185449 05/11/2010 CITY OF CARMEL, INDIANA VENDOR: 305700 Page 1 of 1
ONE CIVIC SQUARE TOM WOOD FORD INC CHECK AMOUNT: $650.57
CARMEL, INDIANA 46032 4150 E 96TH ST
INDPLS IN 46240 CHECK NUMBER: 185449
CHECK DATE: 5/11/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4351000 FONS251181 650.57 AUTO REPAIR MAINTEN
GENUINE
a 4 i U O® PARTS SERVICE
3130 E. 96th Street Indianapolis, Ind. 46240
(800) 423 -4646 (317) 846 -4241
SUST. NUMBER 108036 A D V ISOR HTLLIP CALDWELL' 7203 T' 1463 04/28/10 FONS251818
LICENSE NO. ODOMETER65 507 OX COLO HT CLRC STOCK Wo8
CITY OF CARMEL SEWER DEPT.
1 CIVIC Sit YEAR I MAKE( MODEL DELIVERY DATE DELIVERY ODOMETER
CARMEL, IN 46032 -2584 06 /FORD TRUCK /ESCAPE /4DR 4WD HYBRID 08/17/05 9
VIN SELLING DEALER NO. MANUFACTURED DATE
1 F M C U 9 6 H 5 6 K A 2 6 0 8 6 100
F.TE0031201550 -020 P.D,NO. 04726/10
H P ON BUSINESS PHONE INSTRUCTIONS
71 -2645 M0: 65507
ORIG DEL DATE U8/1//05 R
Disclaimer of Warranties Any warranties on
JOB# 1 CHARGES
the products sold hereby are those made by
LABOR- t e In ma h ezp essay d WOOD
*4 ri X467':81
warranties, either express or F exp ressly OM 9
J# 147FOZ ;,;AXLE' /DIFFEREN,TIAL BRA E TE,CH(S)' :'997151
ABS LIGHT STAYS ON AND THE "4X4 AND i mplied, includin
KSYSTEM" any implied warranty of merchantability or
WARNING MESSAGE FLASH CONTANTLY WHEN DRIVING, ALSO IT fitness for a particular purpose. TO WOOD
SEEMS TO BE EFFECTING BRAKE APPLICATION FORD, Inc., neither assumes nor authorizes
ABS /HYBRID DIAGNOSIS, REPLACE ABS TONE RING. REPLACE any other person to assume for it any liability
FRONT BRAKE PADS. MACHINE ROTORS 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 7L8Z- 20182 -8 RING ABS S 37.31 37.31 37.31 necessary.
1 8M6Z- 2001 -A KIT BRAKE 83. -30 83.30 83.30 Not responsible for car or contents in case of
TOTAL PARTS 120.61 fire or theft or freezing or any other Cause.
Storage will be charged 48 hours after repairs
JOB# I TOTALS are completed.
LABOR 467.81
;PARTS 120.61
JOB# 1 JOURNAL PREFIX FONS JOB# 1 TOTAL 588.42
JOB# 2 CHARGES
LABOR X
J# 2 +OOFOZDLOE *ENGIIVE,.OIL ;F-ILTER .TECH(SY:- 997151 1.L. 14': -60
Added Operation (8PHILC 04/26/2010 16:04)
CUSTOMER REQUESTS ENGINE OIL AND FILTER CHANGE. CHASSIS
LUBRICATION. CHECK AND TOP OFF FLUIDS, CHECK AND ADJUST TIRE
PRESSURES,
RFPLaCED.ENGINE 011- .FILTER ENGINE OIL.
PARTS QTY -FP- NUMBER DESCRIPTION -LIST PRICE -UNIT PRICE
°a 1 FL- 2017 -B FILTER ASY 5.95 5.95 •5.95
w 6 OIL 1.60 1.60 9.60
TOTAL PARTS 15.55
MISC CODE DESCRIPTION•------------ C.ONTROL NO
EF ENVIRONMENTAL FEE 2.00
TOTAL.- MISC 2.00
JOB# 2 TOTALS
LABOR' 14.60
PARTS 15.55
MISC 2.00
z
w JOB# 2 JOURNAL PREFIX FONS JOB# .2 TOTAL 32.15
JOB# 3 CHARGES
0
LABOR
J# 3 +02FOZGTIRE GREEN, T.IRES TECH(S "'80 0;00,
Added Operation (8AFRANKS 04/28/2010 05:58)
TIRES CHECKED OK -ATW INSPECTION
TIRES OK
Ji GREEN (OK) TIRE INSPECTION
D
Q PAGE 1 OF 2 CUSTOMER COPY [CONTINUED ON NEXT PAGE] 05:59am
TWF -4020
N GENUINE
r 0 h ow 430 Q PARTS SERVICE
s
3130 E. 96th Street Indianapolis, Ind. 46240
(800).423-4646 (317) 846 -4241
r- www.tomwoodfbr—d--co
CUST. NUMBER ADVISOR TAO NO, INVOIC DATE INVOICE N
108036 HILLIP CALDWELL 7203 1463 04)8/ 10 FONS551818
LICENSE NO. ODOMETER COLOR STOC
CITY OF CARMEL SEWER DEPT. 65, 507 OX WHT CLRC KA�'086
1 CIVIC SQ YEAR I MAKE I MODEL DELIVERY DATE DELIVERY ODOMETER
CARMEL, IN 46032 -2584 06 /FORD TRUCK /ESCAPE /4DR 4WD HYBRID 08/1705 9
VIN SELLING DEALER NO. MANUFACTURED DATE
1 F M C U 9 6 H 5 6 K A 2 6 0 8 6 100
F. T. E, NO P O. NO DA F
0031201550 -020 6 /Y6/10
H T1 P 71 -2645 BUSINESS PHONE INSTRUCTIONS MO: 65507
J
Disclaimer of Warranties Any warranties on
JOB# 3 JOURNAL PREFIX FONS JOB# 3 TOTAL 0.00 the products sold hereby are those made by
JOB# 4 CHARGES" the manufacturer. The Seller, TOM WOOD
FORD, Inc. hereby expressly disclaims all
warranties, either express or implied, including
LABOR' 4 any implied warranty of merchantability or
J# 4 +02FOZGBATT' ;GREEN`EBATTERY ?w TECH (S):80 ,.0'':00 fitness for a particular purpose. TOM WOOD
Added Operation (8AFRANKS 04/28/2010 05:58) FORD, Inc., neither assumes nor authorizes
BATTERY TEST OK -COLD CRANKING AMPS,TERMINALS CLEAN -OK any other person to assume for it any liability
TEST BATTERY in connection with the sale of said products.
GOOD BATTERY I hereby agree to pay Tom Wood Ford
attorney's fees if collection hereof becomes
JOB# 4 TOTALS necessary.
Not responsible for car or contents in case of
JOB# 4 JOURNAL PREFIX FONS JOB# 4 TOTAL 0.00 fire or theft or freezing or any other cause.
JOB# 5 CHARGES Storage will be charged 48 hours after repairs
are completed.
LABOR- --s
J# 5 +02FOZGBK GREEN `BRAKES f TECH(S);80. x..,0:•00
Added Operation (8AFRANKS 04/28/2010 05:58)
BRAKES CHECK (DISC OVER 5MM,DRUM OVER2MM)
ATW BRAKE CHECK -OK
BRAKES OK
X
JOB# 5 TOTALS
JOB# 5 JOURNAL PREFIX FONS JOB# 5 TOTAL 0.00
MISC CODE DESCRIPTION— CONTROL NO
JOB A Al SHOP SUPPLIES 30.00
TOTAL MISC 30.00
a TOTALS
W
TOTAL LABOR.... 482.41
TOTAL PARTS.... 136.16
CASH C CHECK CK NO. TOTAL SUB.LET... 0.00
TOTAL G.O.G.... 0.00
VISA MASTERCARD TOTAL MISC CHG. 32.00
TOTAL MISC DISC 0.00
I OTHER 7 CHARGE TOTAL TAX...... 0.00
TOTAL INVOICE 650.57
THANK YOU FOR YOUR BUSINESS11
N
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CUSTOMER SIGNATURE
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PAGE 2 OF 2 CUSTOMER COPY END OF INVOICE 05:55am
TWF -4020
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Tom Wood Ford
I IN SUM OF
3130 E. 96th Street
Indianapolis, IN 46240
$650.57
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1192 FONS251181 43- 510.00 $650.57 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
Monday, May 10, 2010
irector, KC S
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 invoices) or bill(s))
04/28/10 FONS251181 ABS Tone Rind, front brake pads, mach. Rotors $650.57
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
Cleric- Treasurer