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177800 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 237560 Page 1 of 1 ONE CIVIC SQUARE PEARSON FORD,INC 4 0 CHECK AMOUNT: $65.00 CARMEL, INDIANA 46032 10650 N MICHIGAN RD ZIONSVILLE IN 46077 CHECK NUMBER: 177800 CHECK DATE: 9/29/2009 DEPARTMENT ACCOUNT PO NUMBER IN NUMBER A MOUNT DESCRIPTION 2201 4351000 244042 65.00 AUTO REPAIR MAINTEN "s r Dealer No:06761 PAG E 1 a 10650 North Michigan Road 7332001 Invoice No: 244042 Zionsville, Indiana 46077 INVOICE PEA 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 FORA LIFETIME. 3400 W 131 ST ST 317.873.3333 WESTFIELD, IN 46074 -8267 www.pearsonford.net Home: 317 733 -2001 Email: Bus: SERVICE ADVISOR: COLOR YEAR N1AKEIMODEL VIN: LICENSE MILEAGE IN /;OUT TAG F1 RED CLE 08 FORD F550 1 FDAF57R68EC99105 22097/22097 T020 DEL. DATE PROD. DATE WARR. EXP PROMISED PO NO RATE PAYMENT: INV..DATE 1 1 FEB08 D 10DEC07 17:00 14SEP09 BILL 14SEP09 R 0- OPENED: READY OPTIONS: STK:14287 ENG:99R 6.4L V -8 DIESEL TRN:446 TORQSHIF1ITM)3 -SFD AUTO TRANS 13:40 14SEP09 15:25 14SEP09 AXL:REL FR PLT A CK AC INOP AC AIR CONDITIONING SERVICE DIAGNOSIS 9422 CFL 65.00 65.00 22097 open ckt 1.20 diag a/c inop hooked up gauges system pressure full test power to compresser no voltage to low pressure switch test fusses found fuse 70 dissconnected has aftermarket plug for other device attached reinstalled connecter retested a/c operation normal DISCLAIMER OF WARRANTIES TOTALS ON BEHALF OF S V G DEALER, I HEREBY CERTIFY THAT THE AND LIMITATIONS OF LIABILITY ,D.ESCRIP.T:ION INFORMATION CON I HEREON IS ACCURATE UNLESS OTHERWISE The facwry warramy. if an is dK od warramy LABOR AMOUNT SHOWN. SERVICES DESCRIBED WERE PERFORMED AT NO CHARGE TO wim r­ to mis sale. SELLER MAKES NO OWNER. THERE WAS NO INDICATION FROM THE APPEARANCE OF THE WARRANTY WHATSOEVER AND EXPRESSLY PARTS AMOUNT 0 00 VEHICLE OR OTHERWISE, THAT ANY PART REPAIRED OR REPLACED DISCLAIMS ALL WARRANTIES EITHER EXPRESS OR IMPLIED, INCLUDING ANY GAS, OIL LUBE 0 00 UNDER THIS CLAIM HAD BEEN CONNECTED IN ANY WAY WITH ANY IMPLIED WARRANTY OF MERCHANTABILITY SUBLET AMOUNT ACCIDENT, NEGLIGENCE OR MISUSE. RECORDS SUPPORTING THIS OR FITNESS FOR A PARTICULAR PURPOSE. n on CLAIM ARE AVAILABLE FOR (1) YEAR FROM THE DATE OF PAYMENT SELLER'S MAXIMUM LIABILITY HEREUNDER MISC. CHARGES 0 00 NOTIFICATION AT THE SERVICING DEALER FOR INSPECTION BY IS LIMITED TO THE ORIGINAL SALES PRICE MANUFACTURER'S REPRESENTATIVE. AND SELLER SHALL HAVE NO LIABILITY TOTAL CHARGES FOR ANY INCIDENTAL OR CONSEQUENTIAL DAMAGES FOR LOST SALES, LOST PROFITS, LESS INSURANCE o nn INJURIES TO PERSONS OR PROPERTY OR OTHER INJURIES OR DAMAGES. SALES TAX (SIGNED) DEALER, GENERAL MANAGER OR AUTHORIZED PERSON (DATE( CUSTOMER SIGNATURE PLEASE PAY THIS AMOUNT GFpNf.G iNV(11f.F •7 %CIJf. 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)) 09/14/09 244042 $65.00 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 $65.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member; 2201 244042 43- 510.00 $65.00 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 Friday, pte�bdr 25, 2009 141i Street Commissio Street C Cost distribution ledger classification if claim paid motor vehicle highway fund