320277 01/04/18 iii,.44q*F
CITY OF CARMEL, INDIANA VENDOR: 237560
ONE CIVIC SQUARE PEARSON FORD,INC CHECK AMOUNT: $*****1,247,40*
q CARMEL, INDIANA 46032 10650 N MICHIGAN RD CHECK NUMBER: 320277
ZIONSVILLE IN 46077 CHECK DATE: 01/04/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 328804 1,247.40 AUTO REPAIR & MAINTEN
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 237560 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PEARSON FORD,INC IN SUM OF$ 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
$1,247.40
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
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
328804 43-510.00 $1,247.40 1 hereby certify that the attached invoice(s),or 12/19/17 328804 $1,247.40
2201 2201 Prior Year 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
Tuesday,January 02, 2018
Huffman, Dave
Director
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
Dealer No:06761
7332001
Invoice No: 3 2 8 8 0 4 Pearson Ford, Inc.
10650 North Michigan Road
Header Zionsville, IN 46077
CITY OF CARMEL STREER CD= 31I7AWAd
3400 W 131ST ST PAGE 1 www.mylndyford.com
CARMEL, IN 46074-8267 PARTS&SERVICE HOURS
Monday-Friday
Home--317-733-2001 Emai 1: 7:00 am-6:00 pm
Bus:
SERVICE ADVISOR: 21010 SCOTT KROUSE
C01^QR» >:::: Y AR t1nA1fF/MC3DEh......:.. VIN... .t.IGEN.SE..... MI1 E 4GE IN I:OUT..,.:. SAG
Fl RED CLE 09 FORD F5501 1FDAF57R19EA02257 96253/96253 T2794
DEL t?AT> ';1. I b4tf UIIARR EXE? PF30MlS b . ........ P0.N0 RA7 pAYMEI�[ . INU PATE
170CT08 D 22SEP08 17:00 14DEC17 BILL 19DEC17
TI NS: _ _ _
<:PE[slt 3s >::>:::;:::;:::;:::::;:'::;::::READ -
:..� W-COMP:G STK:14995 ENG:99R 6.4L V 8 DIESEL
TRN:44B_TORQSHIFT(TM)_5-SPD_AUTO_TRANS A (More.. .)
09:34 14DEC17 10 :47 19DEC17
LINE OPCODE TECH TYPE HOURS LIST NET TOTAL
A CUST STATES THAT THE WRNCH LIGHT CAME ON AND WHITE SMOKE FROM EXHAUST
DIESEL CUST STATES THAT THE WRNCH LIGHT CAME ON
AND WHITE SMOKE FROM EXHAUST
9422 CFL 0 . 00 0 . 00
, , , , 96253 REPAIRED ON LINE D
****************************************************
B** AIR BAG LIGHT ON
R5M AIR BAG LIGHT ON
9422 CFL 247 . 50 247 . 50
1 AC3Z*14B321*A SENSOR ASY - AIR BAG 311 . 57 280 .41 280 .41
, , , , 96253 FAILED COMPONENT 2 . 50 DIAGNOSIS AIR BAG LIGHT ON FAILED AIR
, , , ,BAG MODULE INSTALL NEW AIR BAG MODULE AND PROGRAM WITH AS BUILT DATA
****************************************************
C** ENGINE OIL HIGH
2P OIL AND FILTER CHANGE - 7 .3L & 6 . OL DIESEL
9422 CFL 19 . 81 19 . 81
15 XO*15W40*QSD MOTORCRAFT SAE 15W-40 API CJ-4 4 . 80 4 . 32 64 . 80
1 FL*2016* KIT - ELEMENT & GASKET - OIL F 32 . 11 28 . 90 28 . 90
, , , , 96253 0 .40 CHANGE ENGINE OIL AND FILTER 6 .4 LITER DIESEL ENGINE
, , , ,HOURS 6, 526 =163, 150 MILES EXCESSIVE IDLE TIME NEEDS MORE FREQUENT OIL
, , , , CHANGES FOUND KEEPER FOR ROCKER PIVOT ON OIL DRAIN MAGNET HAS START OF
, , , , INTERNAL ENGINE FAILURES
****************************************************
D** WRENCH LIGHT ON
R5M WRENCH LIGHT ON
9422 CFL 247 . 50 247 . 50
1 8C3Z*9E937*A HOUSING - THROTTLE PLATE 358 . 90 323 . 01 323 . 01
, , , , 96253 FAILED COMPONENT 2 . 50 DIESEL DIAGNOSIS AND REPLACE THROTTLE
, , , ,BODY ASSEMBLY
****************************************************
CUSTOMER PAY SHOP SUPPLIES FOR REPAIR ORDER 35.47
� I
DISCLAIMER OF WARRANTIES
ON BEHALF OF SERVICING DEALER, I HEREBY CERTIFY THAT THE AND LIMITATIONS OF LIABILITYSCRIPTEON'`"'`"` 70TA.$.... ...........
INFORMATION CONTAINED HEREON IS ACCURATE UNLESS OTHERWISE The faetory waRanty,if any, is the oAy-enemy 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 EITHER
EXPRESS OR IMPLIED, INCLUDING ANY 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 A LIMITED TO THE ORIGINAL SALES PRICE
MANUFACTURER'S REPRESENTATIVE. AND SELLER SHALL HAVE LIABILITY TOTAL CHARGES
FOR ANY INCIDENTAL ORRCONSEQUENTIAL
DAMAGES FOR LOST SALES,LOST PROFITS, LESS INSURANCE
INJURIES TO PERSONS OR PROPERTY OR
OTHER INJURIES OR DAMAGES. SALES TAX
(SIGNED) DEALER GENERAL MANAGER OR AU OFTIZED PERSON (DATE)
CUSTOMER SIGNATURENATUR
E
PLEASE
THS
I AMOUNT
CUSTOMER COPY
SFNVIr.F 1Wnirs ao xcror.
Dealer No:06761
7332001
Iavoice No: 328804 Pearson Ford, Inc.
10650 North Michigan Road
Header Zionsville, IN 46077
CITY OF CARMEL STRE NV(DETH 31I7,.W&(2&j3
3400 W 131ST ST PAGE 2 www.my[ndyford.com
CAMEL, IN 46074-8267 PARTS&SERVICE HOURS
Monday-Friday
Home-317-733-2001 Email: 7:00 am-6:00 pm
Bus:
SERVICE ADVISOR: 2
:::>: Clal^OR YEAR........... MAICE/M_ODE[ :::,>;.:.. VIN :. ....... _ ...::: I ICENSE MI!EA`GEaE.f OUT ..:; . TAG:.: :>
F1 RED CLE 09 FORD F550 1FDAF57R19EA02257 I96253/962SI T2794
»::>:: ..:..... ii
INV BATE
bi L.bAI :::>::;::::PRQD DATE::..WA#R.EXE?: :::::::>::>>::;;: >PI OMISI D :: >.:.. PO NO
170CT08 D 22SEP08 17:00 14DEC17 BILL 19DEC17
li O OPENt E? #iEAbY. OPTIONS: _ _ _
..
W-COMP:G STK:14995 ENG:99R 6.4L V-8 DIESEL
TRN:44B_TORQSHIFT(TM)_5-SPD_AUTO_TRANS A (More. . .)
09:34 14DEC17 10 :47 19DEC17
LINE OPCODE TECH TYPE HOURS LIST NET TOTAL
*********** 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
*********************************************
DISCLAIMER OF WARRANTIES
ON BEHALF OF SERVICING DEALER, I HEREBY CERTIFY THAT THE AND LIMITATIONS OF LIABILITY tl!SCAIPTE0II ::. X.... _..
INFORMATION CONTAINED HEREON IS ACCURATE UNLESS OTHERWISE The factory warranty,if any, is the ody warranty LABOR AMOUNT 514 . 81
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
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 35 .47
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 1247 40
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 nn
(SIGNED) DEALER GENER
LMANA ER OR AUTHOR
IZE RO
(DATE)
CUSTOMER SIGNATURE
PLEASE PAY
THIS AMOUNT
T
CUSTOMER COPY
CFRVI�F INVf11r.F d9%CIJ(: