188308 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 00352042 Page 1 of 9
ONE CIVIC SQUARE DON HINDS FORD
CARMEL, INDIANA 46032 12610 FORD DRIVE CHECK AMOUNT: $885.22
FISHERS IN 46038 CHECK NUMBER: 188308
CHECK DATE: 81312010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 S12217 188626 822.95 TIRES
651 5023990 293550 62.27 TRANSPORTATION EXPENS
CUSTOMER. :..CA2634 1 8 8 6 2 6
CITY OF CARMEL WASTEWATER UTILITIES INVOICE
JOE FAUCETT 12610 Ford Drive Fishers, IN 46038
9609 HAZZELDALE PKWY Phone (317) 849 -9000 Fax (317) 849 -0020
INDIANAPOLIS IN 46280 PAGE '2 1- 800- 64HINDS (1- 800 644 -4637)
HOME: CONT N/A www.donhinds.com
BUS: 317- 571 -2634 CELL:317- 716 -3905 SERVICE ADVISOR: 7563 CHUCK CALLAHAN
COLOR YEAR MAKE /NIO:DEL UIN LICENSE: MILEAGE
07 FORD F150 PKUP 1FTRX14W47FB28885 50793/50793 502G
DEL PROD DATE .1NARR EXP... PRpMISED PO N0 RATE PAYMENT; INV DATE
01JAN07 DEJ 17:00._14JUL10 512217 0 O CHG 15JUL10
R 0:` OPENE
READY; OPTIONS: W- COMP:G DLR:47J034 ENG:4.6 Liter SOHO
D
16:25 14JUL10 14:10 15JUL10
LINE OPCODE.TECH'TYPE HOURS LIST NET TOTAL
GBK BRAKE LINING WEAR CHECKED. BRAKES WEARING OK
AT THIS TIME
8333.GRIFFIN,DENNIS E LIC DENNIS
CPK 0.00 0.00
50793 INSPECTION .GBATT /GTIRE /GBK
F JUL 16 2010
BY
OUR NIGHT OWL DROP BOX, LOCATED AT THE DISCLAIMER OF WARRANTIES DESCRIPTION TOTALS
ANY WARRANTY ON THE PRODUCTS
SERVICE. ENTRANCE, IS AVAILABLE DURING SOLD HEREBY ARE THOSE MADE BY LABOR AMOUNT 142.95
THE MANUFACTURER. THE SELLER, PARTS AMOUNT p
68
NON BUSINESS HOURS. DON HINDS FORD, INC., HEREBY 0.00
EXPRESSLY DISCLAIMS ALL LURE OIL,
SERVICE HOURS: MON FRI 7:30 AM 5:30 PM WARRANTIES, EITHER EXPRESSED OR GAS, 0.00
IMPLIED, INCLUDING ANY IMPLIED SUBLET AMOUNT Q
SAT 7:30 AM 3:30 PM WARRANTY OF MERCHANTABILITY OR
FITNESS FORA PARTICULAR PURPOSE, MISC. CHARGES 0 QO
AND DON HINDS FORD, INC. NEITHER
ASSUMES NOR AUTHORIZES ANY TOTAL CHARGES 822 .95
OTHER PERSON TO ASSUME FOR IT
ANY LIABILITY IN CONNECTION WITH LESS DEDUCTIONS 0 .00
THE SALE OF SAID PRODUCTS.
SALES TAX O OO
CUSTOMER SIGNATURE PLEASE PAY
THIS AMOUNT 822 g;5
CUSTOMER COPY
CUSTOMER CA2634 1 8 8 6 2 6
CITY OF CARMEL WASTEWATER UTILITIES INVOICE
JOE FAUCETT 12610 Ford Drive Fishers, IN 46038
9609 HAZZELDALE PKWY Phone (317) 849 -9000 Fax (317) 849 -0020
INDIANAPOLIS IN 46280 PAGE 1 1- 800- 64HINDS (1 -800- 644 -4637)
HOME: CONT N/A www.donhinds.com
BUS: 317 571 =2634 CELL:317- 716 =3905 SERVICE ADVISOR: 7563 CHUCK CALLAHAN
COLOR YEAR MAKE /MODEL U1N' LICENSE MILEAGE IN /:OUT TAG:
0 —FORD F150 PKUP 1FTRX14W47FB28885 1 50793 50793 T502G
"DEL DATE.:: PROD DATE WARR PROMISED PQ NO RATE P 4YMENT; INb .DATE
01JAN07 DQ 17:.00 14JUL10 512217 0.00 CHG 15JUL10
RO:OPEN.E.D READY: OPTIONS: W— COMP:G DLR:47J034 ENG:4.6 Liter SOHO
16:25 14JUL10 14:10 15JUL10
LINE OPCODE TECH TYPE HOURS LIST NET TOTAL
A *REPLACE 4 TIRES
WT104 DISMOUNT, MOUNT AND BALANCE FOUR TIRES
8333 GRIFFIN,DENNIS E -LIC DENNIS
CTIRE 60.00 60.00
4.9004 *17502*
P235/75R17-b 187.95 170.00 680.00
WD4 4 TIRES -WHEEL WEIGHTS AND-DISPOSAL FEE
9999CTIRE 8.00 8.00
50793 REPLACED.4 TIRES.
B REINSTALL SPARE
NC NO CHARGE FOR THIS SERVICE
8333 GRIFFIN,DENNIS E LIC DENNIS
CPK 0.00 0.00
50793 REINSTALLED SPARE.
C ALIGN FRONT-END
CH-129-FRONT WHEEL ALIGNMENT.
8333 GRIFFIN,DENNIS E LIC DENNIS
CPC 74.95 74.95
50793 ALIGN FRONT END.
D MULTI.POINT INSPECTION.
99P PERFORM QOM MULTI -POINT
INSPECTION
8333 GRIFFIN,DENNIS E LIC DENNIS
CPK 0.00 0.00
GBATT BATTERY TEST. CRANK AMPS'ARE FINE. NO
PROBLEM FOUND.
8333 GRIFFIN,DENNIS E LIC DENNIS
CPK 0.00 0.00
GTIRE CHECK TREAD DEPTH. TREAD IS WEARING
PROPERLY AT THIS TIME.
8333 GRIFFIN,DENNIS E LIC DENNIS
CPK 0.00 0.00
OUR NIGHT OWL DROP BOX, LOCATED AT THE DISCLAIMER OF WARRANTIES ANY TOTALS
SERVICE ENTRANCE, IS AVAILABLE DURING ANY WARRANTY ON THE PRODUCTS
SOLD HEREBY ARE THOSE MADE BV LABOR AMOUNT
THE MANUFACTURER. THE SELLER,
NON- BUSINESS HOURS. DON HINDS FORD, INC., HEREBY PARTS AMOUNT
SERVICE HOURS: MON FRI 7:30 AM 5:30 PM EXPRESSLY DISCLAIMS ALL GAS, OIL, LUBE
WARRANTIES, EITHER EXPRESSED OR
IMPLIED, INCLUDING ANY IMPLIED SUBLET AMOUNT
SAT 7:30 AM 3:30 PM WARRANTY OF MERCHANTABILITY OR
FITNESS FOR A PARTICULAR PURPOSE, MISC. CHARGES
AND DON HINDS FORD, INC. NEITHER
ASSUMES NOR AUTHORIZES ANY TOTAL CHARGES
OTHER PERSON TO ASSUME FOR IT
ANY LIABILITY IN CONNECTION WITH LESS DEDUCTIONS
THE SALE OF SAID PRODUCTS. SALES TAX
CUSTOMER SIGNATURE PLEASE PAY
THIS AMOUNT
CUSTOMER COPY
A
12610 Ford Drive Fishers, IN 46038
Phone (317) 849 -9000 Fax (317) 813 -1306
Parts Direct (317) 813 -1301
www.donhinds.com
ALL RETURNED PARTS MUST BE RECEIVED WITHIN 30 DAYS, BE IN THE ORIGINAL PACKAGE, AND ACCOMPANIED BY THIS INVOICE. WE ARE NOT
ALLOWED TO ACCEPT RETURNS ON ELECTRICAL OR SPECIAL ORDER PARTS. PLEASE PREPAY WHEN ORDERING SPECIAL ORDER PARTS.
DATE ENTERED YOUR ORDER NO. DATE SHIPPED INVOICE DATE INVOICE
6 JUL 10 I JF TK -116 6 JUL 10 1 26 JUL 10 NUMBER 293550
o ACCOUNT NO. CA2634 H PAGE 1 OF 1
L I
D P
CITY OF CARMEL WASTEWATER UTIL
o FAUCETT,JOE o
9609 HAZZELDALE PKWY
INDIANAPOLIS IN 46280
3833 CHARGE FISHERS IN
�ANnr PART NO
.OPO $HIG 8
b.. 3Z *144:89 *BA PARTS HOURS
CONNECTOR 35 67.. 25 2`5 6;$ Mon -Fri
0 U2Z *14S411 *JXB WIRE ASY 50.82 36.59 36.59 7 :30 -5:30
art number 3U2Z *14S 11* replac s 3U2Z *14
X.
8.00 3.00
SERVICE HOURS
Fri
7.30 5.30
Saturday
8:00 3:00
4.
E
CASHIER CLOS S
Mon Fri
JUL 2 7 2010 AT 5:30
AT 3.00
ay
BODY SHOP
?`2 8.00 5 00
PARTS 62
SUBLET
FREIGHT 0.00
SALES TAX 0.00
CUSTOMER'S SIGNATURE
1300 x 62.27
_...._.TOTAL::......
DISCLAIMERS OF WARRANTIES
Any warranties on the product sold hereby are those made by the manufacturer. The seller hereby expressly disclaims all warranties, either expressed or implied, including
any implied warranty of merchantability or fitness for a particular purpose, and the seller neither assumes nor authorizes any other person to assume for it any liability in
connection with the sale of said products. CUSTOMER COPY
VOUCHER 105929 WARRANT ALLOWED
00352042 IN SUM OF
DON HINDS FORD
12610 FORD DRIVE
FISHERS, IN 46038
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
293550 01- 7502 -06 $62.27
82 ?.q5
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts .City Form No. 201 (Rev 19,95)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee.
00352042
DON HINDS FORD Purchase Order No.
12610 FORD DRIVE Terms
FISHERS, IN 46038 Due Date 7/28/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/28/2010 293550 $62.27
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
Date Officer