173985 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 237560 Page 1 of 1
ONE CIVIC SQUARE PEARSON FORD,INC
i CHECK AMOUNT: $942.59
CARMEL, INDIANA 46032 10650 N MICHIGAN RD
ZIONSVILLE IN 46077 CHECK NUMBER: 173985
CHECK DATE: 6/24/2009
DEPARTMENT ACCOUN PO NUMBER INVOICE NUM AMOUNT DESCRIP
601 5023990 109183 18.84 OTHER EXPENSES
601 5023990 109306 134.33 OTHER EXPENSES
2201 4351000 241588 657.42 AUTO REPAIR MAINTEN
1120 4351000 241726 132.00 AUTO REPAIR MAINTEN
Dealer No:06761
PAG E 10650 North Michigan Road
61
r 51 Invoice No: 241726 Zionsville, Indiana 46077
DUPLICATE 1 INVOICE PEA Parts Service Hours
Q ®D M. W TH. 7:30 am -7:00 pm
CARMEL FIRE DEPARTMENT TU. &F. 7:30 am- 6:00 pm
2 CIVIC SQ FORALIFETIME.
317. pearso
CARMEL, IN 46032 -7543 www.pearsonford.net
Home: Email:
Bus: 317 571 -2600 SERVICE ADVISOR: 21 SCOTT KROUSE
COLOR YEAR MAKE(MODEL VIN LICENSE MILEAGE WY: :QUT
RED 97 FORD ECONOLINE COMME 1 FDLE40F6VHB82852 86959/86959 T797
DEL. DATE :.PROD, DATE WARR. EXP. PROMISED:: P.. NO RATE PAYMENT: INV. DATE
30OCT97 D 11 JUN97 1 30OCT1 997 17:00 10JUN09 A -40 BILL 11 JUN09
R:.O. OPENED REAQY OPTIONS: W COMP:Z ENG:7.3 1)AMBULANCE A40
12:39 1 OJUNO9 09:59 1 1 JUN09
A CK AIR BAG LIGHT ON
R5M OWNER INSPECTION
9422 CFL 120.00 120.00
86959 open circuit 1.50 diag air bag light on pinpoint open ckt in
drivers seat belt buckle pretensioner ckt repaired and retested pass
B CK OVER FOR NEEDED SERVICES
99P PERFORM MULTI -POINT INSPECTION
9422 CP 0.00 0.00
86959 requested 0.00 vehicle inspection all lights and wipers good
tires all over 10132 brakes 8mm ft and rear batteries new radiator new
all fluids full no leaks vehicle in good condition only has 2k on oil
change not due yet
DISCLAIMER OF WARRANTIES :DESCRIPTION O n-nn S
ON BEHALF OF SERVICING DEALER, I HEREBY CERTIFY THAT THE AND LIMITATIONS OF LIABILITY
INFORMATION CONTAINED HEREON IS ACCURATE UNLESS OTHERWISE rn� reotoy warrant. e.m. ow w.rraoy LABOR AMOUNT 120 00
SHOWN. SERVICES DESCRIBED WERE PERFORMED AT NO CHARGE TO wan rm =t 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 LUBE n no
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.
CLAIM ARE AVAILABLE FOR (1) YEAR FROM THE DATE OF PAYMENT SELLER'S MAXIMUM LIABILITY HEREUNDER MISC. CHARGES 12 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 In nn
INJURIES TO PERSONS OR PROPERTY OR
OTHER INJURIES OR DAMAGES. SALES TAX n nn
(SIGNED) DEALER, GENERAL MANAGER OR AUTHORIZED PERSON (DATE) CUSTOMER SIGNATURE PLEASE PAY
THIS AMOUNT
ccavicv mvnicv n tsar.
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))
241726 $132.00
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. W NO.
ALLOWED 20
Pearson Ford
t IN SUM OF
10650 North Michigan Road
Zionsville, IN 46077
$132.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 241726 43- 510.00 $132.00 I 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
JUN 2 2 2QD9
t
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
NO RETURNS WITHOUT THIS INVOICE.
��0� 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
Zionsville, IN 46077 DISCLAIMER OF WARRANTIES
Any warranties on the ite m /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 EN YOUR ORDER NO. DATE SHIPPED INVOICE DATE
INVOICE
NUMBER 1091 R 71
S ACCOUNT NO. 6200 S PAGE 1 OF 1
L CITY OF CARMEL STREET DEPARTME P
T 3400 W 131ST ST
O WESTFIELD, IN 46074 -8267 T
O
SHI VIA SLSM B/L NO.
0RD. :SHIP 6 0 FART:.NUMBER! DESCRIPTION LIST NEI AfVlOUNi We Accep
0 3F2Z *18591 *AA RESISTOR 22.17 18.84 18.84 ep
�A
Xx
PARTS SERVICE
HOURS
f Mon., Wed., Thurs.
C 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
THANKS!!!!!!!!!!!!!!!! FREIGHT k
4 n
'7A
*T K— YOU SALES TAX /I /C'
&L �ON
CUSTOMER COPY
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
1
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rites per day, number of units,
price per unit, etc. 0
Payee
237560
PEARSON FORD INC. Purchase Order No.
10650 N. MICHIGAN RD. Terms
ZIONSVILLE, IN 46077 Due Date 6/16/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/16/2009 109183 $18.84
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
CHER 092111 WARRANT ALLOWED
1 207560 IN SUM OF
PEARSON FORD INC.
1`650 N. MICHIGAN RD. a
ZIONSVILLE, IN 46077 ®p��'�`
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
109183 01- 6500 -04 $18.84
Voucher Total $18.84
Cost distribution ledger classification if
claim paid under vehicle highway fund
i
NO RETURNS WITHOUT THIS INVOICE.
A Pearson Ford, Inc. NO RETURNS AFTER 10 DAYS. A 15% HANDLING CHARGE WILL BE ADDED.
NEW— 10650 North Michigan Road NO RETURNS ON ELECTRICAL OR SPECIAL ORDER PARTS
Q Zionsville, IN 46077 DISCLAIMER OF WARRANTIES
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. A E P INVOICE DATE INVOICE TTTt\T NUMBER
S ACCOUNT NO. 6205 S H PAGE 1 OF 1
L
T CITY OF CARMEL WATER UTILITIES P
3450 W 131ST ST
0 WESTFIELD, IN 46074 -8267 T
0
HIP VIA SLSM. B/L
ORD. :SHIP B:O PART;:NUMBER i; DESCRIPTION I: LIST NET AM0 NT:
1 0 6L2Z *7823200 *BA REGULATOR 158.04 134.33 134.33 We Acc
F 24
PARTS SERVICE
v! HOURS
qq Mon., Wed.,
p.m
'`J 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
THANKS! I I I I I I I I I I I I I I I FREIGHT
*T K- YOU SALES TAX
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. D
Payee
237560
PEARSON FORD INC. Purchase Order No.
10650 N. MICHIGAN RD. Terms
ZIONSVILLE, IN 46077 Due Date 6/18/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/18/2009 109306 $134.33
I hereby certify that the attached invoice(s), or bill(s) is (are) true and li
correct and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VO,=UCHER 09,2151. WARRANT ALLOWED
23560 IN SUM OF
PEARSON FORD INC.
10650 N. MICHIGAN RD. �rt
ZIONSVILLE, IN 46077 ®,®RPR��®
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
109306 01- 6500 -05 $134.33
Voucher Total $134.33
Cost distribution ledger classification if
claim paid under vehicle highway fund
PAGE 1 Dealer No:06761
106
Invoice No: 2415HH 50 North Michigan Road
7332001 Zionsville, Indiana 46077
DUPLICATE 1 INVOICE PEA Parts Service Hours
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 fo
www.pearsonford.net
Home: 317 733 -2001 Email:
Bus: SERVICE ADVISOR: 196 JON H STUMPF
COLOR YEAR NIAKE/MODEL UIN LICENSE MILEAGE FTT 9 5; 06 FORD F250 1 FTNF21556EB72403 68747/68747 0
DEL. DATE PROD. DATE [WARR. EXP. PROMISED PO N0. i RATE PAYMENT' INV. DATE
01 JAN06 D 17:00 04JUN09 BILL 05. IUN09
R.0! OPENED READY:: OPTIONS: ENG:5.4 Liter EFI
10:36 04JUN09 14:17 05JUN09
A CUSTOMER STATES ENGINE LIGHT IS ON AND ENGINE MISSES' OUT
WDS COMPUTER ENGINE CONTROL DIAGNOSIS
2655 CFL 80.00 80.00
68 74 7 DIAG MISSING AND CEL 1.00
B* *SPARK PLUG REPLACEMENT 8 CYLINDER COIL ON PLUG
8CCOP SPARK PLUG REPLACEMENT 8 CYLINDER COIL -ON -PLUG
2655 CFL 135.00 135.00
8 PZT* 14F* SPARK PLUG 145.52
1 MISC PINS 9.00
R5M REMOVE ONE BROKEN SPARK PLUG
2655 CFL 80.00 80.00
68747 REPLACE EIGHT SPARK PLUGS AND REMOVE ONE BROKEN SPARK PLUG
3.70
C **VALVOLINE COMBUSTION CHAMBER SERVICE
P93BG VALVOLINE COMBUSTION CHAMBER SERVICE
2655 CFL 92.38 92.38
1 203K8V FUEL IND KIT 32.96
68 74 7 VALVOLINE COMBUSTION CHAMBER SERVICE 1.50
D **REPLACE FUEL FILTER
132P REPLACE FUEL FILTER
2655 CFL 35.00 35.00
1 2C5Z *9155 *BC FILTER ASY FUEL 14.06
68747 REPLACE FUEL FILTER 0.50
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 factor —ad if is aw ody ranry LABOR AMOUNT 422 38
SHOWN- SERVICES DESCRIBED WERE PERFORMED AT NO CHARGE TO with pecr to this sale. SELLER MAKES NO
OWNER. THERE WAS NO INDICATION FROM THE APPEARANCE OF THE WARRANTY WHATSOEVER AND EXPRESSLY PARTS AMOUNT 2n 1 54
VEHICLE OR OTHERWISE, THAT ANY PART REPAIRED OR REPLACED DISCLAIMS ALL WARRANTIES EITHER
EXPRESS OR IMPLIED, INCLUDING ANY GAS, OIL LUKE 0 on
UNDER THIS CLAIM HAD BEEN CONNECTED IN ANY WAY WITH ANY IMPLIED WARRANTY OF MERCHANTABILITY
ACCIDENT, NEGLIGENCE OR MISUSE. RECORDS SUPPORTING THIS OR FITNESS FOR A PARTICULAR PURPOSE. SUBLET AMOUNT In no
CLAIM ARE AVAILABLE FOR (1) YEAR FROM THE DATE OF PAYMENT SELLER'S MAXIMUM LIABILITY HEREUNDER
NOTIFICATION AT THE SERVICING DEALER FOR INSPECTION BY IS LIMITED TO THE ORIGINAL SALES PRICE MISC. CHARGES
MANUFACTURER'S REPRESENTATIVE. AND SELLER SHALL HAVE NO LIABILITY TOTAL CHARGES
FOR ANY INCIDENTAL OR CONSEQUENTIAL
DAMAGES FOR LOST SALES, LOST PROFITS, LESS INSURANCE n 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
scav¢c irwnicc n xaoc
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))
06/05/09 241588 $657.42
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 N WARRA NO.
ALLOWED 20
Pearson Ford
IN SUM OF
10650 N. Michigan Road
Zionsville, IN 46077
$657.42
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Member;
2201 241588 43- 510.00 $657.42 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
Th l day,66ne 18, 2009
L 1
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund