HomeMy WebLinkAbout159857 05/28/2008 CITY OF CARMEL, INDIANA VENDOR: 00352042 Page 1 of 1
ONE CIVIC SQUARE DON HINDS FORD
I CARMEL, INDIANA 46032 12610 FORD DRIVE CHECK AMOUNT: $55,350.00
FISHERS IN 46038 CHECK NUMBER: 159857
CHECK DATE: 5/28/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
604 5023990 54648 18,450.00 OTHER EXPENSES
604 5023990 54649 18,450.00 OTHER EXPENSES
604 5023990 54650 18,450.00 OTHER EXPENSES
I
12610 Ford Drive Phone
FISHERS, INDIANA 46038 (317) 849 -9000
Certified Cust. No, C 12669 JRL. 10 11 20
6.5
Deal No. 5464$ 21 22 23
Invoice No. Date
Purchaser's Name �7 O 4 O
CITY OF CARMEL UTILITIES
Stock No. Delivery Date
Addre
/UO 3RD AVE SW CARMEL, IN ll 460 FT4258
Telephone Home Work P A X Z RCL
571 -2451 317) 571 266�cir�le)
rYear Make Model Type Sepal No.
2008 FORD F250 PKUP PU 1FTNF21558EE05702
Cc Trim Key Code In Service Date
uE FE/FA FB 05/ 14 /0$
Factory Installed Equipment
No Lien
Customer Lien to:
Total -�—CJ—
Description of Trade Trade In Allowance
Year Make Model Color Equipment Rustproof /Undercoat
�A
0Ps El Nip
El Aut ❑cyr I I I- i n DING DIFFERENCE 1$44$
�r
Serial No. Title I ACV �T
n
Enc El in Mail XX) Document Fee 1
Balance Owed Owed To Address o T Sales Tax
yh!
V r-7 Extended Service Plan A
Sale 37000 37500 Total Cash Difference 1845 .00
Finance Information Account 37100 37600 Balance Owed on Used Vehicle
N I A
APR Rate Months I Insurance Total Balance Due
/A Single Life ❑A +H 1.$450.00
N
g Joint Lite Date less Cash Received
N/A
Bank FMCC Beginning Payment Unpaid Balance of Cash Price Pize
FLEET I ❑30 Days Rkther DAYS
-a
The front and back of this Order comprise the entire agreement affecting this purchase and no other agreement or understanding of any nature concerning same has been made or entered into, eir will be recognized. 1 have red the me er pyin on
the back hereof and agree to it as a part of this order the same as if it were printed above my signature.: certify that t am of majority age and hereby ac kno vIedge receipt of a copy of this order
CONTRACTUAL DISCLOSURE STATEMENT FOR USED VEHICLE ONLY
'The information you see on the window form (or this vahiole IS part of this contract, Information wi n np
on the dow fo overrides any contrary provisions in the contrail of sale.'
Sat �hfE D DAV I D yo g�43A Dthorized Rep. Custo r Date
orsdaar regWa— regWrs yov to afeto free uasi ere, mileage upwr transfer of ownership. An inaowrate or unine yN slal®rmnt may W you (Amend regrattiese re nu4e you Ip pale it. adomerez maege, upon nensfer of wmershle An in orate dr un ru fu mW n may make Y.
]lade to damages to your fmnsMree, for efremey mom end ke civil criminal p—Mas, pursuant to sacnons 409, 412. and 413 of Inn Moto- Fads fdr damages fo your fmnalsove, hr aal i es. antl W 6N1 or orrnihal penaaiee, pursuent to sections 409, 412 and 4r3 or the Motor
vehicle Sol dace ant Cop Savings Ad of 1972 (Pfd. L. 92 -573, as amended by Pub. L (1¢3641. Mahcte IN Marion and Ca4 Sa dogs AN of 19)2 (Pub L 92313, as amended by Put, L. 9¢.364].
DON HINDS FORD, INC. state that the od—ii, on the veh'cle described belmw now made 8 rdleUkilaromm I, slate that the odometer on the ,chce described below maw leads mile"Itiommma.
(Chad ate bdx only) (Ghedt ore halt only)
C3 I hereby comfy met m me best al knowledge the odpmms, reatling as shared above reflects Iha .-at mieagn of the ,chide descibed 1 hereby sedlly that to the bop el my knowledge the odometer reading as stated above rellacts the actual mileage of the vehicle daecdbad
WI_. sco"
1 hereby comfy that to the best of my kwoMedge the Odometer mading reflects the amount of mileage in escasse or designed rrrecMW I hereby coMl that to the best or my Imowtedge the odometer reading reflects Ina amount of mileage fm excess of designed mechanical
odometer limit of 94,999 milesadbmelers m the,¢hide described Inman. odo meter IMI of 99,999 maesfldlommem of Ina I.N.I. d—lbed bel—
of I hereby No" east to the beat of my knowledge me odommer reading as slated above is NOT the actual mileage of eMkle desMhed Insider, ED hereby certify that to the bear of my knowledge the odometer reatling as stated above is NOT the actual mileage at Wrier, described beles.
and sloum not he relied W. and shoed nil be need upon.
(Cheat one box only) (Ghadceta one only)
1 hereby .Nay mat me ad—Onr of said ,chide was riot altered, ant back, dr disoomnectetl white 1n my pa- rasmon, and I have m fo oMedpe 1 hereby certify anal ma odometer of mM rilcle was not ¢acted, at beck, or die -o—d while In my nosnnal n and I have no krwwledae
of anyone ahe doing m. d minions ere doing so.
CI I hereby certify Mat the artommer was snared far repair or roplscamem purposes wane fn my pdsaeeslon, arW that the mils e. nigatered on (:1 1 thereby certify Mel the adameler was snared for repair Or replacement rameceee while fn my possession, antl that the mileage ragstered on
the repaired mrocc4neof mummer is iderecal to that before such semoi. IM repahad m replacement alommer Is identical ho that broom such service.
i hereby com
fy Mal the od Wished ton repair or replacemsM prp
uoses while in my possession, and that the repaired or o (:1 1 hereby certify c that the o m we
dpamr altered for repair replacement purposes while In my possession, and that the repaired o
replacarrlent scomemr was 'historic of reghoormt me same mileage. that it was ream td za o, ant [hat the mileage on the original momeler or ret4acamam odometer was local le of regktedrg the same mileage, that it was ream to zero, no Ina, Ina miloage on the origlnal odwmmer o
the odometer bales repair was misoNllometors. Me odm
oeter berm pair w
reas milesraifanmers.
DON HINDS FORD, INC. 0 5/ 1 4/0 8
aj d Q
TRANSFEROR'S NAME DATE OF THIS STATEMENT TRANSFEROR'S NAME
12614 Ford Drive Fishers, Indiana 46038 7 '1 (y A Yl G C M r 1 T A{
TRANSFEROR'S ADDRESS CfTY STATE ZIP DEART LI �E ZIP
X X
(TRANSFEROR'S SIGNATURE) (TRANSFEROR'S SIGNATURE)
DON MINDS FORD, INC
TRANSFEREE'S NAME TRANSFEREE NAME
12�1f3 f nlEi� r 46��$
TRANSFEREE'S ADDRESS CITY STATE ZIP TRANSFEREES AD RE DRIVE
SS s— CIN ET A
pecelpt of d COpyar refs Roc'sof dt a Copy df thhe
Blsfament 0 hereby arhnmvledg ad. X statement 1s hereby admetvledgfed. X
BUYER OR TRANSFEREE'S SIGNATURE BUYER OR TRANSFE REFS SIGNATURE
The Reynolds and Reynolds Company 14040180 (earns)
E
r s
AGREEMENT
I agree to pay the balance on the terms specified and accept delivery of Car or Truck Wthin forty -eight hours after 1 have been notified that
it is ready. In case t fail to take delivery of Car or Truck who notified, my deposit may be retained as liquidated damages for your expense and
efforts in the matter, and you may dispose of the Car or Truck without any liability to me whatsoever.
It an allowance on a used car is involved in this purchase, it is agreed that in the event the used car -is delivered to yod, and this order-Js
thereafter cancelled you will return the used car to me upon receipt of payment for your reasonable charges for storage and for any repairs
made by you while in your possession. If the'used car has been sold by you before said cancellation you agree to pay me the proceeds of such
sale less a selling commission of fifteen per cent (15 and less' any expense incurred by you in staring, conditioning and advertising the said
car for sale. If my used car is not delivered to you until I receive the within ordered Car or Truck, it agreed that the used car will be subject to
re- appraisal and that your, appraisal at the time of delivery is to be the allowance for my used car.
It is agreed that cash or used car, .or. proceeds from the sale of such used car, accepted as a deposit on this order shall be held in trust by
you until delivery is effected.
It is expressly agreed that the purchaser acquires no right, title or interest in or to the property which he agrees to purchase hereunder until
such property Is delivered to him and either the full purchase price is paid in cash or a satisfactory deferred payment agreement is executed by
the parties hereto, the terms of which shall thereafter be controlling.
The price quoted is for immediate delivery, but if the price either Car or Truck, or accessories should be changed by the Manufacturer before
Car or Truck has been assigned to me, then this order shall be construed as if the changed price was originally inserted herein or shall be
annulled at my option.
It is understood that there is no relationship of principal and agent between the dealer and the manufacturer and that the dealer is not
authorized to act, or attempt to act, or represent himself, directly or by implication, as agent of the manufacturer, or in any manner assume or
create, or attempt to assume or create, any obligation on behalf of or in the name of the manufacturer.
There is no other express warranty on this vehicle.
Any; implied warranty of merchantability or fitness is limited to the 12 month/12,000 mile duration of this written warranty.
1. As to a new vehicle or chassis, the most recent printed Ford Motor Company warranty applicable to such new vehicle or
chassis, which is made a part of this Order as if here set forth in full. Such printed warranty has been explained to the Purchaser
and a copy thereof will be furnished to the Purchaser upon delivery of the vehicle or chassis;
2_ As to a used vehicle'or chassis, such warranty, if any, as may be expressed completely in writing by the Selling Dealer or
Ford Motor Company on this Order or separate instrument delivered to the Purchaser.
Neither Ford nor any of its dealers shall'have any responsibility for loss of use of the vehicle, loss of time, inconvenience, commercial
loss or consequential damages.
AFFIDAVITTO BE USED WHEN TRADE -IN IS INVOLVED
being duly sworn deposes and says: that resides at
and is of legal age and competent to make this contract and that he is the sole true and
lawful owner of the used car described In this contract and which is trading (or replacing on sale) in accordance with the terms
thereof; that there is no lien, mortgage, unpaid balance on any conditional sales agreement, or other encumbrances of any kind or character,. in-
cluding lien of any judgment or execution, except as follows
that this statement and affidavit is made for the purpose of obtaining credit and to guarantee title to the above mentioned used car to be as
aforesaid and that all statements made herein are true and correct: and that all of the above statements were made of own free
will and accord.
Subscribed and sworn to this day of 20
Notary Public My Commission Expires
TRADE -IN CERTIFICATION
THE UNDERSIGNED CERTIFIES THAT HIS/HER'TRADE -IN VEHICLE HAS NEVER BEEN TITLED UNDER A STATE OR FEDERAL
"BRAND" SUCH AS "DEFECTIVE "REBUILT "SALVAGE "FLOOD ETC.
AIR' BAG CERTIFICATION (IF APPLICABLE)
THE UNDERSIGNED CERTIFIES THAT TO THE BEST OF HIS/HER KNOWLEDGE THE AIR BAGS IN THE VEHICLE BEING TRADED
HAVE -NEVER BEEN DISCONNECTED AND ARE OPERABLE.
R048$6 0
12610 Ford Drive Phone
FISHERS, INDIANA 46038 (317) 849 -9000
Certified Cust. No. 12669 JRL. 10 11 20
Deal No. 54650 21 22 23
4 �.a31,ltp invoice No. Da 05/ 14/08
Purchaser's Name 7
CITY OF CARMEL UTILITIES t
Stock No. Delivery Date
All 5S State/Zip FT4238 05/14/08
I
%S0 3RD AVE Sly CARMEL, IN 460�3�
Telephone Home Work P A X Z RCL
571 -2451 317) 571 266�Circle)
Year Make Model Type Sertal No.
2008 FORDO F250 PKUP PU. 1FTNF21518EE05700
Color Trim Key Code In Service Date
t
BLUE FE /FA FB 05/ 14/08
Factory Installed Equipment
No Lien
Customer Lien to:
Total 184 18.75
Description of Trade Trade In Allowance
Year Make Model Color Equipment R [I ustproof/Undercoat
N/A I PS A/C Auto Cyllni I E
iJ
Serial No. Title` ACV
-�L _71 E —FE
Enc In'll'i Document Fee A
Balance Owed Owed To Address W HIT Sales Tax NIA
1 Yy Extended Service Plan N/A
Sale 37000 37500 f Total Cash Difference 184 0.00
Finance Information Account 371 00 37600 Balance Owed on Used Vehicle N
APR Rate Months Insurance Total Balance Due 184, 0 00
r I
N/A Single Life Joint Life A +H Date Less Cash Received N/
Bank FMCC Beginning Payment Unpaid Balance of Cash Price
FLEET [1 30 Da ❑)ter DAYS
th ec e
The front and track of this Order comprise the entire agreement affecting this purchase and no allied agreement or understanding of any nature concerning same has been made entered into, or will be recognized. I have read the matter printed on
the back hereof and agree to it as a part of this order the same as if it were printed above my signature: Icertify that I am of majodly age and hereby acknowledge receipt of a ropy of this order.
CONTRACTUAL DISCLOSURE STATEMENT FOR USED VEHICLE ONLY
'The information you see on the window form for this vehicle is_part of this contract. Information on the window form overrides any contrary provisions in the contract of sale."
Sasestn44 48 Deale70 4t-0Torized Rep. Date
T S
"ospof reguladartt mgwre you A, slate ft odanrerer —m,ge tyten tmnsler of ownenti An wraocuni or n n rLh1d statement may make you (Fedur.t refiyoi bns require you fo sre[9 the odometer mifpega upon transfer of ownership An in ccyrale or unlrulhlul slalivi may msfia you
lie4'e for damages m your Vanaferee, for edam" fares, ant for ciw or'finn"l penalties. Pursuant to s i ions 409, 412, end 413 01 are Motor Aah'e (or damages to ywr tmnsavear tot asomey teas, and for cii or crNnlnal panaltias. Porsuent to soothers 409, 412, antl 413 01 pre Motor
vi than —don and Cpsr Sai Act or 1912 (Pub. L, 913, .s amended by Ph L 9al -36aJ. vehBde fnisters n and Cost Sayings Act of 19]2 (Pub. L 92 -513, e9 amended by Pub. L. 94.764).
DON HINDS FORD. IND, state that the odometer on the vehicle desenbed below now reads 8 mithiNlwneters. 1, state Man M. odometer on the vehicle described below now reads milesrkilomatars.
Cbec( one box only} (Check onto bux only)
I hereby caddy [hat to the best of my onDed dgg me odornater reeding as staled abate reheats In. actual mileage or the vehicle desodbed 1 hereby penlTy met is the best of m krrowlatlgB the odometer reading es staled above rallesla the edual mileage of the vehicle described
belmv, below.
I hereby sanity that to me best of my MhpMrar a the odometer reeding re11— the it—irt of mileage to ss of designed meenterm1 I hereby sanity a t to the beat of my knowledge the odometer reading reees. Me amount of mileage In excess of designed mechanical
pbometar limn[ b as,999 mileshibmelers or the wh'ee described below. onshore, I'mn of 99,M mile ,%loneeters of the Wicte descrlbod twlow
11 1 hereby ceNty that to the best of My I eladge Me odometer reatling as slated above fa NOT the actual mileage of whine described below, 1 hereby candy than to pre best of my knowledge the odometer reading as stated above is NOT the .dual mileage al vehicle described bei
and should not be rolled upon. and iii nol be relied upon.
(chpp C one box only) (Check one box only(
I hereby caniy Ilia[ me odometer of said sehide was not allured, set back, or disconnected whsle In my possession, acrd I have ro knmvlenge 1 hereby ceniy that the seminar or sent vehlGe was not eaerrid..1 beck, or dl.-nacled while in my possession, and I have ro knowledge
of ishi else doing m. of anyone else long so.
ED I hereby cony that the odometer was altered for repair or Messier- purposes while in ors' ooss99alon, ant that the mileage mgslered on I hereby sadly met me odometer was atered for repair or replacement purposes while In my possession, ant that the mage ile registered on
the repairen or replacemem odame[er is itlantiCel to met Eefoh sorb service. me repaired or mplacement odometer is idarnisel [d that before such .,A,.
I hereby candy In. he odometer w altered for repair or raplacoment pwposee whits In my possession, end that Ina repaire0 0 I hereby partly the] the odometer —a altered for repair or replacement purposes wNle In my possession, and that the repaired o
.fPcoern- odometer was Incapable or registering the same mileage. net ii was reset to zero, and that the mileage on [he original odrneter or replacement odometer was Incapable of reglstering Ind same mieage, that It was resat Io zeta, aM that Ina hifoege on the original odometer or
moopemeterbehmrepeirwas mileefirtomolam Worrier Woarer before repair was mileerkllIXnataYS. pp
DON HINDS FORD, INC. 05/1 0 1 4 08
TRANSFERORS NAME DATE OF THIS STATEMENT TRANSFEROR'S NAME DATE OF THIS STATEMENT
12610 Ford Drive Fishers, Indiana 46038 7 F '2 a n SW C-A R M l=L
TRANSFEROR'$ ADDRESS CITY STATE ZIP �ET DS.RT7 $S A V S C,, I N 693,? 2tP
x X
(TRANSFEROR'S SIGNATURE? (TRANSFEROR'S SIGNATURE)
N MOS EORD. INC.
TRANSFEREE'$ NAME TRANSFEREE'S NAME
12610 FORD DRIVF FISHERS IN 49018
TRANSFEREE'S ADDRESS CITY STATE ZIP TRANSFEREE's ADDRESS CITY STATE IP
Retxraf of a coot of Nis Receipt of a appy gf this
sfefemeni Is hamhy acknowledged. X sfetemen! s hefabyaUalow4edged X
BUYER OR TRANSFEREE'S SIGNATURE SUYER OR TRANSFEREE'S SIGNATURE
The Reynolds and Reynolds Company A04e100 f09 /05l
r
AGREEMENT
I agree to pay the balance on the terms specified ,and accept delivery of Car or Truck within forty -eight hours after I have been notified that
it is. ready., fn case I fail to take delivery of Car or Truck "Aen' ndtifrecl, my deposit may be retained as liquidated damages for your expense and
efforts in the matter, and you may dispose of the Car or Truck without any liability to me whatsoever.
If an allowance on a used car is involved in this purchase, it is agreed that in the event used car,is; delivered to,you and this. order' is
thereafter cancelled you will return the used car to me upon receipt of payment for-your reasonable charges for storage and for any repairs
made, by you while in your possession. If the used car has been sold by you before said cancellation you agree to pay me the proceeds of such
sale less a selling commission of fifteen per cent (15 and less any expense incurred by you in" storing, conditioning and advertising the said
car for sale. If my used car is not delivered to you until I receive the within ordered Car or Truck, it,is agreed that.the used car will be subject to
re- appraisal and that your appraisal at the time of delivery is to be the allowance for my used car.
It is agreed that cash or used car, or proceeds from the sale of such used car, accepted as a deposit on this order shall be held in trust by
you until delivery is effected.
It is expressly agreed that the purchaser acquires no right, title or interest in or to the property which he agrees to purchase hereunder until
such property is delivered to him and either the full purchase price is paid in cash or a satisfactory deferred payment agreement is executed by
the parties hereto, the terms of which shall thereafter be controlling.
The price quoted is for immediate delivery, but if the price either Car or Truck, or accessories should be changed by the Manufacturer before
Car or Truck has been assigned to me, then this order shall be construed as if the changed price was originally inserted herein or shall be
annulled at my option.
It is understood that there is no relationship of principal and agent between the dealer and the manufacturer and that the dealer is not
authorized to act, or attempt to act, or represent himself, directly or by implication, as agent of the manufacturer, or in any manner assume or
create, or attempt to assume or create, any obligation on behalf of or in the name of the manufacturer.
There is no other express warranty on this vehicle.
Any implied warranty of merchantability or fitness is limited to the 12 month /12,000 mile duration of this written warranty.
1. As to a new vehicle or chassis, the most recent printed Ford Motor Company warranty applicable to such new vehicle or
chassis, which is made a part of this Order as if here set forth in full. Such printed warranty has been explained to the Purchaser
and a copy thereof will be furnished to the Purchaser upon delivery of the vehicle or chassis;
2. As to a used vehicle: or' chaWs', such warranty, if any, as may be expressed completely in writing by the Selling Dealer or
Ford Motor Company on this Order or separate instrument delivered to the Purchaser.
Neither Ford nor any of its dealers shall have any responsibility for loss of use of the vehicle, loss of time, inconvenience, commercial
loss or consequential damages.
AFFIDAVITTO BE USED WHEN TRADE -IN IS INVOLVED
being duly sworn deposes and says: that resides at
and is of legal age and competent to make this contract and that he is the sole true and
lawful owner of the used car described in this contract and which is trading (or replacing on sale) in accordance with the terms
thereof, that there is no lien, mortgage, unpaid balance on any conditional sales agreement; or other encumbrances of any kind or character, in-
cluding lien of any judgment or execution, except as follows
that this statement and affidavit is made for the purpose of obtaining credit and to guarantee title to the above mentioned used car to be as
aforesaid and that all statements made herein are true and correct; and that all of the above statements were made of own free
will and accord.
Subscribed and sworn to this day of 20
Notary Public My Commission Expires
TRADE -IN CERTIFICATION
THE UNDERSIGNED CERTIFIES THAT HIS /HEA TRADE -IN VEHICLE HAS NEVER BEEN TITLED UNDER A STATE OR FEDERAL
"BRAND" SUCH AS "DEFECTIVE "REBUILT", "SALVAGE", "FLOOD ETC.
AIR BAG CERTIFICATION (IF APPLICABLE)
THE UNDERSIGNED CERTIFIES THAT TO THE BEST OF HIS/HER KNOWLEDGE THE AIR BAGS IN THE VEHICLE BEING TRADED
HAVE NEVER BEEN DISCONNECTED AND ARE OPERABLE
r
12610 Ford Drive Phone
J FISHERS, INDIANA 46038 (317) 849 -9000
ertified Cust. No. C 2669 JRL. 10 11 20
'a l
C� k�
Deal No. 54649 21 22 23
Involce
Purchaser's Name 0 5 14 08
CITY OF CARREL UTILITIES
Stock No. Delivery Date 11
Add City rstaterzip FI48 05 /14/08
24
790 3RD AVE SW CARREL, IN 48032
Telephone Home Work
571 -2451 317) 571- 266 �cirQle) P A X Z RCL
Year Make Model Typo Serial No.
2008 FORD F250 PKUP PU 1FTNF21538EEOS701
i Co r Trlm Key Code In Service Date
LUE I FE /FA FB 05/14/08
L
Factory Installed E quipment
r
No Lien
Customer Lien to:
I
Total 1 8442 _Z5_
Description of Trade Trade In Allowance !.4A-
Year Make Model boior uipment Rustproof /Undercoat
V/A
El Ps ❑Arc ❑Auto ❑cyrncTeR DIyG- DIFFERENC 1844 .75
Serial No. Title ACV f rA T
Enc In Mail Document Fee1 A�
Balance Owed Owed To Address 'Ar R HIT Sales Tax I
Y Y
r� Extended Service Plan A
Sale 37000 37500 Total Cash Difference 1845 .00
Finance Information
ACCOUfIt 37100 37600 Balance Owed on used vehicle N/A
APR Rate Months Insurance
D
l
l balance Due 84
/A I 1. 5 .00
S Life ❑Joint Life El A +H Date Less Gash Received
R/A
Bank FMCC Beginning Payment Unpaid Balance of Cash Price
FLEET 0 3 Da ether DAYS
The front and beck of this Order comprise the entire agreement affecting This purchase and no other agreement or understanding of any nature concerning Same has been made or entered into, or will be redogNZed. I have read the matter printed on
the bark hereof and agree to it as a part of this order the same as if it were printed above my Signatures Certify that I am of majority age and hereby acknowledge Rin ipE of a copy of this order.
CONTRACTUAL DISCLOSURE STATEMENT FOR USED VEHICLE ONLY
"The informabon you see on the window form for this vehicle is part of this contract. Information on the window form overrides any contrary provislons to the contract of sale"
Sale a Q Di 4r3uthorized Rep. Custo T Date
E S
(Federal rapNalians require C. b #ere W mdi upon "'defer or ownaohp An Ina id m umi srarsmanf may ke you (Fademl mgulae'mn. requim you to stale the odometer —jeep upon Vender o/ meneae'r. An in orate or unirurh sfstim or may make you
hate for damages 1a your Imnsmreo. W anemey s, and for auto or chmme l yenalh'es, pursuant 10 tecrions 499 412, and 413 of the Motor Bade br damapas N your [rendered, br etlwmy (ass, and or civil or criminal penaltles, psa'anr M scararre 409, 412, end 413 of tae Motor
l4rakle InMrmahat and Cast Sewngs Acr 1912 (Pub. L.92 -513, as emended by Pub L 94 ad4j. Whale Morrmafbn and Cost SaNRps Act of 1912 fPUb. L 92 -513, as amended by Pub. L 91
l DON HINDS FORD, INC. stale that the odrmelaron thavaird, desedbed belownowrseds milesllddmeters. I, state that the odometer an the vmh'ltodo,i below mw read. ned.4.1 —im.
(Check m+e oox amyl (Check one box only)
1 hereby certlly that re ere heat 01 my knowledge the odometer reading as staled above reflects the ii mileage of the vehicle descdtred I hereby certify that to IN best of my knowledge the od.mmi reeding as sated so— raflaW dre atdual mileage of the vehicle described
baba. baba.
I hereby comity tneI to the best at my knoMadge the odometer reading reflects the amount of mileage In excess of designed mechanical I hereby codify that to Iha hest of my knowledge the odometer reading reflects the at missile In arias or designed dencharwal
odernemef I'umh of 99,999 milekAdinmeters Of the vehicle described below. Odometer limn at 99.999 milesNiametare 0Ins vehicle described betoa.
1 hmaby cenity Nat d the best of my knowledge the odometer reading As mailed above le 1 he actual mileage of vehble described below, El I hereby .,try that to the most of my knowlsdge the odometer reading as stated above as NOT the anus) mileage of ,enida deathbed baler,,
and mi be robed upon. end sr o ld not be relied open
(Check orre oar may) (Check ono box only)
1 hereby cerely that tae odometer of said vehicle wee not altered, set Wtlr, w d'awnnected while In any posse.e.n, and I have rip knowedge I hereby comfy them the odometer Of said ,ei was not altered, ael beck, Or dImsmilemed white in my possessor, and 1 have no larowrtei
of anyone eise doing of anyone else dung so.
I hi e.my, Nat 11e odomeer was altered for repair or rsplamemenl purposes while In my possession• end that the mileage registered on I hereby certify tnai the ndmnemr was stored for repair or mmacemem pumoses while in my possesson, and that the mileage registered w
ma rspalred or mplacerhe eaommer te dendcal to that before such service. Ire repaired or replaurerrwnl odenreYer is itlentiW N Nat before SYCh servke.
I hamby ce that the odometer w dilated for repair or replacement purposes while in my possession, and that the repaired o I hereby certify that the odometer w altered for repair o replacement purposes while In my, essor
poss, and that the repaired or
replacement odometer was Incapable of registering the same mileage, Ihet n was reset b zero, ad net the mileage on the original odometer or rdpfssm rs odometer was incapable of regimenng the same mileage, that n was resat is zero, and bet Ve mileage h
e on e odghral odometer a
Ne odometer hebre repair was mllscrkilomemem. the odometer bebro repair was milesfoometem.
DON HINDS FORD, INC. Q NAME TRANSFER
DATE (l (1 4 fl—
TRANSFERDR'S NAME OF IS STA EMENT OR'S 1f�E'O�IIS OI L
12610 Ford Drive Fishers, Indiana 46038 7 G n '7 011 A C C 4 f A D M C 1 7 Af h 1" !1'7'3
TRANSFEROR'SADDRESS CITY STATE ZIP 1 FE y�DRES A l STT 4603 ZIP
X x
(TRANSFEROR'S SIGNATURE) MAIN SIGNATURE)
TRANSFEREE'SNAME TRAN�FEREE' FOR TIC
12�1 FR�D —'RIVE I rcHERc Ti! X60 8
TRANSFEREE'SADDRESS CRY STATE ZIP TRANSFER E'S ADDRESS CITY SFAj S 2
rmettdrP`er d..x sr ernu�reeyea
9UYER OR TRANSFEREE'S SIGNATURE BUYER ORTRANSFEREE'S SIGNATURE
The Reynolds and Reynolds Company R04ete o (09roS)
AGREEMENT
I agree to pay the balance on the terms specified and' accept delivery of Car or Truck within forty -eight hours after I have been notified that
it is ready. In case I fail to take delivery of Car or Truck when notified, my deposit may be retained as liquidated damages for your expense and
efforts in the matter, and you may dispose of the Car or Truck without any liability to me whatsoever.
If an allowance an a used car is involved in this purchase, it is agreed that in the event the• used car is delivered to you and this is
thereafter cancelled you will return the used car to me upon receipt of payment for your reasonable charges for storage and for any repairs
made by you while in your possession. If the used car has been sold by you before said cancellation you agree to pay me the proceeds of such
sale less a selling commission of fifteen per cent (15 and less any expense incurred by you fri storing, conditioning and advertising the said
car for sale. If my used car is not delivered to you until I receive the within ordered Car or Truck, it is agreed that the used car will be subject to
re- appraisal and that your appraisal at the time of delivery is to be the allowance for rni used car..
It is agreed that cash or used car, or proceeds from the sale of such used car, accepted as a deposit on this order shall be held in trust by
you until delivery is effected.
It is expressly agreed that the purchaser acquires no right, title or interest in or to the property which he agrees to purchase hereunder until
such property is delivered to him and either the full purchase price is paid in cash or a satisfactory deferred payment agreement is executed by
the parties hereto, the terms of which shall thereafter be controlling.
The price quoted is for immediate delivery, but if the price either Car or Truck, or accessories should be changed by the Manufacturer before
Car or Truck has been assigned to me, then this order shall be construed as if the changed price was originally inserted herein or shall be
annulled at my option.
It is understood that there is no relationship of principal and agent between the dealer and the manufacturer and that the deafer is not
authorized to act, or attempt to act, or represent himself, directly or by implication, as agent of the manufacturer, or in any manner assume or
create, or attempt to assume or create, any obligation on behalf of or in the name of the manufacturer.
There is no other express warranty on this vehicle.
Any implied warranty of merchantability or fitness is limited to the 12 month /12,000 mile duration of this written warranty.
1. As to a new vehicle or chassis, the most recent printed Ford Motor Company warranty applicable to such new vehicle or
chassis, which is made a part of this Order as if here set forth in full. Such printed warranty has been explained to the Purchaser
and a copy thereof, will be furnished. to the Purchaser upon delivery of the vehicle or chassis;
2: As to a used 'vehicle or >;hassis,'such warranty, if-any, as may be expressed completely in writing by the Selling Dealer or
Ford Motor Company on this Order or•separate instrument delivered to the Purchaser.
Neither Ford nor any of its dealers shall have any responsibility for loss of use of the vehicle, loss of time, inconvenience, commercial
loss or consequential damages.
AFFIDAVITTO BE USED WHEN TRADE -IN IS INVOLVED
being duly sworn deposes and says: that resides at
and is of legal age and competent to make this contract and that he is the sole true and
lawful owner of the used car described in this contract and which is trading (or replacing on sale) in accordance with the terms
thereof; that there is no lien, mortgage, unpaid balance on any conditional sales agreement; or other encumbrances of any kind or, character, in-
cluding lien of any judgment or execution, except as follows
that this statement and affidavit is made for the purpose of obtaining credit and to guarantee title to the above mentioned used car to be as
aforesaid and that all statements made herein are true and correct; and that all of the above statements were made of own free
will and accord.
Subscribed and sworn to this day of 20
Notary Public My Commission Expires
TRADE -IN CERTIFICATION
THE UNDERSIGNED CERTIFIES THAT HIS /HER TRADE -IN VEHICLE HAS NEVER BEEN TITLED UNDER A STATE OR FEDERAL
"BRAND" SUCH AS DEFECTIVE "REBUILT', "SALVAGE" "FLOOD ETC.
AIR BAG CERTIFICATION (IF APPLICABLE)
THE UNDERSIGNED CERTIFIES THAT TO THE BEST OF HIS /HER KNOWLEDGE THE AIR BAGS IN THE VEHICLE BEING TRADED
HAVE NEVER BEEN DISCONNECTED AND ARE OPERABLE.
R04818 0
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) c•
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
352042
DON HINDS FORD Purchase Order No.
12610 Ford Drive Terms
Fishers, IN 46038 Due Date 5/15/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/15/2008 54649 $18,450.00
hereby certify that the attached invoice(s), or bill(s) is (are) true and
;orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOUCHER 081813 WARRANT ALLOWED
35 IN SUM OF
DON HINDS FORD
12610 Ford Drive
Fishers, IN 46038
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
02.3`I
54649 02- 2308 -00 X18 450.00
Depreciation
5 Y 65o o z.23o$ a c BKso
sHG�I� 4 X845 °0
P
553so.06
Voucher Total
s,
Cost distribution ledger classification if
claim paid under vehicle highway fund
0