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