HomeMy WebLinkAbout197842 05/26/2011 CITY OF CARMEL, INDIANA VENDOR: 305700 Page 1 of 1
ONE CIVIC SQUARE TOM WOOD FORD INC
(i CHECK AMOUNT: $806.80
CARMEL, INDIANA 46032 3130E 96TH ST
INDPLS IN 46240 CHECK NUMBER: 197842
CHECK DATE: 5/26/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4351000 FONS275746 806.80 AUTO REPAIR MAINTEN
TOM WOOD
PAIlTro zh sEFavolcFE
FORD
3130 E. 96th Street o Indianapolis, IN 46240
(800) 423 -4646 0 (317) 846 -4241
www.tomwoodford.com
CUST NUMBER 162 583 OWLIP CALDWELL 7203 TAG NO 1731 'N"`fl5VI9 /11 PONSI275746
CITY OF CARMEL_ ENGINEERING LICENSE NO. oDOMETER X G 'WHT CLRC STOCK NO.
1 CIVIC SQ 6 (RUCK /ESCAPE /4DR 4WD HYBRID OELIaVf7 /05 DELIVERY ODOMETER 9
CARMEL, IN 46032 --2584 'y 1N O// 7
F M C U 9 6 H 7 6 K A 2 6 0 9 0 1001 {G DEALER NO. MANUFACTURED DATE
F.T E. U- 031201550 -020 RO. NO, R.45! /13/11
NOMEPHONE �1ilfss 24 4.y INSTRUCTIONS 11 33 11 1 Mrs: 34987
OB# 1 CHARGES Disclaimer of Warranties Any warranties on
the products sold hereby are those made by
BOR the manufacturer. The Seller, TOM WOOD
FORD, Inc. hereby expressly disclaims all
1 `99F,OZ99P, WORLD: ,CLASS, INSPECL... t TECH'(S)'.997306 n., v, i ce O.DO..
CUSTOMER REQUESTING WORLD CLASS INSPECTION AND warranties, either express or implied including
PUT INSPECTION REPORT IN VEHICLE. any implied warranty merchantability fitness for .,particular p TOM WOO or
MAINTENANCE SERVICE
PERFORMED WORLD CLASS INSPECTION AND INSPECTION REPORT FORD, Inc., neither assumes nor authorizes
IN CUSTOMERS VEHICLE.. in other person to assume for it any liability
in connection with the sale of said products.
I hereby agree to pay Tom Wood Ford
OB# 1 TOTALS attorney's fees if collection hereof becomes
necessary,
JOB# 1 JOURNAL PREFIX FONS JOB# I TOTAL 0.00 Not responsible for car or contents in case of
OB# 2 CHARGES fire or theft or freezing or any other cause.
Storage will be charged 48 hours after repairs
BOR are completed.
2, 47F..OZ *'AXLE /,DIFFERENTIAL TECH(S).997306r ..IF
ABS LIGHT ON
DIAGNOS. REPLACE.LEFT FRONT TONE RING
ARTS QTY FP- NUMBER DESCRIPTION LIST PRICE' -UNIT PRICE-
1 AL8Z- 2C182 -A RING ABS S 37.31 37.31 37.31 X
TOTAL PARTS 37.31
OB# 2 TOTALS
LABOR 299.95
PARTS 37.31
JOB# 2 JOURNAL PREFIX FONS JOB# 2 TOTAL 337.26
OB# 3 CHARGES
s
OR
3 +41FOZ ^RECOMMENDED.IMAINTx .g.. „TECH(S)'`i997306 ..,.,.:59.95
A dded Operation (8PHILC 05/16/2011 09:48)
REPLACE BATTERY FILTER. AIR FILTER. 3 WIPERS
PARTS QTY -FP- NUMBER DESCRIPTION -LIST PRICE -UNIT PRICE
1 5M6Z- 19N619 -AA FILTER POL 24.98 24.98 24.98
1 FA -1772 ELEMENT ASY 24.95 24.95 24.95
1 2U2Z- 17528 -EA BLADE ASY 19.95 19.95 19.95
1 2U2Z- 17528 -JA BLADE ASY 19.95 19.95 19.95
1 3L8Z- 17528 -AA BLADE ASY 19.95 19.95 19.95
Z TOTAL PARTS 109.78
JOB# 3 TOTALS
o LABOR 59.95
W PARTS 10938
JOB# 3 JOURNAL PREFIX FONS JOB# 3 TOTAL 169.73
9 JOB# 4 CHARGES
LABOR
;3
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s
PAGE 1 OF 3 CUSTOMER COPY [CONTINUED ON NEXT PAGE] 01:31 pm
TWF -4020
TO WO PARTS SER VICE
q
FOR®
3130 E. 96th Street o Indianapolis, IN 46240
(800) 423 -4646 (317) 846 -4241
www.tomwoodford.00m
COST. NUMBER 162583 P` t LIP CALDWELL 7203 TAG NO 1731 INv '0 5�AI-9 /11 P1Nslk
CITY OF CARMEL ENGINEERING LICENSE NO. ODOMETER 34,987 *OW CLRC STOCK NO.
1 CIVIC SQ /ESCAPE /4DR 4WD HYBRID 0ELlff/- JT7 /0 DELIVERY ODOMETER 9
CARMEL IN 46032 -2584 V VOA 1/
1 F M C U 9 6 H 7 6 K A 2 6 0 9 0 `0jyG DEALER NO. MANUFACTURED DATE
F. T E.O',0 31201550 -020 P.O. NO, R_._ IC /13/11
HOMEPHONE B{1$IP ss5IijT 2441 INSTRUl1CTIONS �JJ
3311// M 34987
;;4�99FQZ132P. "REPLY., FUEL ,.FILTER <.x.,. ...<.,.TEGH(S} i 97306 51 '96x:; Disclaimer of Warranties Any warranties on
dded Operation (8PHILC 05/16/2011 09:48) the products sold hereby are those made by
CUSTOMER REQUEST FUEL FILTER REPLACEMENT. the manufacturer. The Seller, TOM WOOD
MAINTNENANCE SERVICE FORD, Inc. hereby expressly disclaims all
REPLACE FUEL FILTER (132P) warranties, either express or implied, including
any implied warranty of merchantability or
ARTS QTY FP- NUMBER DESCRIPTION-- -LIST PRICE -UNIT PRICE- fitness for a particular purpose. TOM WOOD
1 E7DZ- 9155 -A FILTER ASY 29.95 29.95 29.95 FORD, Inc., neither assumes nor authorizes
TOTAL PARTS 29.95 any other person to assume for it any liability
in connection with the sale of said products.
I hereby agree to pay Tom Wood Ford
OB# 4 TOTALS LABOR 51.96 attorney's fees if collection hereof becomes
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 FONS JOB# 4 TOTAL 81.91 Storage will be charged 48 hours after repairs
OB# 5 CHARGES are completed.
OR
5 +OIFOZMOCFS, *;FUEL:SYSTEM „SERVIC TECH(S 997306 149.195
dded Operation (8PHILC 05/16/2011 09:48)
INSTALL MOC TDBLFUEL KIT CLEAN THROTTLE BODY, CLEAN
INJECTORS- FUEL SYSTEM SERVICE.
SERVICE FUEL SYSTEM MAINTENANCE X
MOC FUEL SERVICE
ARTS QTY FP-NUMBER DESCRIPTION LIST PRICE•UNIT PRICE
1 TDLFUEL 41.75 37.95 37.95
TOTAL PARTS 37.95
OB# 5 TOTALS
LABOR 149.95
PARTS 37.95
W
JOB# 5 JOURNAL PREFIX FONS JOB# 5 TOTAL 187.90
OB# .6 CHARGES---------
LABOR
m 6 +02FOZGBATT` GREEN BATTERY "Y. k >A., TECH(S):80 rh...., '0:00,
A dded Operation (8PHILC 05/19/2011 13:28)
BATTERY TEST OK -COLD CRANKING AMPS.TERMINALS CLEAN -OK-
TEST BATTERY
GOOD BATTERY
U
N JOB# 6 TOTALS-----------------------------------------------------
w
U
JOB# 6 JOURNAL PREFIX FONS JOB# 6 TOTAL 0.00
JOB# 7 CHARGES
U t1
a LABOR
J#7U2FOZGBK 0n 00
Added Operation (8PHILC 05/19/2011 13 :28)
BRAKES CHECK -OK (DISC OVER 5MM,DRUM OVER2MM)
g ATW BRAKE CHECK -OK
BRAKES OK
P
v
Q PAGE 2 OF 3 CUSTOMER COPY [CONTINUED ON NEXT PAGE) 01.31 pm
TWF -4020
TOM WOO SERVI PARTS
FORD
3130 E. 96th Street o Indianapolis, IN 46240
(800) 423 -4646 0 (317) 846 -4241
WWw.tomwoodford.com
CUST, NUMBER 162 583 F'r R L IP CALDWELL 7203 TAG N0.1731 INVOOS /1-9/11 rM`S175746
CITY OF CARMEL ENGINEERING W
V LICENSE NO. ODOMETER 34, 987 ��01111 CLRC STOCK NO.
1 CIVIC S X EA MAKE (MODEL DELIdS Y T° DELIVERY ODOMETER
U61FORD TRUCK /ESCAPE /4DR 4WD HYBRID �7���7/05 9
CARMEL, IN 46032 -2584 T 9 6 7 6 2 6 0 9 0 SF 1b I' NG DEALER NO. MANUFACTURED DATE
1 F M C U H K A
F. 1 E.6 031201550 -020 P.O. NO. R.O.ff/
HOME PHONE USI SS E INSTRUCCTIONS
s 317 —U —2441 M0: 34987
Disclaimer of Warranties Any warranties on
JOB# 7 JOURNAL PREFIX FONS JOB# 7 TOTAL 0.00 the products sold hereby are those made by
the manufacturer. The Seller, TOM WOOD
OB# 8 CHARGES FORD, Inc, hereby expressly disclaims all
BOR war ofomerchantabilitylor
8 +02FOZGTIRE s GREEN TIRES w TECH(S) -'$Oi fitness for a particular purpose. TOM WOOD
dded Operation (8PHILC 05/19/2011 13:29) FORD, Inc., neither assumes nor authorizes
TIRES CHECKED OK -ATW INSPECTION any other person to assume for it any liability
TIRES OK in connection with the sale of said products.
GREEN (OK) TIRE INSPECTION I hereby agree to pay Tom Wood Ford
attorney's fees if collection hereof becomes
OB# 8 TOTALS necessary.
Not responsible for car or contents in case of
JOB# 8 JOURNAL PREFIX FONS JOB# 8 TOTAL 0.00 fire or theft or freezing or any other cause.
Storage will be charged 48 hours after repairs
ISC CODE DESCRIPTION CONTROL NO--- are completed.
OB A Al SHOP SUPPLIES 30.00
TOTAL MISC 30.00
OMMENTS----------------------------------------------------------------------------
ORK AUTHORIZED BY LISA SCOTT
ELETED OPERATION(S) X
1FOZFBI FREE BRAKE INSPECT
OTALS------------------------------------------------------------------------------------------
TOTAL LABOR.... 561.81
TOTAL PARTS.... 214.99
1 CASH L I CHECK CK NO. L TOTAL SUBLET... 0.00
TOTAL G.O.G.... 0.00
I VISA MASTERCARD TOTAL MISC CHG. 30.00
TOTAL MISC DISC 0.00
OTHER I CHAR TOTAL TAX...... 0.00
M TOTAL INVOICE 806.80
HANK YOU FOR 3 NESS!!
CUSIOMER SIGNATURE
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PAGE 3 OF 3 CUSTOMER COPY END OF INVOICE 01.31pm
TWF -4020
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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.
Tom Wood Ford
Payee
3130 E. 96th Street
Purchase Order No.
Indianapolis, IN 46240 Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
05.119.111 FONS2757 9006 Hybrid Tri lick Repairs-nan's Truck MnS An__
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.
Tom Wood Ford ALLOWED 20
313 96th Street IN SUM OF
Indianapolis, IN 46240
$8 06.80
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
n/a FONS275746 2200 435100 is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
20 II
Ig r r)fa
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund