174462 07/08/2009 CITY OF CARMEL, INDIANA VENDOR: 237560 Page 1 of 1
p O ONE CIVIC SQUARE PEARSON FORDJNC
CARMEL, INDIANA 46032 10650 N MICHIGAN RD CHECK AMOUNT: $100.00
ZIONSVILLE IN 46077 CHECK NUMBER: 174462
CHECK DATE: 7/8/2009
DEPARTMENT ACCOUNT PO NUMBER INVO NUMB A MOUNT DESCRIPTION
2201 4351000 241759 100.00 AUTO REPAIR MAINTEN
Dealer No:06761
PAGE 1 10650 North Michigan Road
3175712653 Invoice No: 241759 Zionsville, Indiana 46077
INVOICE PEA ®N
Parts &Service Hours
CITY OF CARMEL 4 M. W F. 7am -6:0 m
I n n
TU. F. 7:30 am-6:00 p
760 3RD AVE SW FORA LIFETIME.
CARMEL, IN 46032 -2072 317.873.3333
www.pearsonford.net
Home: Email:
Bus;_
1 SERVICE ADVISOR:
COLOR YEAR MAKE /MODEL VIN LICENSE MILEAGE IN /<OUT TAG:!I
RED 06 FORD F550 1 FDAF56P86EC57936 40885/40885 T011
DEL. DATE PROQ. PATE UVARR. EXP. PRQMISED PQ N0. RATE PAYMENT INV. DATE
05MAY06 D 05APR06 17:00 11 JUN09 BILL 12JUN09
R.Q. OPENED READY,: OPTIONS: ENG:6.0 Liter
15:49 11 JUN09 15:52 12JUN09
A CUST STATES THAT ENG HAS HIGH PITCHED SQUEEL FROM ENG ON COLD START U
GOES AWAY AFTER ENG WARMS UP
CAUSE: 40885 Turbo uppipe Test drove to verify concern used chassis
ears to locate noise found left turbo up pipe cracked and
leaking exhaust rem
9438A TURBOCHARGER ASSEMBLY REMOVE AND INSTALL OR REPLACE
(6K682/9G438/9T514) L
8643 WF94 (N /C)
1 5C3Z *6K854 *CA ADAPTOR IN /C)
1 3C3Z *6N640 *AA GASKET (N /C)
2 *W302352* HARDWARE -MISCELLANEOUS (N /C)
2 *W300051 NUT LOCKING (N /C)
9438A2 EXHAUST INLET PIPE TURBO AND /OR EGR OXIDATION CATALYTIC
CONVERTER REPLACE
8643 WF94 (N /C)
MT9438 REMOVE BROKE BOLT
8643 WF94 (N /C)
FC: N12 42
PART 5C3Z *6K854 *CA
COUNT.-
CLAIM TYPE.-
AUTH CODE.
8643
40885 Turbo uppipe Test drove to verify concern used chassis ears
to locate noise found left turbo up pipe cracked and leaking exhaust
removed turbo removed and replaced turbo up pipe extra half hour labor
to remove damaged bolt from uppipe post road test 0. K,
DISCLAIMER OF WARRANTIES DES. RIPTION TOTALS
ON BEHALF OF SERVICING DEALER, I HEREBY CERTIFY THAT THE AND LIMITATIONS OF LIABILITY
INFORMATION CONTAINED HEREON IS ACCURATE UNLESS OTHERWISE The factor warranty, if any, is the only warramy LABOR AMOUNT
SHOWN. SERVICES DESCRIBED WERE PERFORMED AT NO CHARGE TO with re to this sale. SELLER MAKES NO 0 00
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
UNDER THIS CLAIM HAD BEEN CONNECTED IN ANY WAY WITH ANY MPL ED WARRANTY I OFM RCLHANTAGBILANY GAS, OIL, LUBE
ACCIDENT, NEGLIGENCE OR MISUSE. RECORDS SUPPORTING THIS OR FITNESS A PARTICULAR PURPOSE, SUBLET AMOUNT n on
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 100 00
MANUFACTURER'S REPRESENTATIVE. AND SELLER SHALL HAVE NO LIABILITY TOTAL CHARGES
FOR ANY INCIDENTAL OR CONSEQUENTIAL
DAMAGES FOR LOST SALES, LOST PROFITS, LESS INSURANCE
INJURIES TO PERSONS OR PROPERTY OR n nn
OTHER INJURIES OR DAMAGES. SALES TAX n no
(SIGNED) DEALER, GENERAL MANAGER OR AUTHORIZED PERSON (DATE) CUSTOMER SIGNATURE PLEASE PAY
THIS AMOUNT
svav¢c mvoicF n uei�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))
06/11/09 241759 $100.00
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
20
Clerk- Treasurer
VOUCHER NO. WAR NO.
Pearson Ford ALLOWED 20
IN SUM OF
10650 N. Michigan Road
Zionsville, IN 46077
$100.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 241759 43- 510.00 $100.00 1 hereby certify that the attached invoice(s), or
i
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
Wedr�sdq, July 01, 2009
Street Commiss64
Cost distribution ledger classification if
claim paid motor vehicle highway fund