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190019 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 305700 Page 1 of 1 ONE CIVIC SQUARE TOM WOOD FORD INC 0 CHECK AMOUNT: $758.18 CARMEL, INDIANA 46032 4150 E 96TH ST INDPLS IN 46240 CHECK NUMBER: 190019 CHECK DATE: 9/14/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4351000 FONS258098 758.18 AUTO REPAIR MAINTEN G ENUINE T WO PANTS S SERVICE 4 F®RD 3130 E. 96th Street o Indianapolis, IN 46240 (800) 423 -4646 0 (317) 846 -4241 www.tomwoodford.com CUST NUMBER. ADVISOR TAG NO. INVOICE DATE INVOICE NO. PUTI L LP LICENSE NO, ODOMETER COLOR STOCK NO. CARM E L CLAY PARKS DEPARTMENT YEARI MAKE IMODEL DELIVERY DATE DELIVERY ODOMETER 1411 E 116TH ST ICK.ISUPER DUTY F2 50/5-UPERC CARMEL, IN 46032-7611 VIN SELLING DEALER NO. MANUFACTURED DATE F, T. E. NO, I P.O. N0. R.O. DATE 0031201550 -020 08/06/10 HOME PHONE BUSINESS PHONE INSTRUCTfONS 3 17-848-727 5 71 -4144 M0: 15015 JOB# 4 TOTALS Disclaimer of Warranties Any warranties on the products sold hereby are those made by JOB# 4 JOURNAL PREFIX TONS JOB# 4 TOTAL 0.00 the manufacturer. The Seller, TOM WOOD JOB# 5 CHARGES FORD, Inc. hereby expressly disclaims all warranties, either express or implied, including L ABOR any implied warranty of merchantability or J# 5 +02FOZGBATT GREEN TECH(S):84 0.00 fitness for a particular purpose. TOM WOOD Added Operation (8PHILC 08/14/2010 06:15) FORD, 'Inc., neither assumes nor authorizes BATTERY TEST OK -COLD CRANKING AMPS, TERMINALS CLEAN =OK any other person to assume for it a'ny 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 5 TOTALS Not responsible for car or contents in case of JOB# 5 JOURNAL PREFIX FONS JOB# 5 TOTAL 0.00 fire or theft or freezing or any other cause_ Storage will be charged 48 hours after repairs JTOTALS are completed. *t TOTAL LABOR.... 379.05 TOTAL PARTS.... 379.13 X ]CASH ]CHECK CK N0. TOTAL SUBLET... 0.00 TOTAL G.O.G.... 0.00 VISA ERCARD TOTAL MISC CHG. 0.00 TOTAL MISC DISC 0.00 OTHER CHARGE TOTAL TAX...... 0.00 TOTAL INVOICE 758.18 THANK YOU FOR YOUR BUSINESS!! W ff Purchase CUSTOMER SIGNATURE Description r Q .ys to M ID P.Q. P oU p Bes 35_1n ©o A UG J U 10 Line Desct f'V1 rJi w& Purchaser pie Approval Date o ]BYo W K U I 4 2 I K U' y a rn b PAGE 2 OF 2 CUSTOMER COPY I END OF INVOICE 01:49pm TWF -4020 I T OM PARTS BIERVICE GENUINE FOR® 3130 E. 96th Street Indianapolis, IN 46240 (800) 423 -4646 (317) 846 -4241 www.tomwoodford.com GUST. NUMBER ADVISOR TAG NO INVOICE DATE INVOICE NO, 138195 PHILLIP CALDWELL 7203 1979 08/17/10 F LICENSE NO. ODOMETER COLOR STOCK NO CARMEL CLAY PARKS DEPARTMENT 15 015 YEAR! MAKE I MODEL DELIVERY DATE DELIVERY ODOMETER 1411 E 116TH ST 08 FORD TRUCK SUPER DUTY F250 SUPERC CARMEL, IN 46032 -7611 VIN SELLING DEALER NO. MANUFACTURED DATE 1 F T S X 2 1 5 5$ E B 2 5 0 9 7 F. T E. NO. P O. NO. R.O. DATE 0031201550 -020 08/06/10 HOME PHONE BUSINESS PHONE INSTRUCTIONS 317 848 -7275 571 -4144 M0:,15015 JOB# 1 CHARGES Disclaimer of Warranties Any warranties on the products sold hereby are those made by LABOR the manufacturer. The Seller, TOM WOOD J# 120FOZ HEATING COOLING TECH(S):997300 379.05 FORD Inc. hereby expressly disclaims all CUST STATES A/C BLOWS WARM warranties, either express or implied, including DIAL. REPLACE LEAKING CONDENSOR, EVAC AND CHARGE any implied':warranty of merchantability or fitness for a particular. purpose. TOM WOOD PARTS QTY- FP-NUMBER DESCRIPTION LIST PRICE -UNIT PRICE- FORD, Inc., neither assumes nor authorizes 40 YN -19 REFRIGERANT 1.65 1.65 66.00 any other person to assume for It any liability 1 7C3Z -19712 -B CONDENSER AS 267.09 267.09 267: 09 in connection with the sale of said products. 2 9W7Z- 19B596 -A KIT 23.02 23.02 46.04 I hereby agree to •pay Tom Wood Ford TOTAL PARTS 379.13 attorney's fees if collection hereof becomes necessary. JOB# 1 TOTALS Not responsible for car or contents in case of LABOR 379.05 fire or theft or freezing or any other cause. PARTS 379.13 Storage will be charged 48 hours after repairs are completed.. JOB# 1 JOURNAL PREFIX FONS JOB# 1 TOTAL 758.18 JOB# 2 CHARGES LABOR J# 2 +99FOZ99P MULTI-POINT INSP. TECH(SI:80 0.00 Added Operation (8PHILC 08/14/2010 06:14) X CUSTOMER REQUEST MULTI -POINT INSPECTION: FILL OUT COMPLETED INSPECTION SHEET.(99P) i I MAINTENANCE SERVICE I PERFORM INSPECTION MULTI- POINT,FILL OUT SHEET, PUT IN CUSTOMER VEHICLE JOB# 2 TOTALS w JOB# 3 CHARGES JOB# JOURNAL PREFIX EONS JOB# TOTAL_ 0... LABOR J# 3 +02FOZGTIRE GREEN TIRES TECH(S) :80 0.00 Added Operation (8PHILC 08/14/2010 06:15) TIRES CHECKED OK -ATW INSPECTION TIRES OK GREEN (OK) TIRE INSPECTION JOB# 3 TOTALS-- o 3tC/i l JOB# 3.JOURNAL PREFIX FONS JOB# 3 TOTAL 0.00 P.M* W JOB# 4 CHARGES C3.L 41 'o LABOR BUddgga�t J# 4 +02FO2GBK GREEN BRAKES TECH(S):80'- 0.00 Line beep Added Operation (8PHILC 08/14/2010 06:15) Purchaser BRAKES CHECK -OK (DISC OVER 5MM•DRUM OVER2MM) Date ATW BRAKE CHECK -OK Approval pie i�ff BRAKES OK b m PAGE t OF 2 CUSTOMER COPY [CONTINUED ON NEXT PAGE) 01.49pm TVVF -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 8/17/10 FONS258098 AC repairs to M07 7 23813 758.18 Total 758.18 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 758.18 ON ACCOUNT OF APPROPRIATION FOR 101 -General Fund PO# or INVOICE NO. ACCT #1TfTLE AMOUNT Board Members Dept 1 125 FONS258098 4351000 758.18 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 9 -Sep 2010 Signature 758.18 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund