176887 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 237560 Page 1 of 1
ONE CIVIC SQUARE PEARSON FORD,INC CHECK AMOUNT: $21.04
CARMEL, INDIANA 46032 10650 N MICHIGAN RD
ZIONSVILLEIN 46077
CHECK NUMBER: 176887
CHECK DATE: 9/2/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMO DESC RIPTION
601 5023990 110490 21.04 TRANSPORTATION EXPENS
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NO RETURNS WITHOUT THIS INVOICE.
Pearson Ford, Inc. NO RETURNS AFTER 10 DAYS. A 15% HANDLING CHARGE WILL BE ADDED.
NO RETURNS ON ELECTRICAL OR SPECIAL ORDER PARTS
10650 North Michigan Road 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. DAT HIPPED INVOICE DATE INVOICE
NUMBER
S ACCOUNT NO. 6205 S PAGE 1 OF 1
L CITY OF CARMEL WATER UTILITIES I
T 3450 W 131ST ST T
0 WESTFIELD, IN 46074 -8267 0
S HIP VIA L M. B/L N R .B.
ORD. SHIP B.O. PART:NUMBER! DESCRIPTION LIST NET.:::: AMOUNT W e Accept
0 F65Z *99430B38 *AA ROLLER 12.38 10.52 10.52
0 F65Z *99430B39 *AA ROLLER 12.38 10.52 10 52
g
y
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 21 -04
YOU FOR THE CHANCE TO SERVE YOU SUBLET
THANKS I I I I I I I I I I I I I I I I FREIGHT 2 Ail1 Nk
*THAN YOU* SALES TAX
TOTALS'
CUSTOMER COPY
Prescribed by State Board of Accounts 11� 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 8/27/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/27/2009 110490 $21.04
I 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
Date Officer
VOUCHER 092870 :,WARRANT ALLOWED
27560 IN SUM OF
PEARSON FORD INC. �A
10650 N. MICHIGAN RD.
aA
I ZIONSVILLE, IN 46077„
k!n
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
110490 01- 6500 -04 $21.04
Voucher Total $21.04
Cost distribution ledger classification if
claim paid under.vehicle highway fund