HomeMy WebLinkAbout258388 05/10/16 '4y W C�H,MFf CITY OF CARMEL, INDIANA VENDOR: 00352042
t, ONE CIVIC SQUARE DON HINDS FORD CHECK AMOUNT: $*******255.68*
49M/`_l,�; CARMEL, INDIANA 46032 F12610 ISHERS 460 8E CHECK NUMBER: 258388
,To„ CHECK DATE: 05/10/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4237000 31417 85.00 REPAIR PARTS
1120 4351000 381696 170.68 AUTO REPAIR & MAINTEN
VOUCHER NO. WARRANT NO. Prescribed by state Board or Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
DON HINDS FORD
12610 FORD DRIVE IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by
FISHERS,IN 46038 whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$85.00 Payee
Purchase Order No.
ON ACCOUNT OF APPROPRIATION FOR
Terms
Carmel Fire
Date Due
Invoice Date Invoice# Description Amount
PO#/Dept. INVOICE N0. I ACCT#/Fund 1 AMOUNT Board Members Dept. Fund# (or note attached invoice(s)or bill(s))
31417 I 42-370.00 I $85.00 04/29/16 31417 C41 $85.00
I hereby certify that the attached invoice(s),or
1120 101 1120 101
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
Monday,May 02,2016
David Haboush
Fire Chief
Cost distribution ledger classification if I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance
claim paid motor vehicle highway fund with IC 5-11-10-1.6
,20
Clerk-Treasurer
12610 Ford Drive * Fishers, IN 46038
Parts Direct(317)813-1301 * Fax(317) 813-1306 4LL 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.SPECIAL ORDER PARTS MUST BE PAID FOR
Switchboard (317) 849-9000 WHEN ORDERING
DISCLAIMERS OF WARRANTIES:Any wr,...tie,an the product sold hereby are those made by the manufacturer.The salter hereby expressly
www.donhindsford.com disclaims ell wmran .,either.xpressed o implied,including any Implied w enty of merchantability or fimaes for a particular purpose,and
the seller neiNar assumes nor authorize.any other person to assume for it anyrliebility M connection vdth the ,to of said products.
DATE ENTERED YOUR P.O.N0. I DATESHIPPED INVOICE DATE INVOICE
NUMBER 31417
S ACCOUNT NO. CA2615 S PAGE 1 OF 1
0 CARMEL FIRE DEPARTMENT H
L TWO CIVIC SQUARE i
DCARMEL, IN 46032 T
(317) 571-2600 0
EMP SOLD BY I SOLD BY TERMS F.O.B.
#i EP 5
ORb- .5 O. PART:NIfMBER' ....:..>[.... .:......" ' ,:;:: D.ESGR]PTION:.. :::_LEST><>>::>:»:. NET::;::% Aiv101iNT:'>:•>'; PARTS HOURS
0 ES7Z*14A626*A ACTUATOR A 85 . 00 85 . 00 85. 00 7Mon-Fill
30-530
Saturday
c;:•:;;;: :.::.�: :. . .... . . . .:. 7:30 3 00
......... ........ ........ ........................................................................................................... ................... ................... .................................. SERVI E HOURS
C
Mon-Fri
7:30-5:30
Saturday
Y
7:30-3:00
......... ........ ........ ..................... ................. _. ................... ........._.....__ .............._................ CASHIER CLOSES
Mon-Fri
AT 5:30
Saturday
AT 3:00
..__. ........ ......_ ....._.........._._...................._........................................................... ................... ........................:........ BODY SHOP
Mon-Fd
8:00-5:00
SUBLET ?�
FREIGHT
SALES TAX 0 . 00
.11300 CA2 615 $85 . 001
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VOUCHER NO. WARRANT NO.
ALLOWED 20
DON HINDS FORD
12610 FORD DRIVE IN SUM OF$
FISHERS, IN 46038
$170.68
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire
PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT
Board Members
I 381696 I 43-510.00 I $170.68 1 hereby certify that the attached invoice(s), or
1120 101
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
Friday, May 06, 2016
David Haboush
Fire Chief
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
05/05/16 I 381696 I VIN 9927 I $170.68
1120 101
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
w
CUSTOMER #: CI4283 �0 381696
UNIT# 1674 Tot
CITY OF CARMEL I(' INVOICE
JASON 12610 Ford Drive * Fishers, IN 46038
2 CIVIC SQ Phone (317) 849-9000 * Fax (317) 849-0020
CARMEL, IN 46032-7543 PAGE 1 1-800-64HINDS (1-800-644-4637)
HOME: CONT: 317-6 9 0-4 2 8 3 www.donhinds.com
BUS : CELL: 317-690-4283 SERVICE ADVISOR: 7563 CHUCK CALLAHAN
COLQ:R YEAR IVIAKEIMOpEL ;VIN LICENSE,:. .. :: :..MILEAGE IN/OUT:. : TAG
15 FORD F450 PKUP 1FDUF4HT6FEC99927 7799/7799 T470G
DSL DATE , PROD .;DATE WARR .EXP PROM[SED. . PO NO RATE':;, PAYMEN:.7. INV. DATE
01JAN15 DIA 17 : 00 03MAY16 NJ 0 . 00 CHG 04MAY16
R:0OPENED READY OPTIONS: DLR:47JO34 ENG: 6 . 7 Liter
16 : 26 03MAY16 08 :49 04MAY16
LINE OPCODE TECH TYPE HOURS LIST NET TOTAL
A *DIESEL OIL AND FILTER CHANGE, FILL DEF, LUBE
OFD67 6 . 7 LITER DIESEL OIL AND FILTER CHANGE
5622 CP 35 . 00 35 . 00
1 BC3Z*6731*B KIT - ELEMENT & GASKET - OIL F 24 . 38 24 . 38 24 . 38
13 XO*1OW30*BSD 1OW30DSL 2 . 90 2 . 90 37 . 70
2 PM*27*JUG EXHAUST EMISSION CONTROL 13 . 35 13 . 35 26 . 70
HWC HAZARDOUS WASTE CHARGE
9999 CHW 1 . 95 1 . 95
7799 DIESEL OIL AND FILTER CHANGE, LUBED, FILLED DEF
****************************************************
B ROTATE TIRES/SET ALL TIRE PRESSURES
MA4004SDS ROTATE DUAL REAR WHEEL TIRES WITH
SIMULATORS
5622 CP 44 . 95 44 . 95
7799 ROTATED DUAL 19 . 5 WITH SIMULATORS, SET PRESSURES
****************************************************
C REPORT CARD INSPECTION
99P REPORT CARD INSPECTION
5622 CP 0 . 00 0 . 00
GTIRE CHECK TREAD DEPTH. TREAD IS WEARING
PROPERLY AT THIS TIME.
5622 CP 0 . 00 0 . 00
GBATT BATTERY TEST. CRANK AMPS ARE FINE. NO
PROBLEM FOUND.
5622 CP 0 . 00 0 . 00
GBK BRAKE LINING WEAR CHECKED. BRAKES WEARING OK
AT THIS TIME
5622 CP 0 . 00 0 . 00
7799 INSPECTION. GTIRE GBK GBATT
I
OUR NIGHT OWL DROP BOX, LOCATED AT THE DISCLAIMER OF WARRANTIES ,DESCRIPTION TOTALS
SERVICE ENTRANCE, IS AVAILABLE DURING ANY WARRANTY ON THE PRODUCTS 81 . 90
SOLD HEREBY ARE THOSE MADE BY LABOR AMOUNT
NON-BUSINESS HOURS. DON HINDSA FORDCTURER INCE HEREBY PARTS AMOUNT 88 . 78
EXPRESSLY DISCLAIMS ALL GAS,OIL, LUBE 0 00
SERVICE HOURS: MON - FRI 7:30 AM - 5:30 PM WARRANTIES, EITHER EXPRESSED OR
IMPLIED, INCLUDING ANY IMPLIED SUBLET AMOUNT 0 00
SAT 7:30 AM - 3:30 PM WARRANTY OF MERCHANTABILITY OR
FITNESS FORA PARTICULAR PURPOSE, MISC. CHARGES 0 00
AND DON HINDS FORD, INC. NEITHER
ASSUMES NOR AUTHORIZES ANY TOTAL CHARGES 170 68 I
OTHER PERSON TO ASSUME FOR IT
ANY LIABILITY IN CONNECTION WITH LESS DEDUCTIONS 0 00 I
THE SALE OF SAD PRODUCTS. SALES TAX 0 00 I
CUSTOMER SIGNATURE
PLEASE PAY
THIS AMOUNT '170 .68
I
Copyright 2014 CDK Global,LLC SERVICE INVOICE TYPE 2.S12C IMAGING CUSTOMER COPY