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319210 11/30/17 CITY OF CARMEL, INDIANA VENDOR: 00352042 I; D ONE CIVIC SQUARE DON HINDS FORD CHECK AMOUNT: $**"*****71.13" 9� CARMEL, INDIANA 46032 12610 FORD DRIVE NUMBER: 31921/07 FISHERS IN 46038 CHECKDATE: 0 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4237000 53228 71.13 REPAIR PARTS VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995) Vendor# 00352042 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER DON HINDS FORD IN SUM OF$ 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 $71.13 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR 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 53228 42-370.00 $71.13 1 hereby certify that the attached invoice(s),or 11/22/17 53228 $71.13 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 Tuesday, November 28, 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 20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer 12610'Ford Drive * Fishers, IN 46038 Parts Direct'(317)813-1301 * Fax(317)813-1306 ALL 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 warranties on the product cold hereby ore Nos,made by the manufacturer.The calla,hm,by a,p....ty "'W Ww.donhindsford.com disclaim,ell warrentles.either expressed or implied,Including any Implied wmmnty of ro—hentabi ty or litnass to,a par[mmor purpose.and the railer neither assumes nor authorizes any other person to assume for it any liability N connection with Na sale or said p,oduoto. DATE ENTERED YOUR P.O:NO. DATE SHIPPEDINVOICE DATE INVOICE NUMBER 53228 S ACCOUNT NO. CA2615 S PAGE 1 OF 1 D CARMEL..FIRE DEPARTMENT H L TWO CIUIC 'SQUARE i � CARMEL;' IN 46032 T 317 .5'11-2600 EMP SOLD,BY 0 1 SOLD BY TERMS F.O.B. ;B.O: PART::NUMBER:::6i' ,::<>s>: ::::::: > '.; :::.bESCRiPT1QNz: r>:<::•::.;. ET. ......;::"'AMO.UN7::>::::>::>:: PARrsHoues 0 . CL3Z*9C623*B HOSE — AIR 101. 62 71.13 71. 13 Mon-Fri 7:30-5:30 Saturday 7:30 3:00 ......... ........ ........ ............................................................................................. ........... .................. ................................ SERVICE HOURS Mon-Fri .: : .:.............i.:.. 7:30--5: 3 0 ............. .. ................ . ;:;s;:;:;:;; :: . . .. . . : : :: ` :::::: :: ::: .: ::i::i: Saturday '"i3:00' � 7:30 ................. ... . � :.;».:<.>r CASHIER CLOSES - Mon-Fri \ AT 5:30 :::; . Saturday :::::. . . : ;: AT 3:00 ........................................ . . ::::::::. BODY SHOP _ Mon-Fri 8:000A-5:00 PARTS 71 1 SUBLET FREIGHT sAlrs TAx In In In 113 0:0 71. 13