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161510 07/11/2008 CITY OF CARMEL, INDIANA VENDOR: 237560 Page 1 of 1 ONE CIVIC SQUARE PEARSON FORDJNC CHECK AMOUNT: $81.75 4o CARMEL, INDIANA 46032 10650 N MICHIGAN RD ZIONSVILLE IN 46077 CHECK NUMBER: 161510 CHECK DATE: 7/11/2008 i• DEP ARTMENT AC PO NUMB IN VOICE NUMBER AMOUNT DESCRIPTION 1120 4351000 232966 81.75 AUTO REPAIR MAINTEN I OF,/2512008 15:15 7330819 PEA50N FORD PAGE 01 t' Dealer No ;06761 232966 1085flNarthMldln.. PAGE 1 407 invoke No. L YIOnFV1IIo, lndlnaA 4807Y 6151 "INVOICE* PEA RSON Pitt &semce"outs TU. F. 7:30 emo8:00 pmO Rm CARMEL FIRE DEPARTMENT MRAU�rE 2 ci s o 317.873.3333 CARMEL, IN 46032 -7543 wvnv.pRn.cnfpnJ,nm Home: 17 -571 -2600 IS Email: Bus: SERVICE ADVISOR: a01R YEAIfi MAKE XMODEI VIN LICENSE MILEAGE ICJ C�tJT <:TAG YZ OXFORD 05 FORD EXCURSION 1 1 Fl)ANU41S45EQ4j91 j 41340111340 T DEL,,:bATE ]P.RQD:::DATE ':.;VirARR::::EXP ;P,.EabMI �EO'r;! pfJ: NO RATE PAYM1AENT 'INV:::D'AITE 30JUL05 D 30MAYfl 17:00 25JUNOB A 25JUN R;O C3P:ENEb REAII3Y OPTIONS- W-COMP:Z STK:12112 ENG:99S 6.8L TRITON V10 GAS ENGINE 14:58 25JUN08 15:07 25JUN08 TRN :44E ELECTR0NIC 4- SPD_AUTO AXL: (More...) A OIL FILTER CHANGE -GAS ENGINE- REPLACE OIL STICKER REMINDER, RESET OIL REMINDER LIGHT 1 P OIL FILTER CHANGE -GAS ENGINE- REPLACE OIL STICKER REMINDER, RESET OIL REMINDER LIGHT 99 CPM 15.87 S 15.87 1 FL"820 "M FILTER ASSY ENG, OIL 6.08 6 XO "5W20 *05P OIL ENGINE 12.00 41340 B MOUNT AND BALANCE R5M OWNER INSPECTION 99 CPM 47,80 47.80 41340 I DISCLAIMER OF WARRANTIES ON BEHALF OF SERVICING DEALER, l HEREBY CERTIFY THAT THE AND L%1ITAT10NS OF LIARII,TTv INFORMATION CONTAINED-HEREON IS ACCURATE UNLESS OTHERWISE 11a fnc+.ry Amy. 1i mm, Ir ft ftly vI rrty LABOR AMOUNT 6 E7 SHOWN: SERVICES DESCRIBED WERE PERFORMED AT NO CHARGE TO .M 1q 1 to mm RA14. SOLI nR MAKES NO OWNER. THERE WAS NO INAICATION FROM THE APPEARANCE OF THE wnRRANTY w1iATSOEVRR AND EXPRESSLY PARTS AMOUNT OR VEHICLE OR OTHERWISE, THAT ANY PART REPAIRED OR REPLACED DIBCLAIMS ALL P' N LUD RITHER exPrasB OR IsmLlr p, I NCLUO1Na ANY GAS, OIL, LUBE UNDER THIS CLAIM HAD BEEN CONNECTED IN ANY WAY WITH ANY IMPLIED U 'ARIAN"OrN+ERCHANTABILITV SUBLET AMOUNT ACCIDENT, NEGLIGENCE OR MISUSE. RECORDS SUPPORTING THIS OR PITNTI$S VOR A PARTICIMAR WRPOSE. CLAIM ARE AVAILABLE FOR 0) YEAR FROM THE DATE OF PAYMENT SELLER'SMAX N MT,IARtLITYHEREUNIDER MISC. CHARGES NOTIFICATION AT THE SERVICING DEALER FOR INSPECTION BY M LIMITED TO TTiR ORICINAL SALES, PRICS MANUFACTURERS REPRESENTATIVE. AND �cLLER SHALL HAVG NO LIASILrrY TOTAL CHARGES TOR AMY `NCIOBNTAL OR CONeeOLTRKTTAL OWAOE POR LOST ..W V, LOST PRONTS, LE55 INSURANCE nn INJURIES TO TIEW,)dwS OR PROPEATY OR OTTmiA J�) r ',UZS OR OANA(1'n5• SALES TAX ISIGNEC)) 094LE.4, GENERAL MANAGER OR AUTHCRIZED PERSON 100.0 CUS T OVER SIGNATURE PLEASE PAY THIS AMOUNT I ury +cr :r„mic�•7 xsnq 1 VOL.CHEFe NO. WARRANT NO. Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER ?earson Ford IN SUM OF CITY OF CARMEL 10650 North 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. $81.75 Payee Purchase Order No. ON ACCOUNT OF APPROPRIATION FOR Terms Carmel Fire Department Date Due Invoice Invoice Description Amount PO# /Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members Date Number (or note attached invoice(s) or bill(s)) 1120 232966 43- 510.00 $81.75 1 hereby certify that the attached invoice(s), or 06/25/08 232966 PM $81.75 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 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