182569 02/17/2010 a CITY OF CARMEL, INDIANA VENDOR: 305700 Page 1 of 1
ONE CIVIC SQUARE TOM WOOD FORD INC
CHECK AMOUNT: $511.00
CARMEL, INDIANA 46032 3130E 96TH ST
INDPLS IN 46240 CHECK NUMBER: 182569
CHECK DATE: 2/17/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4351000 23123 FOCS246224 511.00 REPAIRS
0 Off U 0 Z::� PAR SERVICE
3130 E. 96th Street a Indianapolis, Ind. 46240
(800) 423 -4646 o (317) 846 -4241
CUST NUMBER ADVISOR TAG NO, INVOICE DATE INVOICE NO,
1 38195 ADAM FRANKS 737 3392 01/29/10 FOCS246224
LICENSE NO. ODOMETER COLOR STOCK NO.
CARMEL CLAY PARKS DEPARTMENT
73,763 WHITE/
1411 E 116TH ST YEAR I MAKE I MODEL DELIVERY DATE DELIVERY ODOMETER
CARMEL, IN 46032 -7611 04 /FORD TRUCK /F -150 HERITAGE /SUPERCA
VIN SELLING DEALER NO. MANUFACTURED DATE
2 F T R x 1 8 W 3 4 C A 7 9 1 2 9
F T E. NO. F',O. NO. R.O. DATE
0031201550 -020 01/18/10
HOME PHONE BUSINESS PHONE INSTRUCTIONS
317- 848 -7275 571 -4144 MO: 73766
TOTALS
Disclaimer of Warranties Any warranties on
TOTAL LABOR...: 425.00 the products sold hereby are those made by
the manufacturer. The Seller, TOM WOOD
TOTAL PARTS.... 56.00 FORD, Inc. hereby expressly disclaims all
CASH CHECK CK NO. TOTAL SUBLET... 0.00 warranties, either express or implied, including
TOTAL G.O. G.... 0.00 any implied warranty of merchantability or
VISA MASTERCARD TOTAL MISC CHG. 30.00 fitness for a particular purpose. TOM WOOD
TOTAL MISC DISC 0.00 FORD, Inc., neither assumes nor authorizes
OTHER CHARGE TOTAL TAX...... 0.00 any other person to assume for it any liability
in connection with the sale of said products.
TOTAL INVOICE 511.00 1 hereby agree to pay Tom Wood Ford
attorney's fees if collection hereof becomes
THANK YOU FOR YOUR BUSINESS!! necessary.
Not responsible for car or contents in case of
fire or theft or freezing or any other cause.
Storage will be charged 48 hours after repairs
CUSTOMER SIGNATURE are completed.
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Purchase
Description
P.O.# Qtz PorE
F E B G 3 2010 G -L
Budget
Line Descr
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Approval Date d �(2
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a PAGE 2 OF 2 CUSTOMER COPY END OF INVOICE 12:60pm
TWF -4020
PARTS& SERVICE
3130 E. 96th Street Indianapolis, Ind. 46240
(800) 423 -4646 (317) 846 -4241
l7lat -M)
DUST. NUMBER 138195 ADVISOR FRANKS 737 TAG NO. 3392 01/29/10 INVOICE
LICFNSE NO. ODOMETER COLOR STOCK NO
CARMEL CLAY PARKS DEPARTMENT 1 73,763 WHITE/
1411 E 116TH ST YEAR I MAKE I MCOEL DELIVERY DATE DELIVERY ODOMETER
CARMEL, IN 46032 -7611 04 /FORD TRUCK /F -150 HERITAGE /SUPERCA
VIN SELLING DEALER NO. MANUFACTURED DATE
2 F T R X 1 8 w 3 4 C A 7 9 1 2 9
F.TF0031201550 -020 Ro.NO. 01j8/10
"M148-7275 B;.I 'YYSTfA INSTRUCTIONS MCI: 73766
Disclaimer of Warranties Any warranties on
LABOR the products sold hereby are those made by
J# 1 IOFOZ DRIVEABILITY TECH(S):997353 425.00 the manufacturer. The Seller, TOM WOOD
CUSTOMER STATES THAT THE VEHICLE MISSES OUT AND HESITATES FORD, Inc. hereby expressly disclaims all
ON ACCEL AT TIMES. CHECK' AND ADVISE. SEE ATTATCHED COPY warranties, either express or implied, including
OF DIAGNOSES FROM ANOTHER FACILITY any implied warranty u merchantability or
fitness for a particular purpose. TOM WOOD
FOUND THAT #2 VALVE SPRING IS BROKEN FORD, Inc., neither assumes nor authorizes
NEC TO REMOVE THE VALVE COVER GASKET AND REPLACE THE any other person to assume for it any liability
#2 VALVE SPRING. in connection with the sale of said products.
I hereby agree to pay Tom Wood Ford
PARTS QTY•• FP-NUMBER DESCRIPTION LIST PRICE -UNIT PRICE attorney's fees if collection hereof becomes
1 2C2Z- 6584 -AA GASKET VAL 44.30 44.30 44.30 necessary.
1 XL3Z -6513 •AA SPRING VAL 11.70 11.70 11.70 Not responsible for caror contents in case of
TOTAL PARTS 56.00 fire or theft or freezing or any other,cause.
Storage will be charged 48 hours after repairs
JOB# 1 TOTALS are completed.
LABOR 425.00
PARTS 56.00
JOB# 1 JOURNAL PREFIX FOCS JOB# 1 TOTAL 481.00
JOB# 2 CHARGES
LABOR X
J# 2 99FOZ250P MULTI =POINT 99+ TECH(S):997353 0.00
CUSTOMER REQUESTING MULTI -POINT INSPECTION AND
SHEET PUT .IN CUSTOMERS VEHICLE.
MAINTENANCE SERVICE
PERFORM MAINTENANCE MULTI -POINT INSPECTION
JOB# 2 TOTALS
JOB# 2 JOURNAL PREFIX FOCS JOB# 2 TOTAL 0.00
MISC CODE DESCRIPTION CONTROL NO
JOB A Al SHOP SUPPLIES 30.00
TOTAL MISC 30.00
0
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Q PAGE 1 OF 2 CUSTOMER COPY [CONTINUED ON NEXT PAGE] 12:50pm
TW F -4020
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
Payee
Purchase Order No,
305700 Tom Wood Ford Terms
3130 E 96th Street
Indianapolis, IN 46240
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
1129110 FOCS246224 Replace valvespring P01 23123 F 511.00
Total 511,00
1 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_
Clerk- Treasurer
Voucher No. Warrant No.
305700 Tom Wood Ford Allowed 20
3130 E 96th Street
Indianapolis, IN 46240
In Sum of
511.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
23123 F FOCS246224 511.00 1 hereby certify that the attached invoice(s), or
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
11 -Feb 2010
Signature
511.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund