319976 12/21/17 �U'�4q+. CITY OF CARMEL, INDIANA VENDOR: 237560
a.ft �,•
ONE CIVIC SQUARE PEARSON FORD,INC CHECK AMOUNT: $*****3,066.82*
CARMEL, INDIANA 46032 10650 N MICHIGAN RD CHECK NUMBER: 319976
91roN.i'O� ZIONSVILLE IN 46077 CHECK DATE: 1 2/21/17
DEPARTMENT ACCOUNT PO NUMBER _ INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 328715 3,066.82 AUTO REPAIR & MAINTEN
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 237560
PEARSON FORD,INC IN SUM OF$ CITY OF CARMEL
10650 N MICHIGAN RD 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.
ZIONSVILLE, IN 46077
Payee
$3,066.82
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Street Department 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
328715 43-510.00 $3,066.82 1 hereby certify that the attached invoice(s),or 12/19/17 328715 $3,066.82
2201 2201 2201 2201
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
Wednesday, December 20,2017
Huffman, Dave
Director
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Dealer No:06761
6200
Invoice No: 328715 Pearson Ford, Inc.
10650 North Michigan Road
Header Zionsville, IN 46077
CITY OF CARMEL STREfNV®EMRTMENT 31jj.W&d
3400 W 131ST ST PAGE 1 www.mylndyford.com
CAMEL, IN 46074-8267 PARTS&SERVICE HOURS
Monday-Friday
Home 317-7 3 3-2 0 01 Email: 7:00 am-6:00 pm
Bus: 317-733-2001
SERVICE ADVISOR: 2100 SCOTT KROUSE ...
COIQR LICN.SE MI1A:GE ffl.OUT ..:. :.
YEAR ..:. MAKE/MOD [ _ VIN .
RED08 FORD F250 1FTNF21578EB43584 1113191/1131911 T2764
bEL .E)A7 f?R4E? bATP20MESEb..'::: : ;;:;
02FEB08 D 02JAN08f'AYME[�ET: ... 1N�7 bAT
17:00 i2DEC17 BILL 19DEC17
R Q.OPENElZ fiSADY OPTIONS: _ _
... W-COMP:G STK:13806 ENG: EFI V8
TRN:5-SPD_AUTOMATIC
09:49 12DEC17 09: 58 19DEC17
LINE OPCODE TECH TYPE HOURS LIST NET TOTAL
A CUST STATES THAT ON HARD ACCELERATE OR UNDER A LOAD WITH TRAILER THE
ENG MISSES OUT
WDS CUST STATES THAT ON HARD ACCELERATE OR UNDER
A LOAD WITH TRAILER THE ENG MISSES OUT
9863 CFL 99 . 00 99 . 00
, , , , 113191 1. 00 miss fire diag time
****************************************************
B CUST STATES THAT THERE IS MISSING EXHAUST BOLTS AND A LEAK
R5M CUST STATES THAT THERE IS MISSING EXHAUST
BOLTS AND A LEAK
9863 CFL 0 . 00 0 . 00
1 9L3Z*9K494*A KIT - MANIFOLD AND GASKETS 232 .20 208 . 98 208 . 98
1 7C3Z*9431*B MANIFOLD ASY - EXHAUST 204 . 93 184 .44 184 .44
2 VC*7*B ANTI-FREEZE 16 .47 14 . 82 29 . 64
4 *W705443*S900 NUT 6 .48 5. 83 23 . 32
4 *W705374*S901 STUD 15 . 95 14 . 35 57 .40
8 *W707747*S431 STUD 3 . 30 2 . 97 23 . 76
8 *W701706*S2 NUT - HEX. 2 . 15 1 . 93 15.44
, , , , 113191 see line d
****************************************************
C** R5M- OWNER INSPECTION 2 ing coils and 2 spark plugs
CAUSE: numb 3 and numb 7 doping out under load
R5M R5M- OWNER INSPECTION 2 ing coils and 2 spark
plugs
9863 CFL 198 . 00 198 . 00
2 3L3Z*12029*BA COIL ASY - IGNITION 83 . 64 75. 28 150 . 56
2 PZH*14F* SPARK PLUG 17 .42 15. 68 31. 36
, , , , 113191 2 . 00 replaced numb 3 and 7 coil and plugs
****************************************************
D** R5M- OWNER INSPECTION both exhaust manifolds, gaskets, 16 manifold
studs and nuts, 4 flange studs and nuts, 2 gallons of strait
gold coolant.
CAUSE: pull eng remove exhaust manifolds andv drill out broken studs
and replace both manifolds and all related parts and reinstall
A « :s";: ;DISCLAIMER OF WARRANTIES
ON BEHALF OF SERVICING DEALER, I HEREBY CERTIFY THAT THE AND LIMITATIONS OF LIABILITY
INFORMATION CONTAINED HEREON IS ACCURATE UNLESS OTHERWISE The factory warranty,if any,is the only warranty LABOR AMOUNT
SHOWN. SERVICES DESCRIBED WERE PERFORMED AT NO CHARGE TO with respect to this sale.SELLER MAKES NO
OWNER. THERE WAS NO INDICATION FROM THE APPEARANCE OF THE WARRANTY WHATSOEVER AND EXPRESSLY PARTS AMOUNT
VEHICLE OR OTHERWISE, THAT ANY PART REPAIRED OR REPLACED DISCLAIMS ALL WARRANTIES EIrANANY
EXPRESS OR IMPLIED, INCLUDING Y GAS,OIL, LUBE
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
CLAIM ARE AVAILABLE FOR (1) YEAR FROM THE DATE OF PAYMENT SELLER'S MAXIMUM LIABILITY HEREUNDER MISC. CHARGES
NOTIFICATION AT THE SERVICING DEALER FOR INSPECTION BY IS LIMITED TO THE ORIGINAL SALES PRICE
MANUFACTURER'S REPRESENTATIVE. AND SELLER SHALL HAVE NO LIABILITY TOTAL CHARGES
FOR ANY INCIDENTAL OR CONSEQUENTIAL
DAMAGES FOR LOST SALES,LOST PROFITS, LESS INSURANCE
INJURIES TO PERSONS OR PROPERTY OR
OTHER INJURIES OR DAMAGES. SALES TAX
(SIGNED) ,
SIGNED DEALER GENERAL MANAGER OR AUTHORIZED PERSON (DATE)
CUSTOMER SIGNATURE
PLEASE PAY
AMOUNT
AM
THIS 0
CUSTOMER COPY
CFAM-1-ni:F 2 xsasr.
Dealer No:06761
6200
�. Invoice No: 328715 Pearson Ford, Inc.
10650 North Michigan Road
Header Zionsville, IN 46077
CITY OF CARMEL STREEL4VCMMRTMENT 311EWi as
3400 W 131ST ST PAGE 2 www.mylndyford.com
CAMEL, IN 4 6 0 7 4-8 2 6 7 PARTS&SERVICE HOURS
Monday-Friday
Home 317-7 3 3-2 0 01 Emai 1: 7:00 am-6:00 pm
Bus: 317-733-2001
SERVICE ADVISOR: 2100 SCOTT KROU5E
COLOR Yl;AR MAKEIi�tIO:pEL VIN..;' .. ..:......... t tCl±iySE MI1 EAG /:ALJ TAG:;
RED 08FORD F250 1FTNF21578EB43584 113191 113191 T2764
..
b6L E?ATi . . F?R4C) bAC 1(IfARR EXP PROMI$1 D ;> Pb NO.... .; ^»>:RATt .. ?AYMl±N1 3NV bAT
02FEB08 D 02JAN08 1 17:00 12DEC17 BILL 19DEC17
R;O. OPEEtE #3 REAbY=` ... OPTIONS:W-COMP:G STK:13806 ENG:5.4L_EFI_V8
TRN:S-SPD_AUTOMATIC
09:49 12DEC17 109: 58 19DEC17
LINE OPCODE TECH TYPE HOURS LIST_ NET TOTAL
R5MeR5M- OWNER INSPECTION both exhaust manifolds,
gaskets, 16 manifold studs and nuts, 4
flange studs and nuts, 2 gallons of strait
gold coolant.
9863 CFL 1782 . 00 1782 . 00
1 3L3Z*9439*DA GASKET - INTAKE MANIFOLD 55 . 90 50 . 31 50 . 31
1 3L3Z*9439*EA GASKET - INTAKE MANIFOLD 49 . 88 44 . 89 44 . 89
1 3L3Z*8C387*AC GASKET 12 . 73 11.46 11 .46
1 3L3Z*8C388*AC GASKET 13 . 64 12 .28 12 .28
1 B7A*8287*AA CLAMP - HOSE 1. 81 1. 63 1. 63
2 VC*7*B ANTI-FREEZE 16 .47 14 . 82 29 . 64
, , , , 113191 18 . 00 removed eng, remove exhaust manifolds, drill and tap
, , , ,both sides were broke off flush witch heads , install new maifolds,
, , , , studs and nuts reinstall eng, refill and bleed cooling system.
****************************************************
E** R5M- OWNER INSPECTION wiper blades
CAUSE: worn out
R5M R5M- OWNER INSPECTION wiper blades
9863 CP 0 . 00 0 . 00
2 8L3Z*17528*A BLADE ASY - WIPER 38 .62 38 . 62 77 .24
113191 0 .20 replaced wiper blades
****************************************************
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
*********************************************
IE
ARRANT S
DISCLAIMER OF W
ON BEHALF OF SERVICING DEALER, I HEREBY CERTIFY THAT THE AND LIMITATIONS OF LIABILITY
INFORMATION CONTAINED HEREON IS ACCURATE UNLESS OTHERWISE The factory warranty,if any,is the only warranty LABOR AMOUNT 2079 . 00
SHOWN. SERVICES DESCRIBED WERE PERFORMED AT NO CHARGE TO with respect to this sale.SELLER MAKES NO
OWNER.THERE WAS NO INDICATION FROM THE APPEARANCE OF THE WARRANTY WHATSOEVER AND EXPRESSLY PARTS AMOUNT
VEHICLE OR OTHERWISE, THAT ANY PART REPAIRED OR REPLACED DISCLAIMS ALL WARRANTIES EITHER
EXPRESS OR IMPLIED, INCLUDING ANY GAS,OIL,LUBE In nn
UNDER THIS CLAIM HAD BEEN CONNECTED IN ANY WAY WITH ANY IMPLIED WARRANTY OF MERCHANTABILITY SUBLET AMOUNT
ACCIDENT, NEGLIGENCE OR MISUSE. RECORDS SUPPORTING THIS OR FITNESS FOR A PARTICULAR PURPOSE.
CLAIM ARE AVAILABLE FOR (1) YEAR FROM THE DATE OF PAYMENT SELLER'S MAXIMUM LIABILITY HEREUNDER MISC.CHARGES
NOTIFICATION AT THE SERVICING DEALER FOR INSPECTION BY A LIMITED TO THE ORIGINAL SALES PRICE
MANUFACTURER'S REPRESENTATIVE. AND SELLER SHALL HAVE LIABILITY TOTAL CHARGES
FOR ANY INCIDENTAL OR CONSEQUENTIAL
DAMAGES FOR LOST SALES,LOST PROFITS, LESS INSURANCE n nn
INJURIES TO PERSONS OR PROPERTY OR
OTHER INJURIES OR DAMAGES. SALES TAX n nn
(SIGNED) DEALER,
GENERAL MANAGER OR AUTHORIZED PERSON
(DATE)
CUSTOMER ER SIGNAT
RE
PLEASE PAY
THIS AMOUNT
CUSTOMER COPY
R RVIr.v 1-1-42 XR19r.