HomeMy WebLinkAbout326823 06/29/18 CITY OF CARMEL, INDIANA VENDOR: 237560
ONE CIVIC SQUARE PEARSON FORD,INC CHECK AMOUNT: $*****2,025.66*
9� `a�; CARMEL, INDIANA 46032 10650 N MICHIGAN RD CHECK NUMBER: 326823
sq�TON.�p. ZIONSVILLE IN 46077 CHECK DATE: 06/29/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 331231 2,025.66 OTHER EXPENSES
VOUCHER NO. 181896 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor# 237560 - IN SUM of$ ACCOUNTS PAYABLE VOUCHER
PEARSON FORD INC. CITY OF CARMEL
10650 N. MICHIGAN RD. An invoice or bill to be properly itemized must show: kind of service,where performed,
ZIONSVILLE, IN 46077 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit,etc.
Payee
$2,025.66 237560 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR PEARSON FORD INC. Terms
Carmel Water Utility 10650 N. MICHIGAN RD. Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), ZIONSVILLE, IN 46077
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon for DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
331231 01-6500-04 $2,025.66 and received except 6/20/2018 331231 $2,025.66
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_
Clerk-Treasurer
3178731181 08:31:15 06-12-2018 1 /2
Dealer No:06761
14470
invoice No: 331231 Pearson Faro,Inc.
10650 North Michigan Road
Header Zionsville,IN 46077
CITY OF CARMEL INVOICE 3PRUAdUff
00000 PAGE 1 www.mylndyt'ard.com
CARMEL, IN 46032 PARTS&SERVICE HOURS
Monday-Friday
Rome: Email: 7:00 am-5:00 pm
Bus:
SERVICE ADVISOR: qA;;9_RCDERI.CK SHAW
:YEAR :i::.;.'.. MAKEiMODEL--.i .::VIN:'.: LICENSE :=_; MILEAGE IN./:OUT.:::;::; ,c TAG::::_
BLUE 04 FORD F150 1FTRF12W14NC58730184197 1.84197 T4653
?'d=DEL'z QATE> PRDO PATE 'WARR:EXPa': ° :.:'.PROM14ED ' ;> PO.NO;. ,:.: RATE::';.; ::;::PAYMENT .`.' !NV DATE
01JAN04 D 17:00 08tHAR1B BxvL 20MAR.18
'r 'ROOP..ENED -- - ;'READ.Y":;':_ . :'. OPTIONS:ENG:4.6 Liter BFI
15:22 08MAR18 11:05 20MAR18
LINE OPCODE TECH TYPE HOURS LIST NET TOTAL
A GUEST STATES REAR DIFFERENTIAL IS MAKING A LOT OF NOISE WHILE DRIVING
CHECK & ADVISE
RSM OWNER INSPECTION
2139 CFL 1078.00 1078.00
1 CL5Z*4209*A GEAR AND PINION ASY - DRIVING 406.42 365.78 365.76
2 D9AZ*4222*A CUP 18.90 17. 01 34.02
2 XW4Z*4221*AA BEARING ASY - BALL 27.53 24.78 49.56
2 D9AZ*4067*P SHIM - DIFFERENTIAL DRIVING GR 32 .02 28 .82 57.64
2 D9AZ*4067*Y SHIM - DIFFERENTIAL DRIVING GR 30.24 27.22 54.44
2 5L3Z*1225*AA BEARING ASY - ROLLER 79.75 71.77 143 .54
2 5L3Z*15177*AB SEAL 14 .07 12.66 25.32
1 DL3Z*4851*A FLANGE 80.85 72.76 72 .76
1 3C3Z*4663*AA SHIM - DRIVING PINION 37.32 33 .59 33 .59
1 XY*75Wl40*QL OIL - REAR AXLE 23.37 21.03 21.03
1 TA*29* SEALANT - SILICONE 25.64 23 .08 23 .08
1 F4TZ*4033*A COVER 34.92 31.43 31.43
, , , ,184197 NVH DIAG AND REPAIR 9.80 PERFORM NVH DIAG--NOISE IS FROM
, , , ,REAR REAR AXLE AND NOT CARRIER BEARING--PINION BEARING PRELOAD
, , , ,INCORRECT--TEARDOWN AND REPLACE RING AND PINION AND ALL SEALS AND
, , , ,GASKETS--RESET PRELOAD AND BACKLASH--REPLACE COMPANION FLANGE DUE TO
, , , ,WEAR RING--REPLACE REAR COVER DUE TO PIN HOLE LEAK--REDRIVE NOW OK
****************************************************
B PERFORM MULTI-POINT INSPECTION
99PF MULTI POINT FLEET VEHICLE
2139 CP 0. 00 0.00
, , , ,184197 MPI--ABS LITE ON PERFORM MPI--ABS AND RED BRAKE LITE ON WHEN
, , , ,BROUGHT IN--C1296--C1297
CUSTOMER PAY SHOP SUPPLIES FOR REPAIR ORDER 35.47
3177332853
ON BEHALF OF SERVICING DEALER, I HEREBY CERTIFY THAT THE oISCLAIMEROFWARRANTIES DESCRIPTION TOTALS
ANDLIMITA71ONSOFLIADIUTY
INFORMATION CONTAINED HEREON IS ACCURATE UNLESS OTHERWISE The r nmT wwwy,if.m.i.uw-1y---q LABOR AMOUNT
SHOWN. SERVICES DESCRIBEDWERE PERFORMEDAT NO CHARGE TO whh-1 m 1hi.a$-- SELLER MAKES NO
OWNER,THERE WAS NO INDICATION FROM THE APPEARANCE OF THE WARRANTY WHATSOEVER ANO EXPRESSLY PARTS AMOUNT
DISCLAIVEHICLE OR OTHERWISE.THAT ANY PART REPAIRED OR REPLACED EXMSSS ALL WARRANTIES DCLU CURER
UNDER THIS CLAIM HAD BEEN CONNECTED IN ANY WAY WITH ANY so wAk rtyOF uEclwrtnai My GAS,OIL,LUBE
ACCIDENT, NEGLIGENCE OR MISUSE. RECORDS SUPPORTING THIS OR FrmESS FOR A PAR=ULAR PURPOSE. SUBLETAMOUNT
CLAIM ARE AVAILABLE FOR(1) YEAR FROM THE DATE OF PAYMENT SEUX-MAXIMUM LIARIL-Y'EREUNOER MISC.CHARGES
NOTIFICATION AT THE SERVICING DEALER FOR INSPECTION BY Is LIM111D TO TILE(MOINAL SALES PRICE
MANUFACTURER'S REPRESENTATIVE. AND SELLER SHALL HAVE NO LIABILNY TOTALCHARGES
FOR ANY INCIDENTAL OR CONSEQUENTIAL
DAMAGES POR LOST SALES,LOST PROFITS, LESS INSURANCE
aiRRUES TO PERSONS OR PROPERTY OR
Onum[NAMES OR OAMAOES. SALES TAX
(SIGNED) DEALER,GENERAL MANAGER OR AUTHORIZED PERSON (DATE) CUSTOMER SIGNATURE PLEASE PAY
THIS AMOUNT
CUSTOMER COPY
�m1COK CIaeaL LLL EYFSlRVCT/Rf[IiCE•liS�•9�E0•IWDIR6
3178731181 08:31:59 06-12-2018 2/2
Dealer No:06761
14470
Invoice No: 331231 Pearson Ford,Inc.
Header 10650 North Michigan Road
Zionsville,IN 46077
CITY OF CARMEL INVOICE 3hY WWW
00000 PAGE 2 www.mylndyford.com
CARMEL, IN 46032 PARTS&SERVICE HOURS
Monday-Friday
Rome: Email: 7:00 am-6:00 pm
Bus:
SERVICE ADVISOR: 2R92 ROT)RRTr!K RHA
s>�QOLOW,: YEAR: MPIKE7MOOEL::.s<:.;:.. :... VIN:: :.LICENSEE. ; ::.MILEAGE:IN/OUT_ TAG
BLUE 04 FORD F150 1FTRF12W14NC58730 1 184197/184197 T4693
dEL;<DATE_a=: P..ROQ�:UATE::INARRrEXP;:''
O1 ;
-:'PROMISED:' .:.:.:'<s_'..: _ PO.NO. -RATE.'.-.:;. -cQAYAQENT INV:`QATE .`.
JAN04 D 17:00 DBMAR1e BILL 20MAR1B
_ :`R;O OPENED'=`.`:.:. _READY' 7!7 OPTIONS:ENG;9,fi Liter EFI
15:22 OSMAR18 111: 05 20MAI
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
ITIS QUICK, EASY AND AVAILABLE 24 HOURS A DAY
*********************************************
DISCLAIhmLDP WARBANTMS
ON BEHALF OF SERVICING DEALER, I HEREBY CERTIFY THAT THE AND LIMUATIONSOFUABILrY -DESORIPTION TOTALS.
INFORMATION CONTAINED HEREONIS ACCURATE UNLESS OTHERWISE The[teary wmu4,ir-y.M#ate owy w--q LABOR AMOUNT
SHOWN,SERVICES DESCRIBEDWEREPERFORMEDAT NO CHARGE TO wi*mM1 m Na u1L SELLER MAKES NO —1078.00
OWNER.THERE WAS NO INDICATION FROM THE APPEARANCE OF THE WARRANTY WHATSOEVER AND EXPRESSLY PARTS AMOUNT 912 -19
VEHICLE OR OTHERWISE,THAT ANY PART REPAIREDOR REPLACED DISCLAIMS ALL WARRAMMS ELPIEt
EXPRESS DR MMPLIm, MCLUOUHO ANY GAS,OIL,LUBE
UNDER THIS CLAIM HAD BEEN CONNECTED IN ANY WAY WITH ANY IMPLIED WAARMM OF L9".RCHANrARILIrY
ACCIDENT, NEGLIGENCE OR MISUSE. RECORDS SUPPORTING THIS OR FITNESS FOR A PARTICULAR F R LOSE. SUBLET AMOUNT n nn
CLAIM ARE AVAILABLE FOR(1) YEAR FROM THE DATE OF PAYMENT SELLER'S MAXIMUMUADR.rrYHEREUNOER MISC.CHARGES
NOTIFICATION AT THE SERVICING DEALER FOR INSPECTION 13Y 15 LumEG To THE ORIGINAL SALES PRICE .39 -47
MANUFACTURER'S REPRESENTATIVE. AND SELLER SHALL HAVE NO LIABILRY TOTAL CHARGES
FOR ANY INCIDENTAL.OR COHSEQUEMMAL
DAMAGES FOR LOST SALES,LOST PROWS, LESS INSURANCE
RUMMIES TO PERSONS OR PROPERTY OR on
OTLLFR INJURIES ORDALIAOM SALES TAX
(SIGNED) DEALER,GENERAL MANAGER OR AUTHORIZED PERSON (DATE) CUSTOMER SIGNATURE
-PLEASE PAY
THIS AMOUNT
CUSTOMER COPY
CVMM2014C0RG1-ftLUC EMFSERVICE NV=-1SRC-OB=-1MAG1N3
i ut..4�rrti
�/ CITY OF CARMEL, INDIANA VENDOR: 368918
jg ONE CIVIC SQUARE PENN CARE INC. CHECK AMOUNT: $*****2,846.70*
9� �_�: CARMEL, INDIANA 46032 1317 NORTH ROAD CHECK NUMBER: 326824
y,��oN��. NILES OH 44446 CHECK DATE: 06/29/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
102 4239011 M17890 2,846.70 SPECIAL DEPT SUPPLIES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 368918 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PENN CARE INC. IN SUM OF$ CITY OF CARMEL
1317 NORTH ROAD 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.
NILES, OH 44446
Payee
$2,846.70
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
M17890 42-390.11 $2,846.70 1 hereby certify that the attached invoice(s),or 6/20/18 M17890 $2,846.70
1120 102 1120 102
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,June 20,2018
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
1317 North Road Invoice #M17890
�0 rc Niles, OH 44446
(800)392-7233
Many.Needs....One Solution sales@penncare.net
Bill To: Ship To: Order M M17890
Carmel Fire Dept. Carmel Fire Dept. PO: 06182018
Attn:Andrew Young Attn:Andrew Young Internet Order#: 116055
2 Civic Square 2 Civic Square Terms: Net 30
Carmel, IN 46032 Carmel , IN 46032 Order Date: 6/18/2018
Invoice Date: 6/18/2018
Ship Via: FedEx
• -
01-11349 NRB Mask, Hudson Safety Vent Adult 1.10 50 each 55.00
01-3720L CPAP, Flow-Safe II EZ Deluxe Large 69.70 10 each 697.00
Deluxe Mask& EZflow MAX Nebulizer
04-03751 Recording Paper, Lifepak 11 & 12& 3.95 36 each 142.20
15 Paper
02-02135 IV Catheter, Introcan Safety 20g x 1.90 200 each 380.00
1.25"
02-02134 IV Catheter, Introcan Safety 18g x 1.90 200 each 380.00
1.25"
02-35838 IV Tubing,Amsino Extension Set, 8" 1.10 200 each , 220.00
Needleless Only
07-02390 Cold Pack, Instant 6"X 9", 24/box 18.00 4 box/24 72.00
07-05422 Gauze, 3M Coban Self Adherent Wrap 2.10 15 each 31.50
2"x 5 Yards,Tan
02-04986 IV Tubing,Amsino Standard IV Set, 60 2.50 10 each 25.00
Drop Needleless 83"
03-350428P Smart CapnoLine with 02 Tubing 17.00 25 each 425.00
Sampling Line, pediatric
03-350422A Smart CapnoLine Plus 02 Tubing, 15.00 25 each 375.00
Adult/intermediate Sampling Line
01-1265A BVM, AirFlow with Mask, Reservoir 02 22.00 2 each 44.00
Bag, Manometer, Exhalation Filter
Tracking # 1Z4760180398932038 Subtotal $2,846.70
Shipping $0.00
Total $2,846.70
Payments/Credits
A
Page 1 of Printed: 6/18/2018 at 11:04:30 AM