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HomeMy WebLinkAbout194791 02/16/2011 CITY OF CARMEL, INDIANA VENDOR: 305700 Page 1 of 1 f ONE CIVIC SQUARE TOM WOOD FORD INC CARMEL, INDIANA 46032 3130 E 96TH ST CHECK AMOUNT: $62,304.21 INDPLSIN 46240 CHECK NUMBER: 194791 CHECK DATE: 2116/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 R4465001 24165 EF29074 30,901.48 NEW VEHICLES 102 R4465001 24165 EF29075 31,402.73 NEW VEHICLES VEHICLE ORDER AGREEMENT THE INFORMATION YOU SEE ON THE WINDOW FORM TO M WOO D FOR THIS VEHICLE IS PART OF THIS CONTRACT. INFORMATION ON THE WINDOW FORM OVERRIDES AUTOMOTIVE GROUP ANY CONTRARY PROVISIONS IN THE VEHICLE ORDER AGREEMENT. DATE TOM MOOD FORD, INC STOCK# 0210812011 3130 EAST 96TH STREET INDIANAPOLIS IN 46240 DEAL# EF2907S PURCHASER'S NAME CARMEL FIRE DEPARTMENT EMAIL PURCHASER'S ADDRESS 2 CI SQ CARMEL IN 460327543 RESIDENCE PHONE (317)S71-2600 BUSINESS PHONE (317)S71-2600 PLEASE ENTER MY ORDER FOR ONE D 7) USED 2011 FORD TRUCK EXPEDITION 71 CAR 171)09UCK SERIAL# IFMJUIJS88EF2907S BODY TYPE 4DR COLOR WHITE TO BE DELIVERED ON OR ABOUT MILEAGE SALESPERSON RALPH H FIELDS DATE FILL OUT THIS kEffi LF&ED CAR IS TO BE TRRff IN MAKE OF USED CAR YEAR ��VV''��LL CASH DELIVERED PRICE OF UNIT 33401-4 MODEL Y ACCESSORIES AND OPTIONS N SERIAL NO. BALANCED OWED TO ADDRESS USED CAR ALLOWANCE BALANCE OWED ON CAR NET ALLOWANCE ON USED CAR Nit INITIAL DOWN PAYMENT CASH UPON DELIVERY TOTAL CREDIT TRANSFER TO RIGHT COLUMN) NIA TIP EXCISE TAX TOTAL OTHER FEES SALES TAX TOTAL SALE LICENSE TRANSFER TITLE FEE TOTAL CREDIT (TRANSFERRED FROM LEFT COLUMN) 2000. BALANCE DUE ON CASH SALE 31402.73 BALANCE DUE ON TIME SALE 3 TOTAL OTHER FEES 1. 25 BALANCE TO BE FINANCED 31402.73 TRADE -IN CERTIFICATION: Customer agrees to deliver to Dealer good, clear and marketable title(s) to the trade -in vehicle(s) as part of the consideration for the vehicle ordered at the time of delivery. Customer warrants that the trade -in vehicle(s) are owned only by customer and are free and clear of all liens and encumbrances except as otherwise stated in writing herein. Customer certifies that the airbags, safety and emissions equipment in the trade -in vehicle(s) have never been disconnected and are operable. Customer also agrees that the trade -in vehicle(s) haslhave never been and islare not required to be titled in any state as a defective, rebuilt, salvage, flood, lemon or buy back vehicle and have never been damaged. CUSTOMER AGREES THAT THE TRADE -IN TERMS ON THE BACK OF THIS AGREEMENT ALSO APPLY. DISCLAIMER OF WARRANTIES Unless Dealer provides Customer with a separate written warranty or service contract made by Dealer on its own behalf, the DEALER HEREBY DISCLAIMS ANY AND ALL WARRANTIES ORAL, WRITTEN, EXPRESS OR IMPLIED, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE, THE VEHICLE IS SOLD "AS IS" WITH ALL FAULTS. Dealer further disclaims any and all liability for incidental or consequential damages incurred by Customer, including but not limited to, loss of profit, loss of use or inconvenience arising out of purchase, lease, operation, failure or use of the vehicle. The manufacturer of the vehicle may provide a warranty for the vehicle. The manufacturer of the vehicle is solely responsible for such warranty, if any. Dealer expressly disclaims liability arising from such warranty. Dealer also makes no representation or guarantyconcerning the availability of any manufacturer's warranty. The manufacturer's warranty, if any, may not cover parts or accessories installed after manufacture of the vehicle. Dealer also makes no warranty or representation as to any parts or accessories. CUSTOMER ALSO AGREES WITH THE ADDITIONAL DISCLAIMER OF WARRANTY TERMS ON THE REVERSE SIDE OF THIS VEHICLE AGREEMENT. AGREEMENT TO ARBITRATE ANY CLAIMS READ THE FOLLOWING ARBITRATION AGREEMENT CAREFULLY BECAUSE IT LIMITS YOUR RIGHTS, INCLUDING YOUR RIGHT TO MAINTAIN COURT ACTION. The parties to this Vehicle Order Agreement are Dealer and Customer. No third party provider of services (by way of example and not by way of limitation: service contract providers or GAP insurance providers) or assignee of consumer obligations (by way of example and not by way of limitation: banks, finance companies, or credit unions) is a party to this Vehicle Order Agreement. This agreement to arbitrate is binding only upon the parties to this Vehicle Order Agreement. Dealer and Customer agree to arbitrate any claim, dispute, or controversy (collectively, "Claims including but not limited to all statutory Claims and any other Claims under state, federal, local laws and/or regulations or commom law that may arise out of or are related to the purchase or lease of the vehicle identified in this Vehicle Order Agreement and the financing or leasing thereof, including the validity of this arbitration agreement. This arbitration agreement is made pursuant to a transaction involving interstate commerce and shall be governed by the Federal Arbitration Act, 9 U.S.C. 1, et seq., as amended, and not by state law regarding arbitration. By agreeing to arbitration, Customer and Dealer understand and agree that they are waiving their rights to maintain other available resolution processes (such as a court action or administrative proceeding) to settle their disputes. Customer and Dealer also agree to waive any right.to pursue any Claims as a class action (whether as,a class member or class representative), either in arbitration or through a lawsuit. There are no limitations on the type of Claims that must be arbitrated except for new car lemon claims under applicable state law, Claims arising from a dishonored check issued by any party hereto, and/or claims related to or arising from the validity, issuance, existance, form or correctness of any certificate of title to a motor vehicle. The arbitration shall be conducted in accordance with this arbitration agreement and with the Indiana Rules for Alternative Dispute Resolution (the `Rules') before a single arbitrator. If a conflict exists between the terms of this arbitration and the Rules, then this arbitration agreement shall govern. The costs incurred in the arbitration shall be shared as provided by the Rules. The arbitration shall take place in Indianapolis, Indiana at a mutually agreed upon location. The decision of the arbitrator shall be binding on Customer and Dealer, and may be enforced in any court of competent jurisdiction. THIS ARBITRATION LIMITS YOUR RIGHT TO MAINTAIN A COURT ACTION, HAVE A JURY TRIAL, OR PURSUE A CLASS ACTION CLAIM. PLEASE READ IT CAREFULLY PRIOR TO SIGNING. BEFORE SIGNING THIS VEHICLE ORDER AGREEMENT READ ALL TERMS ON THE FRONT AND BACK This written document and the accompanying written, signed documents, including but not limited to the financellease documents, contain the entire agreement of the parties. Customer agrees that this Vehicle Order Agreement includes all terms on both the front and back of this Agreement. Customer has read, understands and voluntarily agrees to all terms stated herein. Unless specifically referenced in this agreement, no other agreement or understanding has been made or entered into or will be recognized. The written terms supersede any prior agreement or understanding of the Dealer and Customer. The rights and obligations of the Customer and Dealer are limited to the written terms on the front and back of this Agreement and the accompanying documents signed by the parties including, but not limited to, the financellease documents, if any. I HAVE READ THE TERMS ON THE FRONT AND BACK OF THIS DOCUMENT AND THE ACCOMPANYING DOCUMENTS AND AGREE TO THE WRITTEN TERMS. I CERTIFY I AM 18 YEARS OF AGE OR OLDER, HAVE VOLUNTARILY ENTERED INTO THIS AGREEMENT AND ACKNOWLEDGE RECEIPT OF A COPY OF THIS AGREEMENT. Signed 02/08/2011 Dated Buyer Signed Dated Co-Buyer NOTICE: THIS AGREEMENT IS NOT VALID UNLESS ACCEPTED AND SIGNED BY DEALER OR ITS AUTHORIZED REPRESENTATIVE. ACCEPTED: DeaterlAuthorized Representative Title /Position Graphic Resources, Inc. 317 665.3200 (Rev. 4110) TWI.2010 VEHICLE ORDER AGREEMENT Dealer and Customer(s) understand and agree to the following: separate written warranty or service contract on its own behalf, implied warranties are disclaimed andlor limited 1. Parties to Agreement As used in this Agreement, the terms: (a) "Dealer" shall mean the authorized dealer to to the extent allowed by to and the terms and conditions found in the separate written warranty or service whom this Agreement is addressed and who shall become a party hereto by its acceptance of the Agreement;(b) contract shall constitute the entire warranty or service contract applicable to the vehicle. This disclaimer shall not "Customer" shall mean the party(ies) ordering the vehicle and executing this Agreement; and (c) "Manufacturer' apply to the extent that applicable law either prohibits it or declares it to be unconscionable, and then only the shall mean the corporation that manufactured the vehicle, or chassis, it being understood by Customer and Dealer portion or application which is prohibited or declared to be unconscionable shall be of no effect. Some states or that Dealer is in no respect the agent of Manufacturer, that the Dealer and Customer are sole parties to this laws do not allow the exclusion or limitation of implied warranties, so that the above limitation or exclusion may Agreement and that reference to Manufacturer is for the purpose of explaining certain contractual relationships flat apply. if I ,1 rr existing between Dealer'arld'Mandacturdtwith respect to the new motor vehicles. This docu. W4 gives you specific legal'nghts and you may have other rights which vary from state to state. 2. Entire Agreement. Verbal or oral representatives of any kind concerning the vehicle or the transactions between 13- Canditiahal Deliy t ustomerieck6owledgd s- arid-agrees that Customer shall have no right to the vehicle Customer and Dealer are not part of this Vehicle Order Agreement and may not be relied upon by Customer. until Deafer has b iiTin full for the v6hide. Cf{{ 'Ter agrees to pay the balance of the price m accordance Customer agrees not to pursue`a�y claiming demand against Dealer or its representatives or employees based with the W h srof this ��reement and ii riM6 to chE delivery of the vehicle within 48 hours after Customer has on any oral representations orwritten terms not contained in this Agreement or the accompanying documents. No been notified that it is ready. In the event Customer fails to pay for and take delivery when notified. Cu mer's modification of this Agreement shall be valid unless it Is made in writing and signed by Customer and Dealer. dei m y b t i db .Deg ec off et da a es.and expenses. Dealer may, in its sole discretion, dispose of Customer agrees that Dealer's sales representatives) islare not author zed to make warranties or enter into the vehicle �uithWf ahyaldb lity to Cusfdme !ln h, evens necessary for Dealer to collect the balance agreements about the vehicle or the transactions between the Customer and Dealer. Customer has not and will due, Customer will be responsible for all costs of collection, including reasonable attorney fees. not submit any claim based upon any oral or written representation or statement concerning the vehicle or the Customer acknowledges that in the event the vehicle is being financed or leased, the finaf approval of the transaction not set forth in this Agreement or the accompanying documents. Customer also agrees th ifstt ss r f fi{a icing;contracf orRdag donEraci mad iol,rhavetbe2j granted by the lender or lessor. Customer agrees that Agreement is to be paid in whole or in part by means of financellease agreement that the Dealer shall not 6e Ire Dealer will not receive payment in full until the lender/lessor has approved the financellease contract and until obligated to sell, lease deliver or transfer the vehicle unless and until the financellease agreement has been payment is received, the Dealer *is not required to, deliver the vehicle. As a convenience to the Customer, the accepted by a financellease compariyra'nd the Dealer has been paid in full. This document constitutes an offer by Dealer may deliver the dutomotiile to` the Customer prior to final approval of the financellease contract and the Customer to order the vehicle. Customer agrees that this Agreement shall not become binding until accepted payment in full. The Customer agrees to be responsible and liable for any damage to the vehicle caused in any and signed by Dealer or its authorized representatives. If the offer is accepted and signed.by a duly authorized manner. Customer agrees to maintain at all times comprehensive physical damage and liability insurance, all at agent of the- Dealer, it will become a binding contract'for thB ale;ollease?of t*vehici The; Dewier has r?ot- the expense of Customer. is obligations or responsibilities prior to acceptance of the offer. The Dealer's obligations and responsibilities after In the event Customer's financellease contract is not approved, assigned, and accepted by the lenderllessor acceptance are limited to the written ierrnst "i ri 1; ter Dealer is not paid in full for any reason tYie GusiP,rrt er option and demand, to: (a) return Customer acknowledges that helshe has not been induced to enter into this Agreement and /or any the vehicle to Dealer: or (b) pay Dealer the full purchase price as reflected in this Order. Dealer's decisior,, to ancillary documents executed,in connection with or as part of the same transaction covered by this demand return of the vehicle or payment of the purchase price shall not in any way limit the remedies available Agreement by any representafionsl or wbarranties'dof set forth in this Agreement and/or any ancillary to Dealer. Dealer's demand may be made orally or in writing mailed to the address shown on this Order. documents. This Agreement and any executed ancillary documents contain the entire agreement of the Customer acknowledges that at the time this Agreement is executed, Customer is contractually obligated to parties with respect to their subject matter and supersede all existing agreements and all other oral, pay or otherwise provide the consideration agreed on. Customer further acknowledges that even if Customer's written or other communications between the parties concerning their subject matter. financellease contract is not approved, assigned and accepted by the €tinderllessoi, Customer is still 3. Promise lrpa Customer promises and agrees to pay or otherwise provide the consideration agreed on, contractually obligated to pay or otherwise provide the considerat adceet�fgn_uniess and until this Agreement is nc�uding but noM roiled to, the- vehicle price, the charges for any options, the trade -in vehicle, the down payment, rescinded, cancelled or revoked by Dealer. taxes, fees or other charges and the financellease price plus any finance charges or lease charges as shown in Failure of the Customer to return the vehicle or tc pay_the full Furctiase'price wigiin' 24 hours of demand by any finance /leash agreement. Dealer will render the Customer liable for all damages to Dealer, but not limited to, any repossession 4. Retail Price. Customer understands and agrees that the vehicle price may be higher than the price set forth on costs, repairs, attorney fees, court costs andtany=dNags �r 46bYeciaiion 66curring to the vehicle. The Customer the manufacturer's suggested retail price guide. Customer agrees that a higher price may exist for many reasons agrees that any deposit or down payment may be kept by Dealer to offset such damages. including, but not limited to, the demand for the vehicle. Customer acknowledges the price stated on this If the Agreement includes a trade -in vehicle(s), the Dealer may keep and sell the trade -in to compensate Agreements the price agreed upon by Customer and Dealer. Dealer for any damages incurred, or may either return the vehicle to Customer or reimburse Customer the actual 5. Change in Price. Manufacturer has reserved the right to change the price to Dealer of new motor vehicles with cash value of the vehicle as determined in the sole discretion of the Dealer. The "actual cash value" does not gual out notice. In the event the price to Dealer of new motor vehicles of the series and body type ordered hereunder and may be less than the trade -in allowance provided in the Agreement is changed by Manufacturer prior to delivery of the new motor vehicle ordered hereunder to Customer, Dealer reserves the right to change the cash delivered price of such Motor vehicle to Customer accordingly. Dealer reserves the gr retain and resell the trade-in vehicle in its sale discretion. Dealer's r igh t to rescind, can If such cash delivered price is increased by Dealer, Customer may, if dissatisfied therewith, cancel this Order, trade-in sum of al or revoke the Agreement does not provide Customer the right to return t, Customer agrees to pay the the trade-in vehicle or the in which event if a used motor vehicle has been traded in as a part of the consideration for such new motor $50.0 0 per da nce,, fb di y s a if Dealer cancels, rescinds or revokes this Agreement, vehicle, such used motor vehicle in the Dealer's sole discretion may be returned to Customer upon payment of a $50Ay al a reasonable usage fee for each day that Customer has the Vehicle. !o addition, reasonable charge for storage and re or, if such used p reviously so Customer aid orpr Dealer,shall have no obligation to deliver title to the ordered vehicle unlit all consideration repairs an g 9 p Y) motor vehicle has been il n p y ld b y has been paid orprhvided'{O T3ezler. Dealer, the amount received therefor, less a selling commission of 15% and less any expense incurred in storing, 14. No Revocation ndiana law does not provide for a 'right to revoke" or other cancellation period for vehicle nsufing, reconditioning or advertising said used motor vehicle for sale, may be returned to Customer. y 6. Change in Design. Manufacturer has reserved the right to change the design of any new motor vehicle, sales a vehicle Beal rshlp. Therefore, Customer cannot later cancel this contract simply because Customer changes his/her m {nd,ftkecides the vehicle costs too much, or wants to acquire a different vehicle. After Customer chassis, accessories or parts thereof at any time without notice and without obligation to make the same or any signs this Agreemenl Ad the Dealer accepts it, Customer may not cancel, rescind or revoke, unless Customer similar change upon any motor vehicle, chassis, accessories or parts thereof previously purchased by or shipped either: (a) obtains a wntten agreement to do so from Dealer; (b) does so pursuant to the terms hereof as to Dealer or being manufactured or sold in accordance with Dealer's orders. Cortespop n9ly�ir;tt a event of at� provided in Paragrapf bi' pr (cf does so for a valid legal cause determined by a court of competent jurisdiction. such change by' Manufacturer, Dealer shall have no obligation to Customer to makeh a sable °or any l {5, Security Interest. Customer agrees that Dealer, veh until paid,' utl, shw I,have.a security interest under, change in any motor vehicle, chassis, accessories or parts thereof covered by this Order either before subsequent !!pp de thereof 1p Customer. l aw in the vehicle•an parts and accesso ies put on lie �l�' an ,in all pa is -and accessories put w on the to o deliver Dela Dealer shall not be liable far failure to deliver or delay in delivering the motor vehicle covered vehicle and in all insurance premiums financed, or rebates from insurance premiums service contracts, and in the 7. Delive proceeds of any lii u 4ce policies covering the vehicle or credit life or disability insurance policies financed as by this order wit such hilu're.orJelay is due, In whole or in part, to any cause beyond the control or without the part of the transaction, which security interest secures all sums which may become due under this contract, as fault or negligence of Dealer. well as any modifications., extensions, renewals, amendments or refinancing of the agreement. 8. Re- appraisal chTrade =ln Nehicie. If the used motor vehicle which has been traded in as a part of the 16. Default. Customer agrees that if Customer breaches any warranty, representation or certification or defaults consideration for the motor vehicle ordered hereunder is not to be delivered to Dealer until delivery to Customer in the performance of any term or promise made in the Agreement or the accompanying documents, including, but of the ordered motor vehicle, or at some later dale, the used motor vehicle vehicle shall be re- appraised at that not limited to, makingdf any payment when due or becoming insolvent or filing any proceeding under the U.S. time and such tea prajsed value shall determine the allowance therefor shown on the front of this Order. Bankruptcy Code or if the vehicle is damaged, destroyed or impoundedrli{at Dealef may,,subject io the provisions Customor may, it di satisGedervith, cancel this order, provided, however, that such right to cancel is exercised of the Agreement to Ar�jtrate executed by Dealer and Customer, at its op {ionanr} without n5tice'or demand: (1) prior to the delivery of the motor vehicle ordered hereunder to the Customer and surrender of the used motor declare all sums immediately due and payable; (2) file suit against Customer for all unpaid sums:, (3)t take vehicle to Dealer immediately possi'ssion`of the vehicle; (4) exercise any other legal or equitable remedy. If Customer defaults or 9. Trade -in VeMcefsl. Inl eklioii to the trade -in certification on the front of this document, Customer also breaches this Agreerent; Customer agrees to pay finance charges at the maximum annual percentage rate warrants that there is no theft or damage event in the history of the trade -in that voids any factory warranty or permitted by law uribl all sums owed to Dealer are paid in full or judgment is entered by court or by arbitrator, as makes the trade -in ineligible for warranty or service contract coverage. Customer agrees that the lien amounts applicable. Dealer's remedies are cumulative and taking of any action shall not be a waiver or prohibit Dealer from noted herein are accurate and that the customer will pay Dealer any difference within (3) days notice by Dealer, pursuing any other remedy. Customer agrees that Dealer shall be entitled to recover from Customer reasonable Customer also agrees that if the trade -in vehicle(s) !stare not as represented herein, that Dealer shall have a claim enforcement and collection costs including, but not limited to, reasonable attorney fees. In addition, Dealer is for damages and may recover from customer all losses, damages and costs of enforcement, including reasonable granted permission to enter onto any premises owned by Customer to repossess the vehicle. Customer agrees attorney fees. Customer understands and agrees that the trade -in allowance provided by Dealer for the trade -in Dealer is entitled to recover any reasonable costs and expenses arising out of that repossession, vehicle is based upon the representations and warranties in this and all accompanying documents. Customer 17. Limitation of Remedies. Customer agrees that with respect to any claim, whether in contract, tort, warranty or agrees that if these representations and warranties regarding title, history or condition are not correct, Customer otherwise, that Customer may have now or in the future against Dealer or its agents or employees, that shall pay to Dealer all losses and damages, including but not limited to, the difference between the value as Customer's remedies are limited to the repair or replacement of the ordered vehicle and that the maximum represented and the actual value of the trade -in as determined in Dealer's sole discretion. damages that may be sought or recovered from Dealer or its agents or employees is the saleilease price of the In addition, Customer agrees to pay Dealer the cost of all fees incurred in determining the difference In value ordered vehicle, less reasonable use charges, deprecialio i charges, set -off amounts and damage charges of the vehicle and disposing of the vehicle. In the event Customer cannot deliver good, claims and encumbrances, Customer shall not be entitled to submit a claim or recover any amounts in excess of the foregoing. Some states Customer agrees to accept return of the trade -in vehicle and to pay to Dealer, with certified funds, the entire or laws do not allow the limitation of remedies so this may not apply to you, trade allowance given to Customer for the trade -in and any other damages or losses to Dealer. Customer further 18. Governing Law. The law of the State of Indiana shall govern this agreement. agrees to indemnity and hold Dealer harmless from any and all claims, demands, rights, actions, causes of action, 19. Successors and/or Assigns. Customer and Dealer agree that this Agreement shall be binding upon and inure damages, costs, costs of defense (including allomey fees), expenses and compensation whatsoever Dealer, the to the benefit of the parties hereto, and their respective heirs, executors, representatives, subsidiaries, affiliates, purchaser of the trade -in or any other prospective purchasers or any other person or entity may have as a result successors, and/or assigns. of the vehicle not being as represented herein. Customer hereby further agrees that no oral statements, 20. Severabill In the event any term or provision of this agreement is found to be invalid, void or unenforceable representations or warranties contrary to the terns of this agreement have been made by Customer. by a court of competent jurisdiction in whole or in part, the remainder of this Agreement or the application of such 0. Taxes. Purchaser agrees to pay, unless prohibited by law, any and all sales, use, luxury, or other taxes term or provision to circumstances other than those as to which it is held invalid, void or unenforceable. shall (Federal, State or Local) imposed on or applicable to the vehicle or transaction regardless of who may have nevertheless be binding upon the parties with the same effect as though the invalid, void or unenforceable part primary tax liability. had been severed and deleted, and shall be valid and enforced to the fullest extent permitted by law. 11. Additional Documents The Purchaser, before or at the time of delivery of the motor vehicle covered by this Order, will execute such forms of agreement or documents as may be required by the terms and conditions of this Order, including, but not limited to, any finance or lease agreements, any documents necessary to the transaction. Customer also agrees that, if an error exists in any document, to execute a replacement document upon Dealer's demand. 12. Disclaimer or Warranties. Dealer does not warrant the corrections of the year of manufacture or model of the vehicle. Customer has verified the description of the vehicle to his/her satisfaction and there is no warranty as to the correctness of the description of the vehicle. Customer acknowledges there is no warranty as to the merchantability, suitability, fitness for purpose or otherwise concerning the vehicle, parts or accessories described herein. Customer agrees that Dealer has disclaimed any and all warranties. However, if Dealer provides a VEHICLE ORDER AGREEMENT THE INFORMATION YOU SEE ON THE WINDOW FORM TO M !V9 /1 WOO FOR THIS VEHICLE IS PART OF CONTRACT. WOOD y INFORMATION ON THE WINDOW FORM OVERRIDES AUTOMOTIVE GROUP ANY CONTRARY PROVISIONS IN THE VEHICLE ORDER AGREEMENT. DATE TOM WOOD FORD, INC STOCK# 02/08/2011 3130 EAST 96TH STREET INDIANAPOLIS IN 46240 DEAL# EF29074 PURCHASER NAME CARMEL .FIRE DEPARTMENT EMAIL PURCHASER'S ADDRESS 2 CIVIC SQ UARE C ARMEL IN 46032 RESIDENCE PHONE 317)S71-2622 BUSINESS PHONE 317)S71-2622 PLEASE ENTER MY ORDER FOR ONE L I %W L USED 2011 FORD TRUCK EXPEDITION 0 CAR L SERIAL# 1FMJU1JS6BEF29074 BODY TYPE 4DR COLOR W HITE TO BE DELIVERED ON OR ABOUT MILEAGE SALESPERSON RALPH H FIELDS DATE FILL OUT THIS SEff?�kd[pf ED CAR IS TO BE T4� b� IN 33401.4 MAKE OF USED CAR tt yy rc YEAR CASH DELIVERED PRICE OF UNIT IMPACA MODEL Y P ACCESSORIES AND OPTIONS 2GiWF 52 SERIAL NO. BALANCED OWED TO ADDRESS it Ud Id V USED CAR ALLOWANCE BALANCE OWED ON CAR NET ALLOWANCE ON USED CAR INITIAL DOWN PAYMENT CASH UPON DELIVERY TOTAL CREDIT (TRANSFER TO RIGHT COLUMN) LS MFG NEBAII: EXCISE TAX TOTAL OTHER FEES SALES TAX TOTAL SALE LICENSE TRANSFER 1 TITLE FEE TOTAL CREDIT (TRANSFERRED FROM LEFT COLUMN) LIUL ..ppcE BALANCE DUE ON CASH SALE eONTRAeT BALANCE DUE ON TIME SALE CRA TOTAL OTHER FEES N BALANCE TO BE FINANCED 30901. TRADE -IN CERTIFICATION: Customer agrees to deliver to Dealer good, clear and marketable title(s) to the trade -in vehicle(s) as part of the consideration for the vehicle ordered at the time of delivery. Customer warrants that the trade -in vehicle(s) are owned only by customer and are free and clear of all liens and encumbrances except as otherwise stated in writing herein. Customer certifies that the airbags, safety and emissions equipment in the trade -in vehicle(s) have never been disconnected and are operable. Customer also agrees that the trade -in vehicle(s) haslhave never been and is/are not required to be titled in any state as a defective, rebuilt, salvage, flood, lemon or buy back vehicle and have never been damaged. CUSTOMER AGREES THAT THE TRADE -IN TERMS ON THE BACK OF THIS AGREEMENT ALSO APPLY. DISCLAIMER OF WARRANTIES Unless Dealer provides Customer with a separate written warranty or service contract made by Dealer on its own behalf, the DEALER HEREBY DISCLAIMS ANY AND ALL WARRANTIES ORAL, WRITTEN, EXPRESS OR IMPLIED, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE, THE VEHICLE IS SOLD "AS IS" WITH ALL FAULTS. Dealer further disclaims any and all liability for incidental or consequential damages incurred by Customer, including but not limited to, loss of profit, loss of use or inconvenience arising out of purchase, lease, operation, failure or use of the vehicle. The manufacturer of the vehicle may provide a warranty for the vehicle. The manufacturer of the vehicle is solely responsible for such warranty, if any. Dealer expressly disclaims liability arising from such warranty. Dealer also makes no representation or guarantyconcerning the availability of any manufacturer's warranty. The manufacturer's warranty, if any, may not cover parts or accessories installed after manufacture of the vehicle. Dealer also makes no warranty or representation as to any parts or accessories. CUSTOMER ALSO AGREES WITH THE ADDITIONAL DISCLAIMER OF WARRANTY TERMS ON THE REVERSE SIDE OF THIS VEHICLE AGREEMENT. AGREEMENT TO ARBITRATE ANY CLAIMS READ THE FOLLOWING ARBITRATION AGREEMENT CAREFULLY BECAUSE IT LIMITS YOUR RIGHTS, INCLUDING YOUR RIGHT TO MAINTAIN COURT ACTION. The parties to this Vehicle Order Agreement are Dealer and Customer. No third party provider of services (by way of example and not by way of limitation: service contract providers or GAP insurance providers) or assignee of consumer obligations (by way of example and not by way of limitation: banks, finance companies, or credit unions) is a party to this Vehicle Order Agreement. This agreement to arbitrate is binding only upon the parties to this Vehicle Order Agreement. Dealer and Customer agree to arbitrate any claim, dispute, or controversy (collectively, "Claims including but not limited to all statutory Claims and any other Claims under state, federal, local laws and/or regulations or commom law that may arise out of or are related to the purchase or lease of the vehicle identified in this Vehicle Order Agreement and the financing or leasing thereof, including the validity of this arbitration agreement. This arbitration agreement is made pursuant to a transaction involving interstate commerce and shall be governed by the Federal Arbitration Act, 9 U.S.C. 1, et seq., as amended, and not by state law regarding arbitration. By agreeing to arbitration, Customer and Dealer understand and agree that they are waiving their rights to maintain other available resolution processes (such as a court action or administrative proceeding) to settle their disputes. Customer and Dealer also agree to waive any right to pursue any Ciaims as a class action (whether as a class member or class representative), either in arbitration or through a lawsuit. There are no limitations on the type of Claims that must be arbitrated except for new car lemon claims under applicable state law, Claims arising from a dishonored check issued by any party hereto, and/or claims related to or arising from the validity, issuance, existance, form or correctness of any certificate of title to a motor vehicle. The arbitration shall be conducted in accordance with this arbitration agreement and with the Indiana Rules for Alternative Dispute Resolution (the "Rules') before a single arbitrator. If a conflict exists between the terms of this arbitration and the Rules, then this arbitration agreement shall govern. The costs incurred in the arbitration shall be shared as provided by the Rules. The arbitration shall take place in Indianapolis. Indiana at a mutually agreed upon location. The decision of the arbitrator shall be binding on Customer and Dealer, and may be enforced in any court of competent jurisdiction. THIS ARBITRATION LIMITS YOUR RIGHT TO MAINTAIN A COURT ACTION, HAVE A JURY TRIAL, OR PURSUE A CLASS ACTION CLAIM. PLEASE READ IT CAREFULLY PRIOR TO SIGNING. BEFORE SIGNING THIS VEHICLE ORDER AGREEMENT READ ALL TERMS ON THE FRONT AND BACK This written document and the accompanying written, signed documents, including but not limited to the financellease documents, contain the entire agreement of the parties. Customer agrees that this Vehicle Order Agreement includes all terms on both the front and back of this Agreement. Customer has read, understands and voluntarily agrees to all terms stated herein. Unless specifically referenced in this agreement, no other agreement or understanding has been made'or entered into or will be recognized. The written terms supersede any prior agreement or understanding of the Dealer and Customer. The rights and obligations of the Customer and Dealer are limited to the written terms on the front and back of this Agreement and the accompanying documents signed by the parties including, but not limited to, the financellease documents, if any. I HAVE READ THE TERMS ON THE FRONT AND BACK OF THIS DOCUMENT AND THE ACCOMPANYING DOCUMENTS AND AGREE TO THE WRITTEN TERMS. I CERTIFY I AM 18 YEARS OF AGE OR OLDER, HAVE VOLUNTARILY ENTERED INTO THIS AGREEMENT AND ACKNOWLEDGE RECEIPT OF A COPY OF THIS AGREEMENT. 02/08/2011 Signed Dated Buyer Signed Dated Co•Buyer NOTICE: THIS AGREEMENT IS NOT VALID UNLESS ACCEPTED AND SIGNED BY DEALER OR ITS AUTHORIZED REPRESENTATIVE. ACCEPTED: Dealer/Authorized Representative TillelPosition Graphic Resources, Inc. 317- 065 -9200 (Rev. 4110) TWI -2010 VEHICLE ORDER AGREEMENT Dealer and Customer(s) understand and agree to the following: separate written warranty or service contract on its own behalf, implied warranties are disclaimed andlor limited 1. Parties to Agreement- As used in this Agreement, the terms: (a) "Dealer' shall mean the authorized dealer to to the extent allowed by law and the terms and conditions found in the separate written warranty or service whom this Agreement is addressed and who shall become a party hereto by its acceptance of the Agreement;(b) contract shall constitute the entire warranty or service contract applicable to the vehicle- This disclaimer shall not 'Customer" shall mean the party(fes) ordering the vehicle and executing this Agreement; and (c) "Manufacturer" apply to the extent that applicable law either prohibits it or declares it to be unconscionable, and then only the shall mean the corporation that manufactured the vehicle, or chassis, it being understood by Customer and Dealer portion or application which is prohibited or declared to be unconscionable shall be of no effect. Some states or that Dealer is in no respect the agent of Manufacturer, that the Dealer and Customer are sole parties to this laws do not allow the exclusion or limitation of implied warranties, so that the above limitation or exclusion may Agreement and that reference to Manufactu{er is for the a ore of ex lainin certain contractual rela[ionshi s not apply. r existing between beater'ak Manufacture)'' th respect to the new motor vehicles. This document give4d' 11sp'6cifi !legal hghl$ and you may have other rights which vary from state to state 2. Entire Agreement. Verbal or oral representatives of any kind concerning the vehicle or the transactions between 13. pr it�tgn l Oeliveca "Curt per ackfloviledges and-agrees that Customer shall have no right to the vehicle Customer and Dealer are not part, g( this Vehicle Order Agreement and may not be relied upon by Customer. until Deafer 4 this paid i ull fo�the vefiicd L`,I cmer agrees to pay the balance of the ,price in accordance Customer agrees not to pursue aby,tlaimlor. demand against Dealer or its representatives or employees based with the terms %4f this Ngreemeot a' 'Rd W' ees% accept delivery of the vehicle within 49 hours after Customer has on any oral representations or written terms not contained in this Agreement or the accompanying documents. No been notified that it is ready. In the event Customer fails to pay for and take delivery when notified, Customer's modification of this Agreement shall be valid unless it is made in writing and signed by Customer and Dealor. d si be i e Deale to set da sand ex enses. Dealer may, in its sole discretion, dispose of Customer agrees that Dealer's sales representatives) isfare not authorized to make warranties or enter into the uef icle wftiout anyaiabilityYO CUStbmed I lth$1 ent it becomes necessary for Dealer to collect the balance agreements about the vehicle or the transactions between the Customer and Dealer. Customer has not and will due, Customer will be responsible for all costs of collection, including reasonable attorney fees. not submit any claim based upon any oral or written representation or statement concerning the vehicle or the Customer acknowledges that in the event the vehicle is being financed or leased, the final approval of the transaction not set forth in this Agreement or the accompanying documents. Customer also agrees lh'IL!f Osl 1 ;lfi[ancing ('dct.or leasing I itiract may' 6tlliave be granted by the lender or lessor. Customer agrees that Agreement is to be paid in whole or in part by means of financellease agreement that the Dealer shall not be the Dealer will not receive payment in full until the Ienderllessor has approved the financellease contract and until obligated to sell, lease deliver or transfer the vehicle urfiesis and until the financellease agreement has been payment is received, the,Dealerris_ not required to deliver the vehicle. As a convenience to the Customer, the accepted by a financellease corpany'and the Gbal'er has teen paid in full. This document conslitules an offer by Dealer may deliver the auterFo6de to the-CusUne€ prior to final approval of the financellease contract and the Customer to order the vehicle. Customer agrees that this Agreement shall not become binding until accepted payment in full. The Customer agrees to be responsible and liable for any damage to the vehicle caused in any and signed by Dealer or its authorized representativq�s Jt the ltffer is,eccepted a6pd� igr,�ed.by a duly auihoriz d., manner. Customer agrees to,maintain at all times comprehensive physical damage and liability insurance, all at agent of therDealer, it will became a binding contraia Urdhe salt3.orlease oLltiel4- l tie. Thb- ,Malar has b r the expense of Customer. i,. obligations or responsibilities prior to acceptance of the offer. The Dealer's obligations and responsibilities after In the event Customer's financellease crtntraci is, not.approved, asst ned and accepted by the lender /lessor acceptance are limited to the written arms.; r t .i lSor Dealer is not paid in full for any reason the Customerrag�ees�atQealer�9sole ��lion and demand, to: (a) return Customer acknowledges that helshe has not been induced to enter into this Agreement and/or any the vehicle to Dealer: or (b) pay Dealer the full purchase price as reflected in this Order. Dealers decision to ancillary documents e% 9Q ted �onnectionaawlth or as part of the same transaction covered by this demand return of the vehicle or payment of the purchase price shall not in any way limit the remedies available Agreement by any representations orwarrbn!ties not set forth in this Agreement and/or any ancillary tri Dealer. Dealer's demand may be made orally or in writing mailed to the address shown on this Order. documents. This Agreement and any executed ancillary documents contain the entire agreement of the Customer acknowledges that at the time this Agreement is executed, Customer is contractually obligated io parties with respect to their subject matter and supercede all existing agreements and all other oral, pay or otherwise provide the consideration agreed on. Customer further acknowledges that even if Customer's written or other communications between the parties concerning their subject matter, financellease contract is not approved, assigned and accepted by the lenderllessor, Customer is still 3. Promise t Customer promises and agrees to pay or otherwise provide the consideration agreed on, contractually obligated to pay or otherwise provide the conWerafilK ilk n unless and until this Agreement is including but not limited to, the vehicle price, the charges for any options, the trade -in vehicle, the down payment, rescinded, canceiletl or revoked by Dealer, taxes, fees or other0arges and the financellease price plus any finance charges or lease charges as shown in Failure of the Customer to return the vehicle or tb'payl. gbtiJulf purchase ph e%k 24 hours of demand by any Snancellease'agreement. Dealer will render the Customer liable for all amages„(o Dealed,.iric ut I dif�g ti' to, any repossession 4. Retail Price- Customer understands and agrees that the vehicle price maybe higher than the price set forth on costs, repairs, attorney fees, court ar l g damage tiepre'cjatilb 6ccbrnnot limned g to the vehicle. The Customer the manufacturer's suggested retail price guide. Customer agrees that a higher price may exist for many reasons agrees that any deposit or down payment may be kept by Dealer to offset such damages, including, but not limited to, the demand for the vehicle. Customer acknowledges the price stated on this If the Agreement includes a trade -in vehicle(s), the Dealer may keep and sell the trade -in to compensate Agreements the price agreed upon by Customer and Dealer. Dealer for any damages incurred, or may either return the vehicle to Customer or reimburse Customer the actual 5. Change in Price. Manufacturer has reserved the right to change the price to Dealer of new motor vehicles with cash value of the vehicle as determined in the sole discretion of the Dealer. The "actual cash value" does not t:gual out notice. In the event the price to Dealer of new motor vehicles of the series and body type ordered hereunder and may be less than the trade -in allowance provided in the Agreement is changed by Manufacturer prior to delivery of the new motor vehicle ordered hereunder to Customer, Dealer Dealer resesithe ¢ghtao retain and resell the t aria -in vehicle in its sale discretion. Dealer's s right to rescind, reserves the right to change the cash delivered price of such Motor vehicle to Customer accordingly, cancel or revoke the Agreement does not provide Customer the right to return of the trade vehicle or the If such cash delivered price i n c rea se d v ie e Dealer, Customer may, if dissatisfied therewith, cancel this order, in which event if a used motor vehicle has s been traded i trade -in allowani•e`,id addition, if Dealer cancels, rescinds or revokes thisAgreemenl, Customer agrees to pay the as a part of the consideration for such new motor sum of $50.00 per day as a reasonable usage fee for each day that Customer has the Vehicle. In addition, reasonable charge for storage and repairs (if any) or, if such used m vehicle, such used motor vehicle in the Dealer's sole discretion ion may m otor vehicle returned le has been Customer upon payment of a Customer agrees f�r a1 D aldr shall have no obligation to deliver title to the ordered vehicle until all consideration previously sold by has been paid or vior�o -!o- Dealer. Dealer, the amount received therefor, less a selling commission of 15% and Tess any expense incurred in staining, 14. No Revocation. Indiana law does not provide for a "right to revoke" or other cancellation period for vehicle insuring, reconditioning or advertising said used motor vehicle for sale, may be returned to Customer. sales at a vehicle dealership. Therefore, Customer cannot later cancel this contract simply because Customer 6, Change in Design. Manufacturer has reserved the right to change the design of any new motor vehicle, changes hislher mind, decides the vehicle costs too much, or wants to acquire a different vehicle. After Customer chassis, accessories or parts thereof at any time without notice and without obligation to make the some or any signs This AgreeTAehlrand the Dealer accepts it, Customer may not cancel, rescind or revoke, unless Customer similar change upon any motor vehicle, chassis, accessories or parts thereof previously purchased by or shipped either. (a) obtains a written agreement to do so from Dealer; (b} does so pursuant to the terms hereof as to Dealer or being manufactured or sold in accordance with Dealer's orders. CorresRon. ingkint he eveutpt,any;, -j P rovided in Paragraph y li does so for a valid legal cause determined by a court of competent jurisdiction. such change by Manufacturer. Dealer shall have no obligation to Customer to make I sam� or any similar change in any motor vehicle, chassis, accessories or parts thereof covered by this Order either before subsequent 15. Security Interest. Customer agrees that Dealer, until paid in full, shall have a security interest under Indiana to delivery thei&'F"Io Customer law in the vehicle and all pars and access0 §fps pyt.pgithe vehiclB djln 211iparts aria accessories put,on the 1. 7. Deliver, ti. Dealer shall got be liable for failure to deliver or delay in deliver rig the motor vehicle covered vehicle and in all insurance premiums financed, or rebates from insurance premiums service contracts, and in the proceeds of aq`krisrlvance policies covering the vehicle cr credit life or disability insurance policies financed as by this order where such f r ailure or delay is due, in whole or in part any cause beyond the control or without the part of the transaction, which security interest secures all sums which may become due under this contract, as tault or negligence of Dealer- well as any modificaitions, extensions, renewals, amendments or refinancing of the agreement. o. Re- aporaisaP of Traded Vehicle. If the used motor vehicle which has been traded in as a part of the 16. Default Cusfgmef agrees that if Customer breaches any warranty, representation or certification or defaults consideration for the motor vehigle ordered hereunder is not to be delivered to Dealer until delivery to Customer in the performance o c ony term or promise made in the Agreement or the accompanying documents, including, but of the ordered motor ve�icle,iorat some later date, the used motor vehicle vehicle shall be re- appraised at that. not limited to, makiing of any payment when due or becoming insolvent or Sling any proceeding Ae'r'the U.S. time and such-.reappraised value shall determine the allowance therefor shown on the front of this Order. Bankruptcy Code if the vehicle is damaged, destroyed or impounded,,fhaiPr -(nay, subjQCt to the provisions Customer may,1 �ssaiisrWiherewith, cancel this order, provided, however, that such right to cancel is exercised of the Agreemeetdo Arbitrate executed by Dealer and Customer, at +its option andNathoul�netiae'grtletaand: (1) prior to the delivery of the motor vehicle ordered hereunder to the Customer and surrender of the used motor declare all sums, ikin� diately due and payable; (2) file suit against Customer for all unpaid sUTsl (3) take vehicle to Dealer,. immediately pat s�ssl e of the vehicle; (4) exercise any other legal or equitable remedy. if Customer defaults or 9 Trade -In Vahlble(s) in addition to the trade -in certification on the front of this document, Customer also breaches this A }raeMent, Customer agrees to pay finance charges at the maximum annual percentage rate warrants that there is no theft or damage event in the history of the trade -in that voids any factory warranty or permitted by law Willi all sums owed to Dealer are paid in full or judgment is entered by court or by arbitrator, as makes the trade -in ineligible for warranty or service contract coverage. Customer agrees that the lien amounts applicable- Dealer's remedies are cumulative and taking of any action shall not be a waiver or prohibit Dealer from noted herein are accurate and that the customer will pay Dealer any difference within (3) days notice by Dealer. pursuing any other remedy. Customer agrees that Dealer shall be entitled to recover from Customer reasonable Customer also agrees that if the trade -in vehicle(s) islare not as represented herein, that Dealer shall have a claim enforcement and collection costs including, but not limited to, reasonable attorney fees. In addition, Dealer is for damages and may recover from customer all losses, damages and costs of enforcement, including reasonable granted permission to enter onto any premises owned by Customer to repossess the vehicle. Customer agrees attorney fees. Customer understands and agrees that the trade -in allowance provided by Dealer for the trade -in Dealer is entitled to recover any reasonable costs and expenses arising out of that repossession. vehicle is based upon the representations and warranties in this and all accompanying documents. Customer 17. Limitation of Remedies. Customer agrees that with respect to any claim, whether in contract, tort, warranty or agrees that if these representations and warranties regarding title, history or condition are not correct, Customer otherwise, that Customer may have now or in the future against Dealer or its agents or employees, that shall pay to Dealer all losses and damages, including but not limited to, the difference between the value as Customer's remedies are limited to the repair or replacement of the ordered vehicle and that the maximum represented and the actual value of the trade -in as determined in Dealer's sole discretion. damages that may be sought or recovered from Dealer or its agents or employees is the salellease price of the In addition, Customer agrees to pay Dealer the cost of all fees incurred in determining the difference in value ordered vehicle, less reasonable use charges, depreciation charges, set -off amounts and damage charges, of the vehicle and disposing of the vehicle. In the event Customer cannot deliver good, claims and encumbrances, Customer shall not be entitled to submit a claim or recover any amounts in excess of the foregoing. Some states Customer agrees to accept return of the trade -in vehicle and to pay to Dealer, with cedifed funds, the entire or laws do not allow the limitation of remedies so this may not apply to you. trade allowance given to Customer for the trade -in and any other damages or losses to Dealer. Customer further 18. Governing Law. The law of the State of Indiana shall govern this agreement. agrees to indemnify and hold Dealer harmless from any and all claims, demands, rights, actions, causes of action, 19. Successors and/or Assigns Customer and Dealer agree that this Agreement shall be binding upon and inure damages, costs, costs of defense (including attorney fees), expenses and compensation whatsoever Dealer, the to the benefit of the parties hereto, and their respective heirs, executors, representatives, subsidiaries, affiliates, purchaser of the trade-in or any other prospective purchasers or any other person or entity may have as a result successors, andlor assigns. of the vehicle not being as represented herein. Customer hereby further agrees that no oral statements, 20, $everability In the event any term or provision of this agreement is found to be invalid, void or unenforceable representations or warranties contrary to the terms of this agreement have been made by Customer. by a court of competent jurisdiction in whole or in part, the remainder of this Agreement or the application of such 10. Taxes. Purchaser agrees to pay, unless prohibited by law, any and all safes, use, luxury, or other taxes term or provision to circumstances other than those as to which it is held invalid, void or unenforceable, shall (Federal, State or Local) imposed on or applicable to the vehicle or transaction regardless of who may have nevertheless be binding upon the parties with the same effect as though the invalid, void or unenforceable part primary tax liability. had been severed and deleted, and shall be valid and enforced to the fullest extent permitted by law. 13. Additional Documents, The Purchaser, before or at the time of delivery of the motor vehicle covered by this Order, will execute such forms of agreement or documents as may be required by the terms and conditions of this Order, including, but not limited lo, any finance or lease agreements, any documents necessary to the transaction. Customer also agrees that, if an error exists in any document, to execute a replacement document upon Dealer's demand. 12. Disclaimer or Warranties. Dealer does not warrant the corrections of the year of manufacture or model of the vehicle. Customer has verified the description of the vehicle to hislher satisfaction and there is no warranty as to the correctness of the description of the vehicle. Customer acknowledges there is no warranty as to the merchantability, suitability, fitness for purpose or otherwise concerning the vehicle, parts or accessories described frerein. Customer agrees that Dealer has disclaimed any and all warranties. However, if Dealer provides a VOUCHER NO. WARRANT NO. ALLOWED 20 Tom Wood Ford IN SUM OF 3130 East 96th Street Indianapolis, IN 46240 $62,304.21 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 24165 EF29074 102 650.09 $30,901.48 1 hereby certify that the attached invoice(s), or 24165 EF29075 102- 650.01 $31,402.73 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 FER 14 2011 rt J Fire Chief 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)) EF29074 $30,901.48 EF29075 $31,402.73 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