188554 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 305700 Page 1 of 1
ONE CIVIC SQUARE TOM WOOD FORD INC CHECK AMOUNT: $463.19
CARMEL, INDIANA 46032 4150 E 96TH ST
INDPLS IN 46240 CHECK NUMBER: 188554
CHECK DATE: 8/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 330346 96.00 OTHER MISCELLANOUS
1192 4351000 FONS257462 367.19 AUTO REPAIR MAINTEN
GENUINE
AV T O M W PARTS SERVICE
F0RD
3130 E. 96th Street o Indianapolis, IN 46240
(800) 423 -4646 (317) 846 -4241
www.tomwoodford.com
cusT.NUMeER 162 583 PHILLIP CALDWELL 7203 TAGN 821 I 07/29/10 I NVOICE
ON5257462
LICENSE NO. ODOMETER COLOR STOCK NO.
CITY OF CARMEL 1 1 39,172 X WHT CLRC A26088
1 CIVIC SQ YEAR I MAKE I MODEL DELIVERY DATE DELIVERY ODOMETER
06 /FORD TRUCK /ESCAPE /4DR 4WD HYBRID 08/17/05 9
CARMEL IN 46032-2584 VIN SELLING DEALER NO. MANUFACTURED DATE
1 F M C U 9 6 H 9 6 K A 2 6 0 8 8 LOO
E T. E. NO. P.O. NO. R.O. DATE.
0031201550 -020 07/28/10
HOME PHDNE BUSINESS PHONE INSTRUCTIONS
317- 571 -2463 Mo: 39172
ORIG DEL DATE 1 08/17/05 ORIG DEL MILES .1 9
Disclaimer of Warranties Any warranties on
JOB# 1 CHARGES the products sold hereby are those made by
the manufacturer.-The Seller, TOM WOOD
LABOR FORD, Inc. hereby expressly disclaims all
J# 1 41FOZ ABS BRAKES TECH (S)997660 299.88 warranties, either express or implied, including
SERVICE BRAKE SYSTEM AND ABS LIGHTS CAME ON AT SAME TIME any implied warranty of merchantability or
HYBRID /ABS DIAG, REPLACE LF TONE RING fitness fora particular purpose. TOM WOOD
RETEST AND RESET FORD, Inc., neither assumes nor authorizes
any other person to assume for it any liability
PARTS QTY FP NUMBER DESCRIPTION LIST PRICE -UNIT PRICE- in connection with the sale of said products.
1 7L8Z- 2C182 -B RING ABS S 37.31 37.31 37.31 1 hereby agree to pay Toro Wood Ford
TOTAL PARTS 37.31 attorney's fees if collection hereof becomes
necessary.
JOB# 1 TOTALS Not responsible for car or contents in case of
LABOR 299.88 fire or theft or freezing or any other cause.
PARTS 37.31 Storage will be charged 48 hours after repairs
are completed.
JOB# 1 JOURNAL PREFIX FONS JOB# I TOTAL 337.19
JOB# 2 CHARGES
LABOR
J# 2 +02FOZGBATT GREEN> BATTERY TECH(S):80 0.00
Added Operation (8PHILC 07/29/2010 05:56)
BATTERY TEST OK -COLD CRANKING AMPS.TERMINALS.CLEAN -OK
TEST BATTERY
GOOD BATTERY
JOB# 2 TOTALS------
JOB# 2 JOURNAL PREFIX FONS JOB# 2 TOTAL 0.00
JOB# 3 CHARGES--
LABOR
J# 3 +02FOZGBK GREEN BRAKES TECH(S):80 0.00
Added Operation (8PHILC 07/29/2010 05:56)
BRAKES CHECK -OK (DISC OVER 5MM.DRUM OVER2MM)
ATW BRAKE CHECK -OK
BRAKES OK
4
JOB# 3 TOTALS
JOB# 3 JOURNAL PREFIX. -PONS JOB# 3 TOTAL 0.00
M JOB# 4 CHARGES
U
s
LABOR------------------------------------------------------------------------------
J# 4 +02FOZGTIRE GREEN TIRES TECH(S):80 0.00
o Added Operation (8PHILC 07/29/2010 05:57)
TIRES CHECKED OK -ATW INSPECTION'
TIRES OK
GREEN (OK) TIRE INSPECTION
JOB# 4 TOTALS
b JOB# 4 JOURNAL PREFIX FONS JOB 4 TOTAL 0.00
Q
L
a PAGE 7 OF 2 CUSTOMER COPY [CONTINUED ON NEXT PAGE] 05:57am
-TWF -4020
ml ;o 0o
O WD 0 ARTr2 SFE RVIICIE
3130 E. 96th Street a Indianapolis, Ind. 46240
(800) 423 -4646 o (317) 846 -4241
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sx;
CUST NUMBER ADVISOR TAG NO. INVOICE DATE INVOICE NO,
162583 PHILLIP CALDWE.LL 7203 1821 07/29/10 ONS257462 CO LICENSE NO, ODOMETE R39' 172 X CLRC s AL� K b�SH
CITY OF CARMEL
1 CIVIC SQ YEAR l MAKE 1 MODEL DELIVERY DATE DELIVERY ODOMETER
1 CIVIC
IN 46032 -2584 06 /FORD TRUCK /ESCAPE /4DR 4WD HYBRID 08/17/05 9
f VIN SELLING DEALER NO. MANUFACTURED DATE
1 F M C U 9 6 H 9 6 K A 2 6 0 8 8 00
r. 'r E. NO. P.O. NO. B.C. ATE
0031201550 -020 07/28/10
HOME PHONE BUSINESS PHONE INSTRUCTIONS
317 -571 -2463 MO: 39172
JOB# 5 CHARGES
Disclaimer of Warranties Any warranties on
the products sold hereby are those made by
LABOR the manufacturer. The Seller, TOM WOOD
J# 5 +99FOZ99P MULTI-POINT TECH (S):80 0.00 FORD, Inc. hereby expressly disclaims all
Added Operation (8PHILC 07/29/2010 05:57) warranties, either express or implied, including
CUSTOMER REQUEST MULTI -POINT INSPECTION: FILL any implied warranty of merchantability or
OUT COMPLETED INSPECTION SHEET. (99P) fitness for a particular purpose. TOM WOOD
MAINTENANCE SERVICE. FORD, Inc., neither assumes nor authorizes
PERFORM INSPECTION MULTI POINT, FILL OUT SHEET any other person to assume for it any liability
PUT IN CUSTOMER VEHICLE in connection with the sale of said products.
I hereby agree to pay Tom Wood Ford
JOB# 5 TOTALS attorney's fees if collection hereof becomes
necessary.
JOB# 5 JOURNAL PREFIX FONS JOB# 5 TOTAL 0.00 Not responsible for car or contents in case of
fire or theft or freezing or any other cause.
MISC CODE DESCRIPTION CONTROL NO--- Storage will be charged 48 hours after repairs
JOB A Al SHOP SUPPLIES 30.00 are completed. r
TOTAL MISC 30.00
COMMENTS--------
WORK OK BY LISA STEWARD 7 -28
TOTALS--
X
TOTAL LABOR.... 299.88
TOTAL PARTS.... 37.31
I CASH I CHECK CK NO. TOTAL SUBLET... 0.00
TOTAL G.O.G.... 0.00
VISA E I MASTERCARD TOTAL MISC CHG. 30.00
TOTAL MISC DISC 0.00
E OTHER E CHARGE TOTAL TAX...... 0.00
TOTAL INVOICE 3 67.1 9
W
THANK YOU FOR YOUR BUSINESS!!
CUSTOMER SIGNATURE
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PAGE 2 OF 2 CUSTOMER COPY END OF INVOICE 06;57am
TWF -4020
VOUCHER NO. WARRANT NO.
I
Tom Wood Ford j ALLOWED 20
IN SUM OF
3130 E. 96th Street
Indianapolis, IN 46240
$367.19
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
1
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1192 FONS257462 43- 510.00 $367.19 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
f
i
F Juiy 30, 2010
4 6 6irector, DO
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))
07/28/10 FONS257462 Brake Repair 06 escape $367.19
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
TO M WOO GENUINE
FORD
RARYS
3130 E. 96th Street Indianapolis, IN 46240 Parts Dept: (317) 846 -4251
(800) 423 -4646 846 -4241
www.tomwoodford.com
THANK YOU FOR YOUR BUSINESS!!
NO INVOICE DATE
162583 0031201550 -020 CID119 CHARGE I(EVIN DEUTH 07/21/10 330346
FOW
317- 571 -2463
B CITY OF CARMEL H
1 civic SQ P
T CARMEL, IN 46032 -2584 T
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DESCRIPTI AMO UNT
0 NPNPATSKEY FRONT 32.00 32.00 96.00 �1
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TOM WOOD FORD, INC. hereby expressly disclaims all warranties, either express or imphetl, including any SUBTOTAL
o implied warranty of merchantability or fitness for a particular purpose, and TOM WOOD FORD, INC. neither
w assumes nor authorizes any other person to assume for it any liability in connection with the sale. Customer
agrees to pay reason attorney's fees if collection hereof is necessary.
U
No CREDITALLOWED UNLESS ACCOMPANIED BY INVOICE AND
AFTER 15 DAYS 10% HANDLING CHARGE WILL BE MADE. TAX 0.00
NO RETURN OF SPECIAL ORDERED PARTS OR ELECTRICAL PARTS.
a NO REFUND WITHOUT THIS NOTICE.
a I hereby aree to pay Tom Wood Ford, fnc. attorney's fees if
a collection hereof becomes necessary.
m
RECEIVED BY:
FREIGHT 0.00
It! n oU I PAY THIS AMOUNT 96.00
l PAGE 1 OF 1
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
Tom Wood Ford Purchase Order No.
3130 E. 96th Street Terms
Indianapolis, IN 46240 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7/21/10 330346 a ent for keys for car 119 96.00
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Tom Wood Ford
IN SUM OF
3130 E. 96th Street
Indianapolis, IN 46240
96.00
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 330346 390 -99 96.00 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
July 21 20 10
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund