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184728 04/27/2010 CITY OF CARMEL, INDIANA VENDOR: 00352042 Page 1 of 1 ONE CIVIC SQUARE DON HINDS FORD CHECK AMOUNT: $50,930.00 f CARMEL, INDIANA 46032 12610 FORD DRIVE FISHERS IN 46038 CHECK NUMBER: 184728 CHECK DATE: 4/2712010 DEPARTMENT AC COUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4465001 12761 FIRE 50,930.00 F150 TRUCKS a To Be Ti City' of Carmel Flre Depa'rtr St Tent INVOICE r ock Date' No.:: i 1 4,1512010 AddreSS 1 ClViC Square o.. Mlles ,r� �i, De Wilt State 1 q� �i yip ZI i d xt� Date a Y v G6 t r I,. p i Serlal� Carmel, IN �I 46Q32 ,r yi t .s,- ,t, ,rl �t„ "v:.I �i .rl •,t hf.. .NO i k 1 .F i Teleph ©ne T Home Work r 571 -244 T F. 1 E V A F C Year Make Mode`I� Type Color r Ford��; �a� t 'F150 CrewCa� 4X4 White 2 Purchase I FederaklD #�ii I' r 12761 l ti i�� �r�Prd 60000972'. e.�. Order I „x�'�> rr t� d r I 1 Factory Installed Equipment Insuran Name 1 7��.�j i Price Agents +Name i� ...e I I:a�j;1 ";4 br' t+ Trade In Agents`tiddreSS� AgerifssPhone t u, y: v i Policy I y' a Trading Difference 27 ,96175 Year-!,- Make Model Color 7% Sales Tax r' 111 2 DRS 'I �4 DR Tire Tax of tires 5 1.25 q i n .'.,f i Delivery Cost SerialNo.i� ".''jl� f ,1 1 PI��'ll�, L AIC ;i' 'Auto'C Total Cash Difference 27,965.00 y, Y f t Balance Owed on Used Vehicle 1 4 Total Balance Due 27,965.00 Balance iY, a E r Lein ti i.'i ti� Date Less Cash Rec Owed Holder I �r i< ri 5 ��a a "4 Unpaid Balance of Cash Price 27,965.00 Customer•' ra s i Date; Salesman A roved r I)y r DON HINDS FORD INC. 12610 ford Drive Phone (317) 849 -9000 x1216 Fishers, IN 46038 Toll Free (800) 6444637 x1216 dmeadC@donhindsf©rd.com Direct Phone Fax 317 813 -3216 To Be Titled INVOICE Ctty of Carmell> =Ire Department Date i f stork; ,:4/15/2010` g t d s r t, x i No Addres 1 C a r. `IUIC Square`° t ��i i� j MIIeS D,eI CiWstatet e Y Zip vw I v f i, ti r u Date; .Carmel��IN 46032 I Telephone 571 244�1' 4r a `I 1 F' T 0 .3. 7 Horne Work.': 6.. Year Make Model :'f T..ype -t !`;'a Color 2010 Ford L'' F150 CrewCab i n 4X4 Vllilte Purchase: a I r r Fe'deral I D Qrder 2761 ,j Il 60000972 Factory Installed Equipment Insu�arice Co. Name j Price 27,963.75 Agent'SName tl g. 4ry,n �RIF;'� Trade In 5,000.00 Agents Address.,.. `t A ent's Phone'" Policy 9'. Trading Difference 22, 963.75 Year Make ,Model Color, t -4 d t 7 %Sales Tax 1 i'I a�'� �l v t' 2 �DR� 4 Tire Tax of tires 5 1 1999 ;3 Suburan ^r y Delivery Cost Sepal No: 71 f1 i W Fnf ;Ir,FI rN !.,;A/C Auto° iCyls Total Cash Difference 22,965.00 i K y Mileages C op Balance Owed on Used Vehicle 3 G N G K LL2 61j 1 X` G 2 7 1 Total Balance Due 22,965.00 Balance 1 e o Lein F l Date Less Cash Rec Owed Hold 22,965.00 d Unpaid Balance of Cash Price Salesman:'' v `t Aproved� }i' It,t .Customer,"] ra I��'I i r•� Date DON HINDS FORD INC. 12610 Ford Drive Phone (317) 849 -9000 x1216 Fishers, IN 46038 Toll Free (800) 644 -4637 x1216 dmeadCr"donhlndsford.cam Direct Phone Fax 317 -813 -3216 VOUCHER NO. WARRANT NO. ALLOWED 20 Don Hinds Ford IN SUM OF 12610 Ford Drive Fishers, IN 46038 $50,930.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #(TITLE AMOUNT Board Members 12761 102- 650.01 $22,965.00 1 hereby certify that the attached invoice(s), or 12761 102 650.01 $27,965.00 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 APR 2 6 2010 47 f Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 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. Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 8037 $22,965.00 8038 $27,965.00 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 Clerk- Treasurer