HomeMy WebLinkAbout157908 04/01/2008 CITY OF CARMEL, INDIANA VENDOR: 00352042 Page 1 of 1
ONE CIVIC SQUARE DON HINDS FORD
CARMEL, INDIANA 46032 12610 rORD DRIVE CHECK AMOUNT: $38,559.25
FISHERS IN 46038
CHECK NUMBER: 157908
CHECK DATE: 411/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AM OUNT DESC RIPTION
604 5023990 W07990 53844 23,823.00 TRUCK
604 5023990 W07991 53874 14,736.25 TRUCK
12610 Ford Drive Phone
FISHERS, INDIANA 46038 (317) 849 9000
Certified Cust.No. Cl2639 JRL. 10 11 20
D� Deal No. 53844 21 22 23
D Invoice No. Date
Purchasers Name
CITY OF CARMEL WATER WASTEWATER UTILITIES 03 /20/08
Stock No. Delive Date
Address Ci /State/Zip FT3328 03/20/08
1 CIVIC SQ CARMEL, IN 46032 -254
Telephone Home Work P A X Z RCL
(317)571-2640 (Circle)
Yea.= Make Model Type Serial No.
2008 (FORD EXPLORER UT IFMEU73878UA92826
Color U E Trim Key Code In Service Date
FE /FA FB 03/20/.08
Factory Installed Equipment
PO# W07990
No Lien 0
Customer Lien to:
Total 23823.-00
Description of Trade Trade In Allowance
Year Make Model Color Equipment Rustproof /Undercoat
/Q ACV A I I ❑PS El A/C ❑Auto ❑Cylin DING DIFFERENCE 23823 00
SAY, Title I MO. Diff e e A
Enc In Mail
ntF e� YLE —FEE X A—
Balance Owed Owed To Address t R HIT Sales Tax
V V Extended Service Plan N /A
Sale 37000 37' Total Cash Difference 23823.00
Finance Information Account .37100 37600 Balance Owed on Used Vehicle A
APR Rate Months I Insurance Total Balance Due
El Sin le Life A +H 23823.00
N /A g El Life Date Less Cash Received
Bank FMCC Beginning Payment Unpaid Balance of Cash Price A
FLEET I 30 Days other DAYS
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, or will be recognized. I have rea t e r t e grin on
the back hereof and agree to it as a part of this order the same as it it were printed above my signature. I certify that I am of majority age and hereby acknowledge receipt of a copy 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 11prm overrides any contrary provisions in the contract of sale."
Salift" De?r4SAuthorized Rep. St Date
(Fademl /a9r� tloru wprrire you to steta Me pLbmeter mileage upon tmnstar of owners b. An irattumte ar unt --an, may me a you (Faders/ regulations require you to atefa the o-bmefer mileage upon fonsbr of ewnersaip An Maxuwta or ay make tan
Habit Aer damages to your constants, Mr attorney fees, and for civil or cmninal penalties, puramm to mobdn9 409, 412, and 413 a Me Motor liable Mr damages to your constants, for amenity bee, far am M UvH or criminal porgies, moment to sections 409, 412, and 413 of tae Motor
lbldCta Inbmutbn eta Cost Savings Act of 1972 (Pub. L. 92513, as amended by Pub. L 94 -3a4). vehicle Inimman- and Cost Savings Act of 1972 (Pub L 92 -513, as —ended by Pub L. 94361).
1 DON HINDS FORD. INC. .state that the ammeter on the vehicle described below now reads 21 mlleandfomeiew. 1, slate that the odomel —ri the vehlCle described bolow howreads rhumidlomaors.
(Check One box only) (Check one box only)
1 hereby certify that to die best of iiy knowledge the Odometer reading as stated above reflects the actual mileage of the vehicle described I hereby certify that to the best of my knowledge the odometer reeding as stated above reflects the actual mlbage of the vehicle described
be, below.
1 hereby certify that 10 the best of my knowledge the Odometer reading reflects the amount of mileage in excess of designed mechanical 1 hereby certify that IO the best of my knowedge the Odometer loading reflects be amount of mileage in excess of designed mechanical
Odometer limit of 99,999 mllesadbmetew O7 be vehicle described be-. odometer liml of 99.999 milee/kllometem of the vehicle described below.
1 hereby parit that to the best of my knowledge the odometer reading as slated above Is NOT the actual mileage of vehicle described below. 1 hereby certify, that to We best of my knowledge, the odometer reading e,9 staled above is NOT Me Bails/ mileage of vehicle desinded below,
and should not be mliea upon. and ehoula nor be reuse upon.
(Check one W. only) (cheek one box any)
1 hereby Certify that the odometer of said vehicle was not altared, set back, or dsmnnened while b my rame ear. and r have no krovaedge 1 hereby certify that the odamoler of tab vohiclo was rot ebomd, of back, or disconnected while In my possession, and 1 have m k —ledge
of anyone else doing so, of anyone oleo doing so.
1 hereby certify that rho odometer was altered for repair or replacement purposes while in my possession, antl that the mileage mgstered on 1 hereby certify that the adometer was offered for repair or replacement purposes white in my possession, and that be rrWwge rogiatered on
die repaired Or replacement odometer h identical to that before such samce. be repaired or replacement odometer is identical to that before such aarvice.
r hereby ceruy that the odometer was altered for repair o rmlam purposes while in my poeseselon, and that the repaired o 1 hereby cenly that the odometer was offered for nepair or replacement purposes while In my possession, and that the repaired o
replacement odometer was Incapable of registering the same mileage. that a was reset to zero, and that the mileage on the original odometer or replacement odometer was incapable of legislating the same mileage, that It was reset to zero, end that the menage on the Original o0onleter or
IM odometer below repair was mseflMlometels. Me odometer before repair was mlles/kilomolere.
DON HINDS FORD, INC. n
TRANSFEROR'S NAME D E:O T T T TRANSFEROR'S NAME 0 �DaT1 9 i S EN7
12610 Fo D riv e Fishers, Indiana 46038
TRANSFEROR'SADDRESS CITY STATE ZIP 1 T D EARKEE ZIP
x x
(TRANSFEROR'S SIGNATURE) (TRANSFEROR'S SIGNATURE)
n
TRANSFEREE'S NAME a Y al FE NABS FORD 1NC
1- -EAR n n o r V E CI c �#€R S ;N 46038
TRANSFEREE'S ADDRESS CITY STATE ZIP S E'S D TY TA
Receipt of a copy of this Receipt of a copy or this
statement is hereby acknowledged. X statement is hereby acknowledged. X
BUYER OR TRANSFEREE'S SIGNATURE BUYER OR TRANSFEREE'S SIGNATURE
The Reynolds and Reynolds Company R04818 0 (09105)
AGREEMENT
.ti
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,' ai
If an allowance on a used car is' involved in this purchase, it is agreed that in the evenf the.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 1 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 chass'i`s, 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.
AFFIDAVIT TO 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.
804818 0
I atCA l 12610 Ford Drive Phone
bI 050 FISHERS, INDIA 4 (317) 849-9000
C I26�
Certified I Cust. No. JRL. 10 11 20
pr�e_o� a K�d
Deal No. 53874 21 22 23
Purchaser's Name Invoice No. Dat
X3'/21/08
CITY OF CARMEL WATER WASTEWATER UTILITIES Stock No. Del'v b�/�� e
Address Ci /State/Zip FT3388 I /08
1_C_I_U_IC SQ CARMEL, IN 46032-2584
Telephone Home Work
(317)571-2640 (Circle) P X Z RCL
Year Make Model Type Serial
2008 I FORD F I S O PKUP PU 1NI' 12W88KD60436
Color Trim I Key Code In Service Da
BLUE FE /FA FB 03/21 /08
Factory Installed Equipment
No Lien 0
Customer Lien to:
Total 147 '-5.00
Description of Trade Trade In Allowance A
Year Make Model Color Equipment Rustproof /Undercoat
N� A I I PS A/C Auto C AD tN'G D rF F E R E N E 14 '5.00
SeriaV /A Title ACV T -I -R E TAX 1- --2-5
ereT1 IL.E_EE.E N A
Enc El In Mail DocumenbFee 'F7A
Balance Owed I Owed To Address I HIT Sales Tax N A
Extended Service Plan IN A
Sale 37000 37500 Total Cash Difference 14736-2S
Finance Information Accou 37100 37600 Balance owed on Used vehicle N/A
APR Rate Months Insurance Total Balance Due 1473
6.25
N/A I Single Life Joint Life A +H Date Less Cash Received N /A
Bank FMCC Beginning Payment Unpaid Balance of Cash Price 1 47'6 .25
FLEET I 0 30 Days ❑jo( DAYS
MERM
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, or will U recognized. I have read the matter printed on
the back hereof and agree to it as a part of INS order the same as If It were printed above my signature. I certify that I am of majority age and hereby acknowledge receipt of a copy 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'
Salesm41 48 DealerM/4lgtorized Rep. Cu M r I Date 03121108
(peders/ repu.e!1 1 e odomafor, mi/dd io upon ..far or ownership. :vent. or -mahto sfa- -I may make Imu, (Fedem/ ragwatbns requim you b stato me odometer mileage upon tmnsbr or ewnershlR An lneccurste or ummirrur amtamenl may make you
Gable for damages to you. aans/ere far attorney rods. are for only or :shine/ penea /es, pmalsom to sact/ons 409, 412, shot 413 of the Motor liable for damages to your roe laree, br attorney Ieea, and for dnl or ch ninal pendfbs, pursuant to sodas 409, 412, and 413 of W Motor
White halan -hon end Coal Si rings AC Of 1972 (Pb. L. 92513, as amended by Pub L 94,364). klende Inhmalav, ON Coal Savings Ad of 1972 (Pub L 92-513, as amended Ol' Pub. L 94 -364).
DON HINDS FORD, INC. state mat the wometeron lhewhiele described bebwndw reeds 8 miles/kilometers. I, stale that the odometer on the vehicle described below new made mIIOaMIIOmn—
(Cheek we bas only) (Check one bo only)
t'
1 hereby can that to the bast of my kovle
ndge the odometer reading as stated above Worse the actual mileage of the where described 1 hereby n :artily that to the best of my knowleego the Odometer redoing as stated above reheds the actual mileage at the vehicle describe0
to below.
1 horsey certify that to the beat Of my knowledge rho odometer reading reflects the amount Of mileage in excess or designed mechanical 1 hereby certify That 10 the best of my knowledge the odometer reading Wool, the amount of mileage In sscess of designed mechanical
odompar funtr of 99,999 mlleshJbmeleas of the whlde deacr0ed belay. Odometer l of 99.999 mlleslkilomerere of the vehicle described below.
I hereby easy Nat to the best of my knowledge the odometer reading as slated above Is NOT the adudl mileage at whole deeermed below, 1 hereby tartly that to the best of my, knomeago the odometer reading W staled Obese 's NOT Me actual mileage of whlde described Now,
and should not be retied upon. and shoultl not be relied upon,
(Cheek one bas only) (Chock one bon only)
1 hereby amity that the diameter of mid whb1O was raj anemm, set beak, or disconnected while in my possession, and I haw rd, krawledge I hereby :only that the odometer of said winkle was nil alte,ed. set back, or disconnedee while In my possession, and I mane no knowledge
of anyone also'Oh" ad,. of anyone else doing so.
1 hereby eertily that the odometer was snared for repair or replacement purposes while in my possession, and met the messes registered an [I I hereby candy trial the Otlamaler was shared for repair or replacement purposes while in my. p08s9esbn, and Net Me mileage registered on
the repaired or replacement odometer Is Ideaucal Io that before such servo,. the repaired or replacement odometer Is identical to that before such service.
1 hereby :amy that the odometer —1 shared toe repair_ or replacement purposes whit, in my possession, and that the repaired or 1 hereby certify that the odometer was altered for repair or replacement purposes while In my possession. and that the rapaied o
replacement odometer was Incepeele of registering the same mileage, that it was meet to taro, and that the -lodge on the original odometer or replacement odometer was Incapable of registering the sand, mileage, that It was met to zero, and that the headed an the original odometer or
me odometer battle repair was md.elulamell. p the odometer before midalr was mees/klbmelem 03/21/08
DON HI F IN C. O3 Z I O 8
TRANSFEROR'S NAME DATE OF THIS TATEMENT TRANSFEROR'S NAME DATE OF THIS STATEMENT
12610 Ford Drive Fishers, Indiana 46036 f TVTr SQ ['Ale 1 STAT 46032 -2584
TRANSFEROR'S ADDRESS CITY STATE ZIP TRA 1 FER A D E CITY E ZIP
x x
(TRANSFEROR'S SIGNATURE) (TRANSFEROR'S SIGNATURE)
DON HINDS FORD, INC.
TRANSFEREE'S NAME TRANSFEREE'S NAME
17610 FORD DRIVE FISHERS, IN 46038
TRANSFEREE'S ADDRESS CITY STATE ZIP TRANSFEREE'S ADDRESS CITY STATE ZIP
Race/pf of a copy of this Reeelpf of a ropy of this
statement Is hereby admpw/edged. X statement is hereby acknowledged. X
BUYER OR TRANSFEREE'S SIGNATURE BUYER OR TRANSFEREE'S SIGNATURE
The Reynolds and Reynolds Company R04810 0 (09 105)
f
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 maybe retained as liquidated damages for your expense and
efforts in the matter, and you may dispose of the Car or Truck without any liability tome whatsoever.
If an allowance on a used car is involved in this purchase, it is agreed that in the event.1he }used car is delivered to you 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 is
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.
AFFIDAVIT TO 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.
p
AIR BAG CERTIFICATION (IF APPLICABLE) t
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)
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 3126/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/26/2008 53874 $14,736.25
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 081281 WARRANT ALLOWED
352042 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
p0� 53874 62- 2308 -00 $14,736,25
1 Depreciation
-2 36$.00 �3SZ3.oa
3'855 •'.9
Voucher Total 5
Cost distribution ledger classification if
claim paid under vehicle highway fund