 306112 I 43-510.001 $548.04 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
Thus�day,,D�cemb� 10, 2015
V kf . .
StreStreet-,Qp.Rjft�psioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
12-10-15;09:21AM; ; 317-873-1181 # 1/ 2
Dealer No:06761
6151 Tnvoi.ce No; 306986 Pearson Ford,Inc.
10650 North Mlchlgan Road
Zionsville,IN 46077
CARMEL FIRE DEPARTMENT INVOICE 317,873.3333
2 CIVIC SQ PAGE 1 www.mylndyford.com
CARMEL, IN 46032-7543 PARTS&SERVICE HOURS
Home: Email! Monday-Friday
7:00 am-6:00 pm
8us: 317-571-2600
SERVICE ADVISOR: T
COLOR YEARI MAKE/MOOEL VIN I LICENSE I MILEAGE IN/OUT I TAG
12 1 FORD F450 1FDUF4GT9CEC39654 34491/34491
DEL.DATE PROD.DATE WARR,EXP. PROMISED PO N0. RATE PAYMENT INV.DATE
02FEB12 D 02J-AN12 17:00 2SOCT15 UNIT 44 BILL 05NOV15
R.O,OPENED READY OPTIONS:W.CONP:Z ENG:6.7 Liter
10:40 28OCT15 1 15:03 05NOV15
LINE OPCODE TECH 'TYPE HOURS LIST NET TOTAL
A OUST STATES THAT THE CK ENG LIGHT IS ON
CAUSE: E
12651D BODY / CF-ASSIS / ELECTRICAL (BCE) - TEST -
L
7342 WF94 (N/C)
1 BC3Z*9J460*E SENSOR ASY (NIC)
12651D45 BODY/CHASSIS/ELECTRICAL - DIAGNOSTIC PIN
POINT TEST - L
7342 WF94 (NIC)
MT STRAIGHT TIME
7342 WF94 (NIC)
FC: E29 42 PART#: COUNT:
CLAIM TYPE:
AUTH CODE:
007342
, , , , 34491 EEC TEST KOER ?2463 PINPOINT TEST PERFORMED MANUAL
REGENERATION FINTAL QUICK TEST
w#************www**w****w**wxw**wwwwwwwwwwwwwwwww#ww
B OIL AND FILTER CHANGE — 7.3L & 6. OL DIESEL
2P OIL AND FILTER CHANGE - 7.371j & 6.OL DIESEL
7342 CP 19,81 19.81
1 FL*2051*S KIT - ELEMENT & GASKET - OIL F 45.59 45.59 45.59
13 XO*IOW30*QSD MOTORCRAFT SAE 1OW-30 API CJ-4 4 .71 4 . 71 61.23
. . . . 34491 0 .40 CHANGED OIL AND FILTER
*#************w**ww*w*wwwwwwww*wwwil ,kwww*wwww****wwww
C FUEL FILTER REPLACEMENT - DIESEL
PSM FUEL FILTER REPLACEMENT - DIESEL
7342 CP 65.95 65.95
1 BC3Z*9N184*B ELEMENT 101.80 101.80 101.80
, , , , 34491 1, 00 REPLACE FUEL FILTERS
**www******www**,rw-�#**w*wwww**w*w**wwwwwwwwwwww#wwwx
D PERFORM MULTI-POINT INSPECTION
99P PERFORM MULTI-POINT INSPECTION
7342 CP 0. 00 0. 00
DISCLAIMER OF WARRANTIES DESCRIPTION TOTALS
ON BEHALF OF SERVICING DEALER, I HER55Y CERTIFY THAT THE AND LIMITATIONS OP LIABILITY
INFORMATION CONTAINED HEREON IS ACCURATE UNLESS OTHERWISE Tl,e r-ewry ftnmy.IFwy.10 m,tray W. i-y LABOR AMOUNT
SHOWN. SERVICES DESCRIBEDWERE PERFORM@OAT NO CHARGE TO w$S remMa w;his Pic SELLEN MAKAS NU
OWNER.THEREWAS NO INDICATION FROM THE APPEARANCE OF THE WARRANT'W]AT III. AND tlxPPILSriY PARTS AMOUNT
JIj$CLIIFK
VEHICLE OR OTHERWISE,THAT ANY PART REPAIRED OR REPLACED 9Xj'AF.1 ALL RD, I CTUDIES F.I ANY
HxPkPst nIt IMPLIED, Lvc>_uOIVD ANY GAS,O{L,LUBE
UNDER THIS CLAIM HAD BEEN CONNECTED IN ANY WAY WITH ANY IMPLIED WARKAWY OF MF.KCUANTAuaITY SUBLET AMOUNT
ACCIDENT, NEGLIGENCE OR MISUSE. RECORDS SUPPORTING THIS OR FITNESS FOR A PARTICLU.J.I'UHPOSE,
CLAIM ARE AVAILABLE FORk YEAR FROM THE DATE OF PAYMENT SELLER'S MAXIMUM LIAUILITYIIF.RF.UNDF.H M15C.CHARGES
NOTIFICATION AT THE SERVICING DEALER FOR INSPECTION BY IS LIMITED TO TNF.ORIGINAL SALES PRICE
MANUFACTURER'S REPRESENTATIVE. AND SELLER SIIALL IIAVA NO LIAMLITY TOTAL CHARGES
FOR ANY INOUENTAL UK CON511,1ZIURNTIAL
UAMAGIIS I'Uk LOST"ALFN LONT PROFITS, LESS INSURANCE
IN)UkIEy TO I F.RSONS Ok NtOPFATY OR
(yT11E4 INIURIFX 04 UAMAOF-S. SALES TAX
(SIGNED) DEALER,GENERAL MANAGEROkAVYHORIX@DPQRSON (DATE) CUSTOMER SIGNATURE PLEASE PAY
THIS AMOUNT
CUSTOMER COPY
G[RYIDL iWOICE-7 A8-2C
12-10-15;09,21AM; ; 317-873-1181 # 2/ 2
6151
Dealer NO;06761
invoice No: 306986 Pearson Ford,Inc.
10650 North Michigan Road
Zionsville,IN 46077
CARMEL FIRE DEPARTMENT INVOICE 317.873.3333
2 CIVIC SQ PACE 2 www.mylndyford.com
CARMEL, IN 46032-7543 PARTS BSERVICE HOURS
Home; F,mal1: Monday-Friday
7:00 am-6;00 pm
Bus: 317-571,2600
SERVICE ADVISOR: T
COLOR YEARI MAKE/MODEL VIN LICENSE MILEAGE IN/OUT TAG
1.2 1 FORD F450 1FDUF4GT9C£C39654 34491/34491
DEL,DATE PROD:DATE WARR.EXP, PROMISED PO NO, RATE PAYMENT INV.DATE
02FEE12 D 02JAN12 17:00 28OCT15 UNIT 44 BILL 05NOV15
R.O.OPENED IREADY OPTIONS;W_COMF:z ENG:6.7 Liter
1.0:40 28OCT15 I 15:03 05NOV15
LINE OPCODE TECH TYPE HOURS LIST NET TOTAL
E** BALANCE FRT 2 TIRES
F9M1 WHEEL BALANCE (TWO)
7342 CP 25. 00 25.00
, , , , 34491 1.00 BALANCED FRONT TIRES
wwww•;r*,t#1r,fw,4,4,4www,k#####,f#**w,lr,kw,4ww#w*#,t-Ir#,t#wily,k Jr,lrwwwyc
CUSTOMER PAY SHOP SUPPLIES FOR REPAIR ORDER 15.51
*********** ATTENTION CUSTOMER ww#w##***#*www
MAKE A SERVICE APPOINTMENT FROM THE COMFORT
OF YOUR HOME OR OFFICE ANYTIME, JUST GO TO
MYINDYFORD.COM AND CLICK ON THE SERVICE TAB
IT'S QUICK, EASY AND AVAILABLE 24 FOURS A DAY
r*###�Fwwwwwww,ti•W,r*****###**kw>Fww*wwwwwww,r#***w
DISCLAINIER OF WARRANTIES DESCRIPTION TOTAL$
ON BEHALF OF SERVICING DEALER, 1 HEREBY CERTIFY THAT THE AND LIMITATIONS OPMADILITY
INFORMATION CONTAINED HEREONIS ACCURATE UNLESS OTHERWISE TM k,,"W.o.n,y,if my,is IW qtly w mlty LABOR AMOUNT
SHOWN. SERVICES DESCRIBEDWERF PERFORMEDAT NO CHARGE TO -1-h msiWt R+this ub.SELLER MAKES NO
OWNER.THEREWAS NO INDICATION FROM THE APPEARANCE OF THE WAkkANTY WIIATSUBYRR AND FXPKESSLV PARTS AMOUNT 92
VEHICLE OR OTHERWISE,THAT ANY PART REPAIRED OR REPLACED DISCLAIMS nLL WnkItANTIp,3 P.RUP.k
FXI'RESS OR IMPLIED, INCLUp1,NC ANY GAS,OIL,LUBE
UNDER THIS CLAIM HAD BEEN CONNECTED IN ANY WAY WITH ANY IMI'LIED WARRANTY OF MERCHANTABILITY
ACCIDENT, NEGLIGENCE OR MISUSE. RECORDS $UPPORTING THIS OR FITNESS FOR A PARTICULAR I'URPOSF.. SUBLET AMOUNT
CLAIM ARE AVAILABLE FOR(1) YEAR FROM THE DATE OF PAYMENT SELLER'S MAXIMUM LIADILITYHEREUNDERANIMISC.CHARGES
NOTIFICATION AT THE SERVICING DEALER FOR INSPECTION DY IS LIMITED TO TIIR ORIGINAL SALES PRICE 1
MANUFACTURER'S REPRESENTATIVE, FOR NV IN .N4L N R C NS UADILJTV TOTAL CHARGES d
FOR ANV 1NCIURNTAL OR CONSEVUP.NTIAL
DAMAGES FOk Loci:ALP,..LnrT PkoplTa• LESS INSURANCE
INJURIES TO PFASONS Olt PkOPFkTY OR
OTTIER INJURIFC Ok UAMAGM, SALES TAX n no
(51GNED) DEALER,GENERAL MANAGER OR AUTHORIZED PERSON (DATE) CUSTOMER SIGNATURE PLEASE PAY
THIS AMOUNT
CUSTOMER COPY
ecmicc wvo¢c c�xenc
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))
306986 VIN 9654 $334.89
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
Pearson Ford
IN SUM OF $
10650 North Michigan Road
Zionsville, IN 46077
$334.89
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 306986 43-510.00 $334.89 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
DEC 1 4 2015
!I i
n~�
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund