325555 05/23/18 {us.C4FM
CITY OF CARMEL, INDIANA VENDOR: 237560
J \� ONE CIVIC SQUARE PEARSON FORD,INC CHECK AMOUNT: $********45.15*
CARMEL, INDIANA 46032 10650 N MICHIGAN RD CHECK NUMBER: 325555
ZIONSVILLE IN 46077 CHECK DATE: 05/23/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 333440 45.15 AUTO REPAIR & MAINTEN
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
vendor# 237560 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PEARSON FORD,INC IN SUM OF$ ' 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
$45.15
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
333440 43-510.00 $45.15 1 hereby certify that the attached invoice(s),or 5/14/18 333440 $45.15
2201 2201 2201 2201
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, May 21, 2018
Huffman, Dave
Director
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
_120
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Dealer No:06761
5 712 5 0 0 invoice No: 333440 Pearson Ford, Inc.
10650 North Michigan Road
91TY 09 CARMEL lHeader Zionsville, IN 46077
OAR 400 357 985 INVOICE 31IZ.JW&($CKI3
T= CIVIC ,SQ
PAGE 1 www.my[ndyford.com
QAARMEL, 10 46032-2584 PARTS&SERVICE HOURS
Monday-Friday
$$pme:317-$71-2 5 0 0 Email: 7:00 am-6:00 pm
pga: 317-733-2001
SERVICE ADVISOR: 2852 RER K SHAW
CD!:QR. YEAR MAKEIM.ODL VIN LICBN;SE MILEAGE IN/;OUT TAG;.
PO RACE BE 17 FORD F550 IIFDUFSHY5HED704741 I 8054 8054 T1063
DEL V1AT ...,PROD DATE WARR C)CP PROMISED F"D Nd. RAS E PAYME[u7 INV DATE -
4LTUN17 1)1 17:00 14MAY18 DISC 14MAY18
ib R+Q::Of� NEQ ` REA€lY OPTIONS:W-COMP:G SOLD-STK:27907 ENG:99Y_6.8L_EFI_V-10_ENGINE
TRN:44P_6_SPEED_AUTO_TRANS_6R140
9 : 15 1 MAY18 10:40 14MAY18
LINE OPCODE TECH TYPE HOURS LIST NET TOTAL
A'QIL & FILTER CHANGE-GAS ENGINE-REPLACE OIL STICKER REMINDER, RESET
OIL REMINDER LIGHT
1P OIL & FILTER CHANGE-GAS ENGINE-REPLACE OIL
STICKER REMINDER, RESET OIL REMINDER LIGHT
8207 CP 18 . 50 18 . 50
1 FL*820*S FILTER ASY - OIL 6 . 05 6 . 05 6 . 05
7 XO*5W20*QSP OIL - ENGINE 3 .28 3 .28 22 . 96
11 „ 8054 OIL CHANGE 0 . 30 FIRST OIL CHANGE , RAISED TRUCK DRAINED OLD
11 ; ,02 , , REMOVED OIL FILTER , REPLACED WITH NEW OIL FILTER . FILLED ENGINE
11 „WITH 7. OQ OF 5W20 ENGINE OIL STARTED ENGINE AND CHECK OIL LEVEL . OIL
11 „ LEVF,T.I IS GOOD FILLED WASHER FLUID RESET OIL LIFE AND REPLACED STICKER
****************************************************
CUSTOMER PAY SHOP SUPPLIES FOR REPAIR ORDER 3 . 59
*********** 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
*********************************************
et-
OF WARRANTIES DISCLAIMER
>:<T.TAI'
ON BEHALF OF SERVICING DEALER, I HEREBY CERTIFY THAT THE AND LIMITATIONS OF LIABILITY
DESCRfPTIQN ' �..... 5....--._...__.
INFORMATION CONTAINED HEREON IS ACCURATE UNLESS OTHERWISE The factory warranty,if any,is the only warranty LABOR AMOUNT 18 so
SHOWN. SERVICES DESCRIBED WERE PERFORMED AT NO CHARGE TO with respect to this sale.SELLER MAKES NO
WNER.THERE WAS NO INDICATION FROM THE APPEARANCE OF THE WARRANTY WHATSOEVER AND EXPRESSLY PARTS AMOUNT
29 01
Q DISCLAIMS ALL WARRANTIES EITHER
VEHICLE OR OTHERWISE, THAT ANY PART REPAIRED OR REPLACED EXPRESS OR IMPLIED, INCLUDING ANY GAS,OIL, LUBE
UNDER THIS CLAIM HAD BEEN CONNECTED IN ANY WAY WITH ANY IMPLIED WARRANTY OFMERCHANTABILITY SUBLET AMOUNT
ACCIDENT, NEGLIGENCE OR MISUSE. RECORDS SUPPORTING THIS OR FITNESS FOR A PARTICULAR PURPOSE. 0 00
CLAIM ARE AVAILABLE FOR (1) YEAR FROM THE DATE OF PAYMENT SELLER'S MAXIMUM LIABILITY HEREUNDER MI C.CHARGES 3 59
OTIFICATION AT THE SERVICING DEALER FOR INSPECTION BY IS LIMITED TO THE ORIGINAL SALES PRICE
N AND SELLER SHALL HAVE NO LIABILITY TOTAL CHARGES
MANUFACTURER'S REPRESENTATIVE. 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
IGNED � DEALER GENERAL MANAGER OR AUTHORIZED PERSON (DATE)
CUSTOMER SIGNATURE
S 1 ASE PAY
1 PLEASE
THIS AMOUNT
CUSTOMER COPY
Copyli8ht 2014 CDK Global,LLC EMF SERVICE INVOICE-XS12C-9698060-IMAGING C.1`