192563 12/07/2010 CITY OF CARMEL, INDIANA VENDOR: 305700 Page 1 of 1
ONE CIVIC SQUARE TOM WOOD FORD INC
CHECK AMOUNT: $1,341.30
CARNIEL, INDIANA 46032 3130E 96TH ST
INDPLS iN 46240 CHECK NUMBER: 192563
CHECK DATE: 12/712010
DEPARTMENT ACCOUNT PQ NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4351000 FONS264363 1,341.30 AUTO REPAIR MAINTEN
TOM W .1 SE PARTS
F0R®
3130 E. 96th Street Indianapolis, IN 46240
(800) 423 -4646 (317) 846 -4241
www.tomwoodford.com
CU3T. NUMBER ADVISOR TAG NO. INVOICE DATE INVOICE NO.
108036 PHILLIP CALDWELL 7203 1453 11/19/10 FONS264363
LICENSE NO. ODOMETER COLOR STOCK NO.
CITY OF CARMEL SEWER DEPT. 71, 421 D WHT CLRC
1 CIVIC SQ YEAR I MAKE I MODEL DELIVERY DATE DELIVERY ODOMETER
06 /FORD TRUCK /ESCAPE /4DR 4WD HYBRID 08/17/05 9
CARM E L IN 46032-2584 VIN SELLING DEALER NC. MANUFACTURED DATE
1 F M C U 9 6 H 7 6 K A 2 6 0 8 7 100
F. T. E. NO. P.O. NO. R.O. DATE
0031201550 -020 11/17/10
HOME PHONE BUSINESS PHONE INSTRUCTIONS
317- 571 -2645 M0: 71421
JOB# 10 TOTALS Disclaimer of Warranties Any warranties on
JOB# 10 JOURNAL PREFIX FONS JOB# '10 TOTAL 0.00 the Products sold hereby are those made
the manufacturer. The Seller, TOM WOOD
FORD, Inc. hereby expressly disclaims all
MISC CODE DESCRIPTION CONTROL NO. warranties, either express or implied, including
JOB A Al. SHOP SUPPLIES 30.00 any implied warranty.of merchantability or
TOTAL MISC 30.00 fitness for a particular purpose. TOM WOOD
FORD, Inc., neither assumes nor authorizes
COMMENTS any other person to assume for it any liability
WORK OKD BY LISA STEWARD 11.18.10 in connection with the sale of said products.
I hereby agree to pay Tom Wood Ford
TOTALS attorney's fees if collection hereof becomes
necessary.
TOTAL LABOR.... 922.10 Not responsible for car or contents in case of
TOTAL PARTS.... 387.20 fire or theft or freezing or any other cause.
CASH CHECK. CK NO. TOTAL SUBLET.... 0.00 Storage will be charged 48 hours after repairs
TOTAL G.O.G.::. 0.00 are completed.
VISA MASTERCARD TOTAL MISC CHG. 32.00
TOTAL MISC DISC 0.00
OTHER CHARGE TOTAL TAX....... 0.00
TOTAL INVOICE 1341.30
THANK YOU FOR YOUR BUSINESS!!
CUSTOMER SIGNATURE
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Q PAGE 4 OF 4 CUSTOMER COPY END OF INVOICE I 07 35p
TVVF -4020
TOM WOOD 1
F ®RD
3130 E. 96th Street o Indianapolis, IN 46240
(800) 423 -4646 (317) 846 -4241
wwwAomwoodfor .com
CUST NUMBER ADVISOR TAG NO. INVOICE DATE INVOICE NO.
PHILLIP CALDWELL 7203 1453 11/19/10 FONS264363
ENSE NO, ODOMETER COLOR STOCK NO.
CITY OF CARMEL S T. LIC 71,421 O WHT CLRC
1 CIVIC SQ YEAR 1 MAKE I MODEL DELVERY DATE DELIVERY ODOMETER
CARMEL IN 46032 -2584. 06 /FORD TRUCK /ESCAPE /4DR 4WD HYBRID 08/17/05 9
t VIN SELLING DEALER NO, MANUFACTURED DATE
1FMCu96H 76KA26087 100
F. T E. NO. P.O. NO. R.O. DATE
0031201550 -020 11/17/10
HOME PHONE BUSINESS PHONE INSTRUCTIONS
317 -571 -2645 MO: 71421
ORIG DEL DATE 08/17/05
Disclaimer of Warranties Any warranties on
J08# 1 CHARGES
the products sold hereby are those made by
the manufacturer.
LABOR
The Seller, TOM WOOD
FORD, Inc. hereby expressly disclaims all
J# 1 99FOZ99P WORLD 'CLASS. INSPECT" TEGH(S) :997151 0.00" warranties, either express or implied, including
CUSTOMER REQUESTING WORLD CLASS INSPECTION AND any implied warranty of merchantability or
PUT INSPECTION REPORT IN VEHICLE. fitness for a particular purpose. TOM WOOD
MAINTENANCE SERVICE FORD, ;Inc., neither assumes nor authorizes
PERFORMED WORLD CLASS INSPECTION AND INSPECTION REPORT any other person to assume for it any liability
IN CUSTOMERS VEHICLE. in connection with the sale of said products.
I hereby agree to pay Tom Wood Ford
JOB# 1 TOTALS attorney's fees if collect hereof becomes
necessary.
JOB# 1 JOURNAL PREFIX FONS JOB# 1 TOTAL 0.00 Not responsible for car or contents in case of
JOB# 2 CHARGES fire or theft or freezing or any other cause.
Storage will be charged 48 hours after repairs
LABOR are completed.
J# 2 11'FOZ. ENGINES- MINOR' �..,TECH(S):997151" 335.`86
CUST STATES ABS /SERVICE BRAKES AND 04 LIGHTS ARE ALL ON
IN ADDITION LACKS POWER ON ACCEL ESPECIALLY WHEN FIRST
ACCEL
HYBRID DIAGNOSIS, REPLACE RIGHT FRONT TONE RING
PARTS QTY -FP- NUMBER--------- DESCRIPTION-- -LIST PRICE -UNIT PRICE-
1 AL8Z- 2C182 -A BRACKET 7.60 7.60 7.60
TOTAL PARTS 7.$0
JOB# 2 TOTALS-----------------
LABOR 335.86'
PARTS 7.60
JOB# 2 JOURNAL PREFIX FONS JOB# 2 TOTAL 343.46
JOB# 3 CHARGES--------------------------------
LABOR
J# 3 +45FOZ STEERING /SUSPENSIO' 3ECH(S):997151 461.:7:9"
Added Operation (8PHI'LC 11/18/2010
REPLACE ALL 4 TIE ROD ENDS AND REALIGN3
g PARTS QTY -FP- NUMBER--------- DESCRIPTION-- -LIST PRICE -UNIT PRICE
2 6M6Z- 3280 -A ROD 61.78 61.78 123.56
2 5M6Z- 3AI30 -AA END SPINDL 36.87 36.87 73.74
2 72071 -S PIN SPLIT 0.50 0.50 1.00
Z
TOTAL PARTS 198.30
JOB# 3' TOTALS
LABOR 461.79'
a
PARTS 198.30.
JOB# 3 JOURNAL PREFIX FONS JOB# 3 TOTAL 660.09
JOB# 4 CHARGES
LABOR
g PAGE f OF 4 CUSTOMER COPY [CONTINUED ON NEXT PAGE] 07:35pm
Q
TWF -4020
Tom GENUINE
WOOD PARTS SERVICE
FOR®
3130 E. 96th Street o Indianapolis, IN 46240
(800) 423 -4646 (317) 846 -4241
www.tomwoodford.com
CUST. NUMBER ADVISOR TAG NO. INVOICE DATE INVOICE NO
108036 PHILLIP CALDWELL 7203 1453 11/19/10 FONS264363
LICENSE NO. ODOMETER COLOR STOCK NO.
CITY OF CARMEL SEWER DEPT. 1 71,421 ox WHT CLRC
YEAR /MAKE! MODEL DELIVERY DATE DELIVERY ODOMETER
1 CIVIC SQ 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 7 6 K A 2 6 0 8 7 100
F. T. E NO. P.O. NO R.O. DATE
0031201550 -020 11/17/10
HOME PHONE BUSINESS PHONE INSTRUCTIONS
3 -571 -2645 M0: 71421
LABOR Disclaimer' of Warranties An warranties on
Y
J# 4 +99FOZ132P REPL. FUEL .FILTER TECH(S):997151 59:95: the products sold hereby are those made by
Added Operation (8PHILC h/18/2010 15:02) the manufacturer. The Seiler, TOM WOOD
CUSTOMER REQUEST FUEL FILTER REPLACEMENT FORD, Inc. hereby expressly disclaims all
MAINTNENANCE SERVICE warranties, either express or implied, including
REPLACE FUEL FILTER (132P) 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
1 E7DZ- 9155 -A FILTER ASY 29.95 29.95 29.95 any other person to assume for it any liability
TOTAL PARTS 29.95 in connection with the sale of said products.
I hereby agree to pay Tom Wood Ford
JOB# 4 TOTALS attorney's fees if collection hereof becomes
LABOR 59.95 necessary.
PARTS 29.95 Not responsible for car or contents in case of
fire or theft or freezing or any other cause.
JOB# 4 JOURNAL PREFIX EONS JOB# 4 TOTAL 89 90 Storage will be charged 48 hours after repairs
JOB# 5 CHARGES are completed.
LA80R
J# 5 +01FOZ RECOMMENDED MAINT T.ECH(S):997151 %.li. 19
Added Operation (8PHILC 11/18/2010 15 :02)
AIR FILTER
PARTS QTY FP•NUMBER DESCRIPTION-- -LIST PRICE -UNIT 'PRICE
I FA -1772 ELEMENT ASY 24.95 24,95 24.95
TOTAL PARTS 24.95
JOB# 5 TOTALS
LABOR 19.95
PARTS 24.95
0
JOB# 5 JOURNAL PREFIX FONS JOB# 5 TOTAL 44.90
w
JOB# 6 CHARGES
LABOR
J# 6 +OOFOZDLOF *ENGINE FILTER, TECH {5);;997151 l`° 14.60
Added Operation (8PHILC 11/18/2010 15:02)
CUSTOMER REQUESTS ENGINE OIL AND FILTER CHANGE. CHASSIS
LUBRICATION, CHECK AND TOP OFF FLUIDS. CHECK AND ADJUST TIRE
PRESSURES.
REPLACED ENGINE OIL FILTER ENGINE OIL.
PARTS QTY FP-NUMBER DESCRIPTION LIST PRICE -UNIT PRICE
Z 1 FL- 2017 -B FILTER ASY 5.95:. 5.95 5:95
W 6 OIL 1.75 1.75 10.50
TOTAL PARTS 16.45
0
c MISC CODE DESCRIPTION CONTROL NO---
EF ENVIRONMENTAL FEE 2.00
TOTAL MISC 2.00
CD
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PAGE 2 OF 4 CUSTOMER COPY [CONTINUED ON NEXT PAGE] 07;35pm
TWF -4020
TO WOOD SE
F ®R®
3130 E. 96th Street Indianapolis, IN 46240
(800) 423 -4646 0 (317) 846 -4241
www.tomwoodford.com
CUST. NUMBER ADVISOR TAG NO. INVOICE GATE INVOICE NO.
108036 PHILLIP CALDWELL 7203 1453 11/19/10 FONS264363
LICENSE NO. ODOMETER COLOR STOCK No.
CITY OF CARMEL SEWER DEPT. 1 71,421 D WHT CLRC
1 CIVIC SQ YEAR MAKE I MODEL DELIVERY DATE DELIVERY ODOMETER
CARMEL IN 46032 -2584 06 /FORD TRUCK /ESCAPE /4DR 4WD HYBRID 08/17/05 9
r VIN SELLING DEALER NO. MANUFACTURED DATE
1 F M C U 9 6 H 7 6 K A 2 6 0 8 7 100
F. T E. NO. P.O. NO. R.O. DATE
0031201550 -020 11/17/10
HOME PHONE BUSINESS PHONE INSTRUCTIONS
317 571 -2645 MO: 71421
JOB# 6 TOTALS
LABOR 14.60 Disclaimer of Warranties Any warranties on
PARTS 16.45 the products sold hereby are those made by
the manufacturer. The Seller, TOM WOOD
MISC 2 -00 FORD, Inc. hereby expressly disclaims all
warranties, either express or implied, including
JOB# 6 JOURNAL PREFIX FONS JOB# 6 TOTAL 33.05 any implied warranty of merchantability or
JOB# 7 CHARGES fitness for a particular purpose. TOM WOOD
FORD, Inc., neither assumes nor authorizes
J# 7 51FOZ ny other person to assume for an liability
LABOR -Bob *BODY ELECTRICAL TECH(S)':997151 29 in connection with the sale of said products
Added Operation (8PHILC 11/18/2010 15:02) I hereby agree to pay Tom Wood Ford
REPLACE BATTERY attorney's fees if collection hereof becomes
necessary.
PARTS QTY FP-NUMBER DESCRIPTION LIST PRICE -UNIT PRICE Not responsible for car or contents In case of
1 BXT -96R -590 BATTERY 117.95 117.95 117.95 fire or theft or freezing or any other cause.
1 BXT 96R 590 CORE RETURN 8.00 8.00 B.00 Storage will be charged 4$ hours after repairs
TOTAL PARTS 109:,'95, are completed.
JOB# 7 TOTALS
LABOR 29:95
PARTS 109:95
JOB# 7 JOURNAL PREFIX FONS JOB# 7 TOTAL 139 "90
JOB# 8 CHARGES
LABOR
J# 8 +02FOZGBATT GREEN. BATTERY 0:.00
Added Operation (8PHILC 11/1912010 19 :34)
BATTERY TEST OK -COLD CRANKING AMPS.TERMINALS CLEAN -OK
TEST BATTERY
GOOD BATTERY
JOB# 8 TOTALS.
JOB# 8 JOURNAL PREFIX FONS JOB# 8 TOTAL 0.00
"JOB# 9 CHARGES
LABOR-
J# 9 +02FOZGTIRE GREEN,TIRES TEGH(S);.80 _0.00,:
Added Operation (8PHILC 11/19/2010 19:34)
TIRES CHECKED OK- ATW.INSPECTION
TIRES OK
GREEN (OK) TIRE INSPECTION
V
y JOB# 9 TOTALS
w
U
JOB# 9 JOURNAL PREFIX FONS JOB# 9 TOTAL 0.00
JOB# 10 CHARGES
LABOR------
J#10 +02FOZGBK GREEN BRAKES TECH (S):80 0:00`.
Added Operation (8PHILC 11/19/2010 19:34)
BRAKES CHECK. -OK (DISC OVER 5MM.DRUM OVER2MM)
ATW BRAKE CHECK -OK
BRAKES OK
a` PAGE 3 OF 4 CUSTOMER COPY [CONTINUED ON NEXT PAGE) 07:35pm
TW F -4020
VOUCHER NO. WARRANT NO.
ALLOWED 20
Tom Wood Ford
IN SUM OF
3130 E. 96th Street
Indianapolis, IN 46240
$1,341.30
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO# Dept. INVOICE NO. ACCT /TITL.E AMOUNT Board Members
1192 FONS264363 43- 510.00 $1,341.30 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, December 06, 2010
Director, D 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 invoice(s) or bill(s))
11/19/10 FONS264363 Adam's vehicle misc. repairs $1,341.30
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