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Home My WebLink About327024 07/03/18 4�W.k�q�f J! \ CITY OF CARMEL, INDIANA VENDOR: 358818 ® .; ONE CIVIC SQUARE BRENT LIGGETT CHECK AMOUNT: $********53.03 �9� /ate CARMEL, INDIANA 46032 1221 IRONWOOD DRIVE CHECK NUMBER: 327024 M�(TOMl4�, CARMEL IN 46033 CHECK DATE: 07/03/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4351000 FOCS411999 53.03 AUTO REPAIR & MAINTEN VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 358818 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER BRENT LIGGETT IN SUM OF$ CITY OF CARMEL 1221 IRONWOOD 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. CARMEL, IN 46033 Payee $53.03 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Dept of Community Service 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 FOCS411999 43-510.00 $53.03 1 hereby certify that the attached invoice(s),or 6/27/18 FOCS411999 Oil change and tire rotation for F150 Truck $53.03 1192 101 1192 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 Monday,July 02,2018 Mike Hollibaugh 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 TOM W®® ® A GENUINE PARTS & SERVICE FORD 3130 E. 96th Street - Indianapolis, IN 46240 V�V�� C S ) �f/'L� C (800) 423-4646 - (317) 846-4241 l� www.tomwoodford.com CUST.NUMBER ADVISOR TAG NO. INVOICE DATE INVOICE NO. 108036 KIM KASHUBA 7430 652 06/27/18 FOCS411999 LICENSE NO. ODOMETER COLOR STOCK NO. CITY OF CARMEL DEPT OF COMM SERVICE 1 19,278 YEAR/MAKE/MODEL DELIVERY DATE DELIVERY ODOMETER 1 CIVIC SQ 14/FORD TRUCK/F-150/4WD SUPERCAB CARMEL, IN 46032-2584 VIN SELLING DEALER NO. MANUFACTURED DATE 1 F T F X 1 E F 2 E K G 3 5 0 9 4 F.T.E.NO. P.O.NO. R.O.DATE LSTEWART@CARMEL.IN.GOV 0031201550-020 06/20/18 HOME PHONE BUSINESS PHONE INSTRUCTIONS 317-571-2645 1 1 MO: 19279 JOB# 1 CHARGES--------------------------------------------------------------------------------- Disclaimer of Warranties Any warranties on the products sold hereby are those made by LABOR------------------------------------------------------------------------------ the manufacturer. The Seller, TOM WOOD J# 1 51FOZ *BODY ELECTRICAL TECH(S):2429 0.00 FORD, Inc. hereby expressly disclaims all CUST STS THEY BELIEVE THE IGNITION DOESN'T RECOGNIZE THE KEY warranties,either express or implied,including - CUST STS THE VEHICLE WILL INTERMITTENTLY NOT START OR any implied warranty of merchantability or START ON ITS OWN - EVERY TIME VEHICLE DOES NOT START, fitness for a particular purpose.TOM WOOD EVERYTHING ON THE INSIDE IS STILL WORKING - WINDOWS ROLL FORD, Inc., neither assumes nor authorizes DOWN, RADIO, HEAT, ALL OF THAT WORKS JUST FINE. - PLEASE any other person to assume for it any liability ADVISE in connection with the sale of said products. NO WORK DONE I hereby agree to pay Tom Wood Ford attorney's fees if collection hereof becomes necessary. JOB# 1 TOTALS------------------------------------------------------------ Not responsible for car or contents in case of JOB# 1 JOURNAL PREFIX FOCS JOB# 1 TOTAL0.00 fire or theft or freezing or any other cause. Storage will be charged 48 hours after repairs JOB# 2 CHARGES--------------------------------------------------------------------------------- are completed. LABOR----------------------------- - -------------------- ----------------------- J# 2 OOFOZWRKS THE WORKS- ENGINE TECH( ):2429: 23.20 THE WORKS GAS E NE-OIL CHANGE,TIRE ROTATION & ULTI-POINT INSPECTION THE WORKS-GAS ENGINE -OIL CHANGE,TIRE ROTATION & MULTI-POINT INSPECTION X THE WORKS-GAS ENGINE-OIL CHANGE,TIRE ROTATION & MULTI POINT INSPECTION PARTS------QTY---FP-NUMBER---------------DESCRIPTION---------LIST PRICE-UNIT PRICE- 1 FL-500-S FILTER ASY - Y 5.95 5.95 5.95 8 XO-5W20-BSP MOTORCRAFT S Y 2.42 2.42 19.36 TOTAL - PARTS 25.31 JOB# 2 TOTALS------------------------------------------------------------ LABOR 23.20 PARTS 25.31 JOB# 2 JOURNAL PREFIX FOCS JOB# 2 TOTAL 48.51 l� t JOB# 3 CHARGES----------------------------------------------------------------------------- 0 L a-L ( U IL. LABOR---------7--------- -7------------7-7 7---------- -------------------------- J# 3 99FOZ99P MULTI-POINT INSPECT TECH(S):2429 0.00 PERFORM MULTI-POINT INSPECTION. PUT INSPECTION REPORT IN CUSTOMER VEHICLE MAINT SERVICE Z PERFORM MULTI-POINT INSPECTION. n w IN CUSTOMER VEHICLE. lJ` l U _ N JOB# 3 TOTALS-----------7777-----7777-7777---77777777-------------------' u-p JOB# 3 JOURNAL PREFIX FOCS JOB# 3 TOTAL 0.00 a MISC------CODE--------DESCRIPTION-------------------------------CONTROL NO--------- JOB # A Al SHOP SUPPLIES 4.52 TOTAL - MISC 4.52 m _ a PAGE 1 OF 2 CUSTOMER COPY [CONTINUED ON NEXT PAGE] 09:55am TW F-4020 TOM WOOD v GENUINE PARTS S. SERVICE F ® RD 3130 E. 96th Street • Indianapolis, IN 46240 (800) 423-4646 • (317) 846-4241 www.tomwoodford.com CUST.NUMBER ADVISOR TAG NO. INVOICE DATE INVOICE NO. 108036 KIM KASHUBA 7430 652 06/27/18 OCS411999 LICENSE NO. ODOMETER COLOR STOCK NO. CITY OF CARMEL DEPT OF COMM SERVICE 19,278 YEAR/MAKE/MODEL DELIVERY DATE DELIVERY ODOMETER 1 CIVICS Q 14/FORD TRUCK/F-150/4WD SUPERCAB CARMEL, IN 46032-2584 VIN SELLING DEALER NO. MANUFACTURED DATE 1 F T F X 1 E F 2 E K G 3 5 0 9 4 F.T.E.NO. P.O.NO. R.O.DATE LSTEWART@CARMEL.IN.GOV 0031201550-020 06/20/18 HOME PHONE BUSINESS PHONE INSTRUCTIONS 317-571-2645 MO: 19279 COMMENTS---------------------------------------------------------------------------- Disclaimer of Warranties Any warranties on X04NRO5B26:BDC APPT created 2018-06-20 09:25:00am taken by Julia Sh the products sold hereby are those made by irley the manufacturer. The Seller, TOM WOOD FORD, Inc. hereby expressly disclaims all TOTALS------------------------------------------------------------------------------------------ warranties,either express or implied,including any implied warranty of merchantability or ***REQUEST AN INSURANCE QUOTE FROM ONE OF OUR ONSITE AGENTS TOTAL LABOR.... 23.20 fitness for a particular purpose.TOM WOOD YOU MAY DISCOVER SOME GAPS IN COVERAGE OR IDENTIFY SOME TOTAL PARTS.... 25.31 FORD, Inc., neither assumes nor authorizes OPPORTUNITIES FOR SAVINGS! TOTAL SUBLET... 0.00 any other person to assume for it any liability TOTAL G.O.G.... 0.00 in connection with the sale of said products. CALL WOOD GROUP INSURANCE AT 317-805-5509 TOTAL MISC CHG. 4.52 1 hereby agree to pay Tom Wood Ford TOTAL MISC DISC 0.00 attorney's fees if collection hereof becomes TOTAL TAX...... 0Q_ necessary. esponsible for car or contents in case of TOTAL INVOICE $ 53.03 fire O; theft or freezing or any other cause. Stor ge will be charged 48 hours after repairs THANK YOU FOR YOUR BUSINESS! are completed. WE WANT YOU COMPLETELY SATISFIED, NOT VERY SATISFIED. IF YOU ARE NOT "COMPLETELY" SATISFIED, PLEASE CALL MIKE AT TOM WOOD FORD. THERE'S NOTHING WE WON'T DO TO INSURE YOUR HAPPINESS! MIKE L'I � �ei�- I X CUSTOMER SIGNATURE o 16 U Z_ N W U K J O y w U_ 2 a L� , a rn a Q PAGE 2 OF 2 CUSTOMER COPY [ END OF INVOICE ] 09:55am TWF74020 I Tom Wood Ford Account Transaction Results 3130 E 96th St Indianapolis, IN 46240 Phone# 888-714-3830 Status: approved Transaction ID: 030-0068304763 Transaction Details Date: 06-27-201810:00 EDT Transaction Type, sale Amount: $53.03 Card Type: Mastercard Account Number: xxxxxxxx-2788 Authcode: Customer#: 108036 RO #: 411999 Customer Signature X