308092 02/13/17 r Cqq'-
`%` CITY OF CARMEL, INDIANA VENDOR: 00352042
V 4\
.;; ® d• ONE CIVIC SQUARE DON HINDS FORD CHECK AMOUNT: $""*1,611.11
CARMEL, INDIANA 46032 12610 FORD DRIVE CHECK NUMBER: 308092
FISHERS IN 46038 CHECK DATE: 02/13/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 407958 198.02 AUTO REPAIR & MAINTEN
1120 4351000 408567 1,413.09 AUTO REPAIR & MAINTEN
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 00352042 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
DON HINDS FORD IN SUM OF$ CITY OF CARMEL
12610 FORD DRIVE 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.
FISHERS, IN 46038
Payee
$1,611.11
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Carmel Fire Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
408567 43-510.00 $1,413.09 1 hereby certify that the attached invoice(s),or 2/2/17 408567 VIN 9654 $1,413.09
1120 101 1120 101
407958 43-510.00 $198.02 bill(s)is(are)true and correct and that the 2/2/17 407958 VIN 9655 $198.02
1120 101 materials or services itemized thereon for 1120 101
which charge is made were ordered and
received except
Friday, February 03,2017
David Haboush
Fire Chief
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
120
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
CUSTOMER #: CI4283 407958TOM
UNIT# A45 �
CITY OF CARMEL INVOICE AIM
JASON 12610 Ford Drive * Fishers, IN 46038
2 CIVIC SQ Phone (317) 849-9000 * Fax (317) 849-0020
CARMEL, IN 46032-7543 PAGE 2 1-800-64HINDS (1-800-644-4637)
HOME: CONT:317—6 9 0—4 2 8 3 www.donhinds.com
BUS : 317-664-0958 CELL:317-690-4283 SERVICE ADVISOR: 7563 CHUCK CALLAHAN
COLgR YEAR MAKE/MODEL VIN': I CENSE MILEAGE fNlOUT TAG.'?'
12 FORD F450 PKUP 1FDUF4GTOCEC39655 65673/65673 IT694G
;DEI DATE PROD BATE 1lJARR EXP PRO:MISER
Pb N0 RATE:; PAYMENT;; INV DATE
OIJAN12 D 17 : 00 24JAN17 N 0 . 00 CHG 125JAN17
R o oPE(yEp REApY :: OPTIONS: DLR:47JO34 ENG: 6 . 7 Liter
07 : 52 24JAN17 09 :31 25JAN17
LINE OPCODE TECH TYPE HOURS LIST NET TOTAL
5622 CP 0 . 00 0 . 00
GBATT BATTERY TEST. CRANK AMPS ARE FINE. NO
PROBLEM FOUND.
5622 CP 0 . 00 0 . 00
9601 AIR FILTER
5622 CP 14 . 00 14 . 00
65673 INSPECTION. GTIRE GBK GBATT. **REPLACED AIR FILTER**
****************************************************
E** L65 ENGINE IS LEAKING OIL DOWN THE FRONT OF ENGINE
CAUSE: 2A572
ADD ADD ON WARRANTY LINE
5622 WP94 (N/C)
MT2A572 REMOVE VACUUM PUMP REPLACE GASKET
5622 WP94 (N/C)
1 BC3Z*2A572*A GASKET - VACUUM PUMP (NIC)
WARRANTY PARTS RETURN 2A572 DM 01-24-2017
FC: L65 D8
PART#: BC3Z*2A572*A
COUNT:
CLAIM TYPE:
AUTH CODE:
5622
65673 PERFORMED VISUAL INSPECTION AND VERIFY CONCERN, FOUND VACUUM
PUMP GASKET LEAKING, REMOVED VACUUM PUMP AND REPLACED GASKET, RE
INSTALLED ALL AND DE-GREASED FROM LEAK, VERIFY OIL LEVEL. VERIFY
REPAIR. NO PUBLISHED LABOR OPS FOR PART # 2A572
****************************************************
ENVIRONMENTAL & SUPPLY FEES 6 . 30
s
t e� p��3not 4 Acte
�t.►T
OUR NIGHT OWL DROP BOX, LOCATED A ��� oo pi cRlp7roN TOTALS
SERVICE ENTRANCE, IS AVAILABLE D LABOR AMOUNT 85. 95
NON-BUSINESS HOURS. 0, PARTS AMOUNT 105 . 77
SERVICE HOURS: MON - FRI 7:30 AM - 5:30 s r�& R GAS, OIL, LUBE 0 . 00
ED SUBLET AMOUNT 0 . 00
SAT 7:30 AM - 3:30 P .s RPOSE, MISC. CHARGES 6 . 30
E ERIZES ANY TOTAL CHARGES 198 . 0 2
OTHER ASSUME FOR IT
ANY LIABILITY IN CONNECTION WITH LESS DEDUCTIONS 0 . 00
THE SALE OF SAID PRODUCTS. SALES TAX 0 . 00
CUSTOMER SIGNATURE PLEASE PAY
THIS AMOUNT
coe,.om ama coe mina.uc sonvirF iu��rF..-oF _ i�_.,s,:,,,: f'TTCT(1MA�17 h/lUV
CUSTOMER #: CI4283 407958
UNIT# A45 Tto�on
CITY OF CARMEL 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 317-664-0958 CELL: 317 690 4283 SERVICE ADVISOR 7563 CHUCK CALLAHAN
COLOR YEAR 1171AKE/MODEL V1N LICENSE MILEAGE
12 FORD F450 PKUP 1FDUF4GTOCEC39655 1 65673/65673 IT694G
TEL BATE PROD DATE ,1NARR .EXP PRD.M[$ED PO NO RATE PAYMENT INV bATE
01JAN12 D 17 : 00 24JAN17 N 0 . 00 CHG 125JAN17
::::::: ........... r
»::READY>:>::::»;<:<:»;:;: OPTIONS: DLR:47JO34 ENG: 6 . 7 Lite
...._....
07 : 52 24JAN17 109 :31 25JAN17
LINE OPCODE TECH TYPE HOURS LIST NET TOTAL
A *DIESEL OIL AND FILTER CHANGE, TEST COOLANT ADDITIVE, LUBE (NO DEF
FLUID) ]
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*10W30*BSD 1OW30DSL 2 . 90 2 . 90 37 . 70
1 328*00008* TEST KIT 16 . 75 16 . 75 16 . 75
HWC HAZARDOUS WASTE CHARGE
9999 CHW 1 . 95 1. 95
65673 DIESEL OIL AND FILTER CHANGE, LUB ED, TESTED COOLANT
****************************************************
B ROAD TEST FOR BRAKE FEEL INSPECT, IF NEEDED ROTATE TIRES/SET
PRESSURES
BR11 INSPECT FRT/REAR BRAKES
5622 CPBT 35 . 00 35 . 00
65673 ROAD TESTED AND FOUND MODERATE BRAKE VIBRATION FROM FRONT.
INSPECTED ROTORS AND VISUALLY OK, NO HEAT CRACKING ETC. NO REPAIRS MADE
****************************************************
C STEERING WHEEL SEEMS TO HAVE PLAY IN IT WHEN DRIVING ON HIGHWAY
NC NO CHARGE FOR THIS SERVICE
5622 CPC 0 . 00 0 . 00
65673 ROAD TESTED AND UNABLE TO DUPLICATE A MAJOR CONCERN,
INSPECTED FRONT END AND SUSPENSION AND ALL OK. CONFERRED WITH CHUCK WHO
WAS SHOWN BY JASON, AT THIS TIME DO FIND IT TO BE A PROBLEM.
****************************************************
D REPORT CARD INSPECTION
99P REPORT CARD INSPECTION
5622 CP 0 . 00 0 . 00
1 BC3Z*9601*A ELEMENT ASY - AIR CLEANER 29 . 93 26 . 94 26 . 94
GTIRE CHECK TREAD DEPTH. TREAD IS WEARING
PROPERLY AT THIS TIME.
5622 CP 0 . 00 0 . 00
GBK BRAKE LINING WEAR CHECKED. BRAKES WEARING OK
AT THIS TIME
OUR NIGHT OWL DROP BOX, LOCATED AT THE ANY WARRANTY ODISCLAIMER O WARRANTIESN THE PRODUCTS p11SCRIPTI.ON TOTALS
SERVICE ENTRANCE, IS AVAILABLE DURING SOLD HEREBY ARE THOSE MADE BY LABOR AMOUNT
THE MANUFACTURER. THE SELLER,
NON-BUSINESS HOURS. DON HINDS FORD, INC., HEREBY PARTS AMOUNT
EXPRESSLY DISCLAIMS ALL GAS,OIL, LUBE
SERVICE HOURS: MON - FRI 7:30 AM - 5:30 PM WARRANTIES, EITHER EXPRESSED OR
IMPLIED, INCLUDING ANY IMPLIED SUBLET AMOUNT
SAT 7:30 AM - 3:30 PM WARRANTY OF MERCHANTABILITY OR
FITNESS FORA PARTICULAR PURPOSE, MISC. CHARGES
AND DON HINDS FORD, INC. NEITHER
ASSUMES NOR AUTHORIZES ANY TOTAL CHARGES
OTHER PERSON TO ASSUME FOR IT
ANY LIABILITY IN CONNECTION WITH LESS DEDUCTIONS
THE SALE OF SAID PRODUCTS. SALES TAX
CUSTOMER SIGNATURE PLEASE PAY
THIS AMOUNT
nrTemnwr�v nnnv
•
CUSTOMER #: C14283 408567
CITY OF CARMELP_ -i L.' INVOICE Toe"
JASON 12610 Ford Drive * Fishers, IN 46038
2 CIVIC SQ Phone (317) 849-9000 * Fax (317) 849-0020
CARMEL, IN 46032-7543 PAGE 2 1-800-64HINDS (1-800-644-4637)
HOME: CONT: 317-690-4283 www.donhinds.com
BUS : 317-664-0958 CELL: 317-690-4283 SERVICE ADVISOR: 7563 CHUCK CALLAHAN
COLQ ............. .. ....
R:
................. ... ...... ..........
VIN':: LICENSE MILEAGE IN/:OUT TAG< ;.
........ ..................
121 FORD F450 PKUP 1FDUF4GT9CEC396541 49388/49388 T761G
DEL ....... .... ..........
-MEN
................ ......PAYMENT.A.Y Via�: N%��DATE
!�:�:�....
ROM ISED ......
........... ..................
.......... . .... ---
01JAN12 DE 17 : 00 30JAN17 N� 0 . 001 CHG 130JAN17
............. .............. .......I
....... ......... ...... OPTIONS:
............
DLR:47J034 ENG: 6 . 7 Liter
..
08 : 17 30JAN17 15 :44 30JAN17
LINE OPCODE TECH TYPE HOURS LIST NET TOTAL
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
49388 INSPECTION. GTIRE GBK GBATT
E PULL WHEELS AND INSPECT BRAKES
DR11 REMOVED ALL WHEELS/INSPECTED BRAKES . ALL
10MM FRONT AND REAR, NO PROBLEMS . CROSS
ROTATED FRONT TIRES WHILE OFF
5622 CPBT 35 . 00 35 . 00
49388 REMOVED ALL WHEELS AND INSPECTED BRAKES, ALL OK
F** REPLACE 4 BALL JOINTS
M REPLACED BALL JOINTS
5622 CPC 594 . 00 594 . 00
2 BC3Z*3049*A JOINT ASY BALL 66 . 77 60 . 09 120 . 18
2 BC3Z*3050*D JOINT ASY BALL 57 . 95 52 . 15 104 .30
49388 REPLACED 4 BALL JOINTS
G** FRONT END ALIGNMENT
CH107SD FRONT END ALIGNMENT SUPER DUTY TRUCKS
8333 GRIFFIN,DENNIS LIC#: DENNIS
CPC 99 . 95 99 . 95
49388 PERFORMED F450 DUALLY ALIGNMENT WITH SIMULATORS .
ENVIRONMENTAL & SUPPLY FEES 22 . 95
OUR NIGHT OWL DROP BOX, LOCATED AT THE SOLD
DISCLAIMER OF WARRANTIES TOTALS
ANY WARRANTY ON THE
SERVICE ENTRANCE, IS AVAILABLE DURING HEREBY ARE THOSE MADEPRODUCTS BY LABOR AMOUNT 877 . 85
THE - THSELLER,
NON-BUSINESS HOURS. DON HINDSMANUFACTURER FORD, INC.,E HEREBY PARTS AMOUNT 512 .29
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 22 . 95
AND DON HINDS FORD, INC NEITHER
ASSUMES NOR AUTHORIZES ANY TOTAL CHARGES 1413 . 09
749" OTHER PERSON TO ASSUME FOR IT
ANY LIABILITY IN CONNECTION WITH LESS DEDUCTIONS 0 . 00
THE SALE OF SAID PRODUCTS. SALES TAX 0 00
�'L/!/A//_ SIGNATURE
PLEASE PAY ......
............
..................... .......
THIS AMOUNT .0
Fu` .9
rTTQrT'f)VII7V II
•
CUSTOMER #: 'C14283 408567 TWO
CITY OF CARMEL 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 : 317-664-0958 CELL:317-690-4283 SERVICE ADVISOR: 7563 CHUCK CALLAHAN
CL1LQF YEAR NIAKEIMQ;DEI VIN LICENISE MILEAGE IN/.0UT TAG'
12 FORD F450 PKUP 1FDUF4GT9CEC39654 49388/49388 T761G
DEL t7ATE.... . R:RO;D.DATE, WARR EXp PROM[SED PO NO RATE PAYMENT;: INV.DATE
01JAN12 Dq 17 : 00 30JAN17 N 0 . 00 CHG 30JAN17
ft D:OPENED READY:: OPTIONS: DLR:47JO34 ENG: 6 . 7 Liter
08 : 17 30JAN17 15 :44 30JAN17
LINE OPCODE TECH TYPE HOURS LIST NET TOTAL
A *DIESEL OIL CHANGE, TEST COOLANT, LUBE. (NO DEF FLUID)
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
1 328*00008* TEST KIT 16 . 75 16 . 75 16 . 75
HWC HAZARDOUS WASTE CHARGE
9999 CHW 1 . 95 1. 95
49388 DIESEL OIL AND FILTER CHANGE, LUBED, TESTED COOLANT
****************************************************
B REPAIR TIRE BROUGHT IN, LEAVE LEFT OUTER WITH CHUCK, REINSTALL
SIMULATORS/INSTALL NEW INNER/OUTER EXTENDERS AS NEEDED
TPSD TANK TESTED TIRE, ALL OK, MADE SURE VALVE
STEM OK, AFTER BRAKE INSPECTION REINSTALLED
ALL TIRES/SIMULATORS AND NEW VALVE STEM
EXTENDERS
5622 CP 27 . 95 27 . 95
1 AML1 EXT KIT 90 . 00 85 . 50 85 . 50
49388 TANK TESTED TIRE/WHEEL AND FOUND NO LEAKS . INSTALLED NEW
EXTENSIONS AND SET PRESSURES
****************************************************
C REPLACE FUEL FILTERS, AIR FILTER IF NEEDED
91556L REPLACE BOTH FUEL FILTERS 6 . OL/6 . 4L/6 . 7L
DIESEL
5622 CP 70 . 00 70 . 00
1 BC3Z*9N184*B ELEMENT 107 .27 96 . 54 96 . 54
1 BC3Z*9601*A ELEMENT ASY - AIR CLEANER 29 . 93 26 . 94 26 . 94
9601 AIR FILTER
5622 CP 14 . 00 14 . 00
49388 REPLACED FUEL FILTERS & AIR FILTER
****************************************************
D REPORT CARD INSPECTION
99P REPORT CARD INSPECTION
5622 CP 0 . 00 0 . 00
OUR NIGHT OWL DROP BOX, LOCATED AT THE DISCLAIMER O WARRANTIES phSCRIpT10N TOTALS
SERVICE ENTRANCE, IS AVAILABLE DURING ANY WARRANTY ON THE PMADE By LABOR AMOUNT
SOLD HEREBY ARE THOSE MADE BY
NON-BUSINESS HOURS. THE MANUFACTURER. THE SELLER,
DON HINDS FORD, INC., HEREBY PARTS AMOUNT
SERVICE HOURS: MON - FRI 7:30 AM - 5:30 PM EXPRESSLY DISCLAIMS ALL GAS,OIL, LUBE
WARRANTIES, EITHER EXPRESSED OR
IMPLIED, INCLUDING ANY IMPLIED SUBLET AMOUNT
SAT 7:30 AM - 3:30 PM WARRANTY OF MERCHANTABILITY OR
FITNESS FOR A PARTICULAR PURPOSE, MISC.CHARGES
AND DON HINDS FORD, INC. NEITHER
ASSUMES NOR AUTHORIZES ANY TOTAL CHARGES
OTHER PERSON TO ASSUME FOR IT
ANY LIABILITY IN CONNECTION WITH LESS DEDUCTIONS
THE SALE OF SAD PRODUCTS. SALES TAX
CUSTOMER SIGNATURE PLEASE PAY
THIS AMOUNT
LaovrinAt]Gf6 LGK GIoEnI.LLC SERVILEINVGICE ME)-SI)C-IMGGING CT79TOMRR COPY