306876 01/06/17 +�+.SMy
�i CITY OF CARMEL, INDIANA VENDOR: 237560
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t' ONE CIVIC SQUARE PEARSON FORD,INC CHECK AMOUNT: S"•""1,329.88'
: +� CARMEL, INDIANA 46032 10650 N MICHIGAN RD CHECK NUMBER: 306876
9ZIONSVILLEIN 46077 CHECK DATE: 01/06/17
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 316941 1,329.88 OTHER EXPENSES
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3178731181 11:13:18 12-20-2016 112
Dealer No:06761
6205
Invoice Nos 316941 Pearson Ford,Inc.
10550 North Michigan Road
Header Zionsville,IN 46077
CITY OF CARMEL WATERN CItGETIES 3hRU&dW
3450 W 131ST ST PAGE 1 www.myindylord.com
CARMEL, IN 46074-8267 PARTS&SERVICE HOURS
Monday-Friday
Home:317-733-2855 Email: 7:00 am-6:00 pm
Bus:
SERVICE ADVISOR: 9.17 9 DUqTTN GR ENR
COLOR YEAR MAKE/MODEL VIN LICENSE MILEAGE IN 1 OUT TAG
06 FORD ESCAPE HYBRID 1FMCU96H96KA2608B 74086 74086
DEL.DATE PROD.DATE WARR.EXP, PROMISED PO NO. RATE PAYMENT INV.GATE
01JAN06 D 17:00 27NOV16 0 BILL 03NOV16
R.O.OPENED READY I OPTIONS,W-COMP:G
10:14 270CT16 19:26 03NOV16
LINE OPCODE TECH TYPE HOURS LIST NET TOTAL
A Perform a thorough inspection of fluids, wipers, battery, tires,
brakes, safety systems, and components.
99P Perform a thorough inspection of fluids,
wipers, battery, tires, brakes, safety
systems, and components.
2139ISPTS (N/C)
YBATT BATTERY WILL NEED REPLACEMENT SOON
2139ISPTS (N/C)
, , , ,74086 MPI PERFORM MPI
B R5M- OWNER INSPECTION. No power steering.
RSM R5M- OWNER INSPECTION. No power steering.
2139 CDIM 525.88 525.86
R5M REPLACE POWER STEERING CONTROL MODULE
2139 CDIM 0.00 0.00
1 6M6Z*3FB81*A MODULE & BRKT ASY - POWER STEE 768.53 768.53 768.53
, , , ,74086 NO POWER STEERING 4.00 TEST--C2792-00--EPS---PERFORM
, , , ,PINPOINTS TESTS AND REPLACE POWER STEERING CONTROL MODULE--NOW
, , , ,FUNCTIONS CORRECTLY
C MOTOR ELECTRONICS COOLANT PUMP REPLACEMENT 14S19
CAUSE: F
14S19D RECALL
2139 WF94 (NIC)
1 5M6Z*80419*A KIT - WATER PUMP REPAIR (N/C)
PARTRETURNED
1 VC*7*B ANTI-FREEZE (NIC)
FC: PART##: COUNT:
CLAIM TYPE: 14519
AUTH CODE:
2139
, , , ,74086 RECALL 14S19 INSPECT PUMP PER RECALL 14S19--OLD STYLE
, , , ,PUMP--REPLACE PUMP PER RECALL
DISCLAIMER OFWARRANTTEs DESCRIPTION TOTALS
ON BEHALF OF SERVICING DEALER. I HEREBY CERTIFY THAT THE AND LIMITATIONS OF LIABILITY
INFORMATION CONTAINED HEREONIS ACCURATE UNLESS OTHERWISE TED 8a,.,•y ffiy.Ir•ry.I'R.—U,vy LABOR AMOUNT
SHOWN. SERVICES DESCRIBEDWERE PERFORMEDAT NO CHARGE TO '^h—"w IN'uk SELLER M&US NO
OWNER.THERE WAS NO INDICATION FROM THE APPEARANCE OF THE INSClWARRANTY uTIATS WARR AND S RES IER PARTS AMOUNT
VEHICLE OR OTHERWISE.THAT ANY PART REPAIRED OR REPLACED EXPRESS
ASMS ALL IED. UXLU EITA FJr
b:%Nri:s% OR IMIR.IFA, INCLtRRN(i ANY GAS,OIL,LUBE
UNDER THIS CLAIM HAD BEEN CONNECTED IN ANY WAY WITH ANY IMPLRR)WARRANTY OF MI]rCIIANTARILITY SUBLETAMOUNT
ACCIDENT, NEGLIGENCE OR MISUSE. RECORDS SUPPORTING THIS OR FITNESS FOR A PART)CMAR PIR IVISL
CLAIM ARE AVAILABLE FOR(1) YEAR FROM THE DATE OF PAYMENT SUIERS MAX(MIIMLIABILITY IIEREUND R MISC.CHARGES
NOTIFICATION AT THE SERVICING DEALER FOR INSPECTION BY IS LIMITED TO TIE ORIGINAL SALES PRICE
AND MANUFACTURER'S REPRESENTATIVE. FOR ASELLER X�AION �AL TOTAL CHARGES
DAMAOrs FOR LOST SALES,Lasr PROFITS, LESS INSURANCE
INXRIr1 TO PERSONS OR PROITATY OR
OTIIER INR)RIr9Ok OAMAOCS, SALES TAX
(SIGNED) DEALER,GENERAL MANAGER OR AUTHORIZED PERSON (DATE) CUSTOMER SIGNATURE PLEASE PAY
THIS AMOUNT
CUSTOMER COPY
WIN=wattn X=
3178731181 11:13:58 12-20-2016 2/2
Dealer No:06761
6205
Invoice No: 316 941 Pearson Fond,Inc.
10650 North Michigan Road
l Header Zionsville,IN 46077
CITY OF CARMEL WATEENUTICETIES 3PHU&gW
3450 W 131ST ST PAGE 2 www.mylndyford.com
CARMEL, IN 46074-8267 PARTS&SERVICE HOURS
Monday-Friday
Home-.317-733-2855 Email: 7:00 am-6:00 pm
Buo:
SERVICE ADVISOR: 2179 DUSTIN 9RRFNR
COLOR YEAR 'MAKEIMODEL VIN tIGENSE MILEAGEINLOl1T;: TAG."..
06 FORD ESCAPE HYBRID 11FMCU96H96KA26OBBI 1 74066/7408 G 0
DEL.DATE PROD:DATE WARR,EXP. '. ... .: PROMISED PO NO. RATE PAYMENTr.::
01JAN06 D 17:00 27NOV16 0 HILL 03NOV16
13.0"OPENED OPTIONS:w-coHP:G
10:14 270CT16 119:26 03NOV16
LINE OPCODE TECH TYPE HOURS LIST NET TOTAL
CUSTOMER PAY SHOP SUPPLIES FOR REPAIR ORDER 35.47
*********** 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
*********************************************
;.
ON BEHALF OF SERVICING DEALER, I HEREBY CERTIFY THAT THE DISCLAINIEROFwARRAIMES DESCRIPTION TOTALS
AND LIMITATIONS OF LIABILITY
INFORMATION CONTAINED HEREONIS ACCURATE UNLESS OTHERWISE Tw r---y---y.if".I.-w LABOR AMOUNT 525.88
SHOWN. SERVICES DESCRIBEDWERE PERFORMEDAT NO CHARGE TO •A wqw 1.19...k SELLER MAKES ND
OWNER.THERE WAS NO INDICATION FROM THE APPEARANCE OF THE wAmANTY wllArsoavot AND ExlmessLY PARTS AMOUNT
VEHICLE OR OTHERWISE,THAT ANY PART REPAIRED OR REPLACED DISaalLlg AU wnRRANtIrs Emlrx n nn
UNDER THIS CLAIM HAD BEEN CONNECTED IN ANY WAY WITH ANY MMC13 WAARAA011 �NTY 0FM6W�CIFAMAa1nLT�Ty GAS,OIL,LUBE
ACCIDENT, NEGLIGENCE OR MISUSE. RECORDS SUPPORTING THIS OR FFDRLM FM A PARTICULAR JAWK)s. SUBLET AMOUNT
111 00
CLAIM ARE AVAILABLE FOR(1) YEAR FROM THE DATE OF PAYMENT S-.F.-MAXIMUM LWIILTTY ITEREIINIXi" MISC.CHARGES35-47
NOTIFICATION AT THE SERVICING DEALER FOR INSPECTION BY Is u"En TD 11 'R101NAI.SALES PLACE
MANUFACTURER'S REPRESENTATIVE. AND sU1.ER slue NAVE NO LIAIRI"TTY TOTAL CHARGES RA
F'(Mt ANY INCITRMAL OR CDNs'Sq N TIAL
DAMAGES FDR LOST SALES.rust I'RUFRR. LESS INSURANCE n nn
INJURIS To PERVWS DR PROPERTY OR
unim INAIDIEs ou DAMAorx SALES TAX
(SIGNED) DEALER,GENERAL MANAGER OR AUTHORIZED PERSON (GATE) CUSTOMER SIGNATURE PLEASE PAY
THIS AMOUNT
CUSTOMER COPY
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