HomeMy WebLinkAbout27838 Pearson Ford City I, O ty o Carmel INDIANA RETAIL TAX EXEMPT PAGE
(lO/ CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT �J l C'/
35- 60000972 O` j�
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, AIP
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
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20-ram 1 Ma
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VENDOR G �7 S HIP 06 C i 7 C h 7,.)-
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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
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QUANTITY UNIT OF MEASURE c DESCRIPTION I UNIT PRICE EXTENSION
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Send Invoice To:
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L'grrcl`, F 1/4. PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HE REBYCERTIFY THAT THERE ISANUNOBLIGATED BALANCE IN
THI$ PROP TION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
f A i'rr....
C.0.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. 1 ,,A A
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE 4
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 27838 CLERK TREASURER
A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
6200 Dealer No:06761
Savoie No: 265114 Pearson Ford, Int.
10650 North Michigan Road
CITY OF CARMEL STREET DEPARTMENT
Zionsville,
INVOICE 317.673.3333
3400 W 131ST ST PAGE 1 www.mylndyford.com
WESTFIELD, IN 46074 -8267 PARTS SERVICE HOURS
Some: Email:
Monday P�+y
7:00 and 6.00 Dm
Bus: 31,7-733-2001
SERVICE ADVISOR 1 NO SrOTT KROTTSE
COLOR NEAR .MAKC/MODEI sVIN U cENgE „`'',A0 AGEJH :OUT >;TA0
WHITE 06 FORD ESCAPE 1FMCU96H76KA26087 72996 72996
DEL•QATE%: PF[OD:;PA'E WAF1FLIE%P :S;: RROMiSEO; P TS OR
GNO RArEi P mrwExY INV.
02FE806 D 02JAN06 17:00 23NOV11 HILL 19DEC11
1120: OPENED i READY• .'r' OPTIONS' W CONE:R ENG:2.3 Liter v /AC
_SyYlCFlzOnOU9 motor
09:49 23NOV11 16:50 19DEC11
LINE OPCODE TECH TYPE HOURS LIST NET TOTAL
A CUST STATES THAT THE BRAKES ARE NOT WORKING PROPERLY WAS TOLD THAT
THE HCU WAS BAD CK AND ADVISE
R5M OWNER INSPECTION
4916 CFL 445.00 445.00
1 5M6Z *2140 *B CYLINDER ASY MASTER 785.43 706.89 706.89
6 PM *1 *C FLUID BRAKE 4.78 4.30 25.80
5 D9AZ *8287 *BA CLAMP HOSE 2.01 1,81 9.05
1 7M6Z *2C286 *B CONTROL ASY ABS HYDRAULICS 3125.19 2812.67 2812.67
SUBL TOW
PO #23631
CFL 78.13 78.13
FC:
,,,,72996 NO BRAKES 8.90 DIAL ELECTRICAL RETRIEVE CODES FROM ECU
,,,,CONTACT HOT ADVISED TO REPLACE ACTUATOR MASTER TO CLEAR CODES TO
,,,,ACTIVATE HCU.TEST PROVED OUT.HCU WOULD NOT BLEED REPLACE HCU CLEAR
,,,,CODES MANUAL BLEED AND PRESSURE BLEED.TESTDRIVE AND RETEST OK
4
CUSTOMER PAY SHOP SUPPLIES FOR REPAIR ORDER 33.50
ATTENTION CUSTOMER
DID YOU KNOW THAT WE HAVE A QUICK LANE THAT
CAN SERVICE THE CHEVY, DODGE, TOYOTA ETC IN
YOUR GARGAE AT MORE COMPETITIVE PRICES THAN
YOUR LOCAL DEALER? JUST CALL 733 -0410 OR
SEE YOUR SERVICE ADVISOR TODAY
DISCLAIMER OF WARRANIms pEB p Nf ION .:::.TOTALS
ON BEHALF OF SERVICING DEALER, I HEREBY CERTIFY THAT THE AND L UTATIONS OF LIABILITY
INFORMATION CONTAINED HEREON IS ACCURATE UNLESS OTHERWISE Tr Aa=n....sr. S airy. k• a Sy vumq LABOR AMOUNT 445 00
SHOWN. SERVICES DESCRIBED WERE PERFORMED AT NO CHARGE TO Ng"' m• wV ""ER w.uas w
OWNER. THERE WAS NO INDICATION FROM THE APPEARANCE OF THE *^v t O 5 rrn r PARTS AMOUNT 3 S 5 4 41
VEHICLE OR OTHERWISE, THAT ANY PART REPAIRED OR REPLACED L on tDOU D, qM No ANy GAS, OIL, LUKE
UNDER THIS CLAIM HAD BEEN CONNECTED IN ANY WAY WITH ANY MPLISD *nRILANrY OFFmtCa4TIUWTY R (10
ACCIDENT, Nea LIOENCE OR MISUSE. RECORDS SUPPORTING THIS OR prsNm PaR n psnncu puma¢. SUBLET AMOUNT qp 1 1
CLAIM ARE AVAILABLE FOR (11 YEAR FROM THE DATE OF PAYMENT SiLLERYHAmnmtaitim RUR°IA MISC. CHARGES
NOTIFICATION AT THE SERVICING DEALER FOR INSPECTION BY IS Me n rora DISMAL SAMISAMB 13 SO
MANUFACTURER'S REPRESENTATIVE. ATM MISS MALL RAVE Ra UARLUTT TOTAL CHARGES 41 l 1 04
mOR ANY MGDEYTAL OR CONTEWE}mAL
°n um! a 1nn SALES. WST PRCin LESS INSURANCE
I.WUR® 10 PERSONS OR PROPRRTT DR 0 an
a'nle *DmmasORnuuws. SALES TAX N OO
ISIGN(D) PULER, GENERAL MANAGER OR AUTHORIZED PERSON (DATE: CUSTOMER SIGNATURE PLEASE PAY
THIS AMOUNT 411-i O4
CUSTOMER COPY