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164876 10/16/2008 CITY OF CARMEL, INDIANA VENDOR: 237560 Page 1 of 1 ONE CIVIC SQUARE PEARSON FORD,INC CARMEL, INDIANA 46032 CHECK AMOUNT: $193.70 10650 N MICHIGAN RD ZIONSVILLE IN 46077 CHECK NUMBER: 164876 CHECK DATE: 10/16/2008 DEPAR TMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 104071 193.70 REPAIR PARTS j i I y NO RETURNS WITHOUT THIS INVOICE. �AON Pearson Ford, Inc. NO RETURNS AFTER 10 DAYS. A 15% HANDLING CHARGE WILL BE ADDED. 10650 North Michigan Road NO RETURNS ON ELECTRICAL OR SPECIAL ORDER PARTS Zionsville, IN Michigan DISCLAIMER OF WARRANTIES Any warranties on the ite m /items sold hereby are those made by the manufacturer. 317.873.3333 The seller, PEARSON FORD, Inc., hereby expressly disclaims all warranties either FOR A LIFETIME. www.pearsonford.net express or implied, including any implied warranty of merchantability or fitness for a particular purpose, and PEARSON FORD, Inc., neither assumes nor authorizes any other person to assume for it any liability in connection with the sale of this item /items. DATE N YOUR ORDER N0. SHIPPED INVOICE DATE INVOICE NUMBER S ACCOUNT NO. 6200 S 0 PAGE 1 OF 1 L CITY OF CARMEL STREET DEPARTME F T 3400 W 131ST ST O WESTFIELD, IN 46074 -8267 T O HIP VIA SLSM. B/L NO. TERM ORD. I SHIP B.O.::PART.NUMBER' DESCRIPTION;::i: LIST NET AMOUNT;: 1 1 0 8C3Z *17683 *AC MIRROR ASY 227.88 193.70 193.70 We Acc s PARTS SERVICE HOURS Mon., Wed., Thurs. 7:30 a.m. 7:00 p.m. Tue. Fri. GARY, GREG, BOB, TONY, JEFF 7:30 a.m. 6:00 p.m. AND OUR DRIVERS WOULD LIKE TO THANK PARTS 1 93 7n YOU FOR THE CHANCE TO SERVE YOU SUBLET THANKS I I l l l! I I I I l l l l l FREIGHT 0 1 74Qyk THANK— YOU SALES TAX V :::TOTAL �ON CUSTOMER COPY q31 i VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No. 201 (Rev. 1995) i Pearson Ford ALLOWED 20 ACCOUNTS PAYABLE VOUCHER IN SUM OF CITY OF CARMEL 10650 N. Michigan Road An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by Zionsville, IN 46077 whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. f r $193.70 Payee Purchase Order No. ON ACCOUNT OF APPROPRIATION FOR Terms Carmel Street Department Date Due PO Dept. INVOICE NO. ACCT #/TITLE AMOUNT Invoice Invoice Description Amount Board Members Date Number (or note attached invoice(s) or bill(s)) 2201 104071 42- 370.00 $193.70 1 hereby certify that the attached invoice(s), or 10/06/08 104071 $193.70 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 ZI If rids October 10, 2008 c Street Co issioner Title Cost distribution ledger classification if I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance claim paid motor vehicle highway fund with IC 5- 11- 10 -1.6 ,20 Clerk- Treasurer