178817 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 237560 Page 1 of 1
ONE CIVIC SQUARE PEARSON FORD,INC
CARMEL, INDIANA 46032 10650 N MICHIGAN RD CHECK AMOUNT: $378.04
ZIONSVILLE IN 46077 CHECK NUMBER: 178817
CHECK DATE: 10/28/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
�Ol 5023990 111482 28.76 OTHER EXPENSES
x2201 4237000 111535 21.25 REPAIR PARTS
2201 4351000 245041 328.03 AUTO REPAIR MAINTEN
+t NO RETURNS WITHOUT THIS INVOICE.
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
1® DISCLAIMER OF WARRANTIES
Zionsville, IN 46077 Any warranties on the item /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 ENTERED YOUR ORDER N0. DATE SHIPPED INVOICE DATE INVOICE
NUMBER
S ACCOUNT NO. 6200 S PAGE 1 OF 1
L CITY OF CARMEL STREET DEPARTME I
T 3400 W 131ST ST T
0 WESTFIELD, IN 46074 -8267 0
SHIP A SLSM B TERMS F.O.B.
..ORD. :<SHIP :18:0 <PAR:T..NUMBER: DESCRIP.TI0N LIST NET:. AMOUNT We Accep
0 PATSKEY PATS KEY 25.00 21.25 21.25 p
v YS
PARTS SERVICE
HOURS
Mon., Wed., Thurs.
7:30 a.m. 7:00 p.m.
Tue. Fri.
GARY, TONY, TIM 7:30 a.m. 6:00 p.m.
AND OUR DRIVERS WOULD LIKE TO THANK PARTS
YOU FOR THE CHANCE TO SERVE YOU SUBLET ��Qy�
THANKS!!!!!!!!!!!!!!!! FREIGHT
THANK YOU SALES TAX
N�
ePV.q t
TOTAL:
CUSTOMER COPY
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 service rendered, by''.
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Y
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/15/09 111535 $21.25
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pearson Ford
IN SUM OF
10650 N. Michigan Road
Zionsville, IN 46077
$21.25
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
2201 111535 42 370.00 $21.25 1 hereby certify that the attached invoice(s), or
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
�r 1 hursd Oct 22, 2009
Street CommissiorW
Z-'t
v
e Misslon
Titl
Cost distribution ledger classification if
claim paid motor vehicle highway fund
s' NO RETURNS WITHOUT THIS INVOICE.
�S0� 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
DISCLAIMER OF WARRANTIES
Zionsville, IN 46077 Any warranties on the item /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 ENTERED YOUR ORDER NO HIP D INVOICE DATE INVOICE
NUMBER
ACCOUNT NO. 6200 H PAGE 1 OF 1
L CITY OF CARMEL STREET DEPARTME F
T 3400 W 131ST ST
O WESTFIELD, IN 46074 -8267 T
O
S HIP VIA SLSM TER
ORD. SHIP >BEO. PART:. :NUMBE:R DESCRIPTION [IST NET:' AMOUNT We Accep
0 YF1Z *19N236 *AA SOCKET P 21.58 18.34 18.34 p
0 YF1Z *15K040 *AA RING. LUM 12 26 10.42 10-42
PARTS &SERVICE
HOURS
F Mon., Wed., Thurs.
7:30 a.m. 7:00 p.m.
Tue. Fri.
GARY, TONY, TIM
7:30 a.m. 6:00 p.m.
AND OUR DRIVERS WOULD LIKE TO THANK PARTS 28 76
YOU FOR THE CHANCE TO SERVE YOU SUBLET lL'
'j'HANKS I I I I I I I I I I I I I l l l FREIGHT L
THANK— YOU SALES TAX vR
TOTAL:
CUSTOMER COPY
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
237560
PEARSON FORD INC. Purchase Order No.
10650 N. MICHIGAN RD. Terms
ZIONSVILLE, IN 46077 Due Date 10/20/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/20/2005 111482 $28.76
I hereby certify that the attached invoice(s), or bill(s) is (are) true and p
correct and I have audited same in accordance with IC 5- 11- 10 -1.6
iv �L3
Date Officer
VOUCHER 093346 WARRANT ALLOWED
2 37560I SUM OF
9
PrEARSON FORD INC.
10650 N. MICHIGAN RD.((���,
ZIONSVILLE, IN 46077
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
111482 01- 6500 -05 $28.76
Voucher Total $28.76
Cost distribution ledger classification if
claim paid under vehicle highway fund
Dealer No:06761
PAG E 1 10650 North Michigan Road
245041
7332001 Invoice N O: Zionsville, Indiana 46077
INVOICE MA Parts Service Hours
Q M W TH. 7:30 am -7:00 pm
CITY OF CARMEL STREET DEPT TU. &F. 7:30 am -6:00 pm
3400 W 131 ST ST FOR A LIFETIME.
317. pearso
WESTFIELD, IN 46074 -8267 www.pearsonford.net
Home: 317 733 -2001 Email:
Bus: SERVICE ADVISOR: 21 SCOTT KROUSE
COLOR YEAR MAKE /M UIN LICENSE MILEAGE IN /;;OUT TAG'::
06 FORD F250 1 1FTNF21556EB72403 1 79031 /79031 T416
DEL. DATE PROD. DATE WARR. EXP PRQMISED PO NO RATE PAYMENT INV. DATE
01 JAN06 D 17:00 230CT09 BILL 230CT09
R.O. OPENED READY OPTIONS: ENG:5.4 Liter EFI
10:06 230CT09 14:28 230CT09
A CUST STATES THAT THERE IS MOUSE DAMAGE TO THE WIRING TO INJECTORS CK
ENG LIGHT FLASHES AND RUNS ROUGH
WDS COMPUTER ENGINE CONTROL DIAGNOSIS
2655 CFL 240.00 240.00
1 3L3Z* 12029 *BA COIL ASY -IGNITION 66.66
1 PZT* 14F* SPARK PLUG 16.37
79031 DIAL CEL P0303 P0316 RUN FUEL INJECTOR TESTS ALL PASSED.
REPLACE #3 COIL AND SPARK PLUG CLEAR CODES TEST DRIVE 3.00
DISCLAIMER OF WARRANTIES :DESCRIPTION. TOTALS
ON BEHALF OF SERVICING DEALER, I HEREBY CERTIFY THAT THE AND LIMITATIONS OF LIABILITY
INFORMATION CONTAINED HEREON IS ACCURATE UNLESS OTHERWISE The r,ctory wary. if i, uK aol wumnly LABOR AMOUNT 240 00
SHOWN. SERVICES DESCRIBED WERE PERFORMED AT NO CHARGE TO with respect to this sale. SELLER MAKES NO
OWNER. THERE WAS NO INDICATION FROM THE APPEARANCE OF THE WARRANTY WHATSOEVER AND EXPRESSLY PARTS AMOUNT
VEHICLE OR OTHERWISE, THAT ANY PART REPAIRED OR REPLACED DISCLAIMS ALL WARRANTIES EITHER
EXPRESS OR IMPLIED, INCLUDING ANY GAS, OIL LUKE 0 00
UNDER THIS CLAIM HAD BEEN CONNECTED IN ANY WAY WITH ANY IMPLIED WARRANTY OFMERCHANTABILITY
ACCIDENT, NEGLIGENCE OR MISUSE. RECORDS SUPPORTING THIS OR FITNESS FOR A PARTICULAR PURPOSE. SUBLET AMOUNT
CLAIM ARE AVAILABLE FOR (1) YEAR FROM THE DATE OF PAYMENT SELLER'S MAXIMUM LIABILITY HEREUNDER MISC. CHARGES
NOTIFICATION AT THE SERVICING DEALER FOR INSPECTION BY IS LIMITED TO THE ORIGINAL SALES PRICE
AND SELLER SHALL HAVE NO LIABILITY 5 00
MANUFA T REFS REPRESENTATIVE. FOR ANY INCIDENTAL OR CONSEQUENTIAL TOTAL CHARGES 28 n
1 DAMAGES FOR LOST SALES, LOST PROFITS, LESS INSURANC
INJURIES TO PERSONS OR PROPERTY OR
O OTHER INJURIES OR DAMAGES. SALES TAX
i ED DEALER, GENERAL MANAGER OR AUTHORIZED PERSON (DATE) CUSTOMER SIGNATURE PLEASE PAY
THIS AMOUNT
svaw[r wvni[v •o xsi�c
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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/23/09 245041 $328.03
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
VO UCHE R N O. WA NO.
ALLOWED 20
Pearson Ford
IN SUM OF
10650 N. Michigan Road
Zionsville, IN 46077
$328.03
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 245041 43- 510.00 $328.03 1 hereby certify that the attached invoice(s), or
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
n Mon ay, Octbber 26, 2009
Uavl
Street Commis i er
IJL CC< clan
tle 5sloner
Ti
Cost distribution ledger classification if
claim paid motor vehicle highway fund