171039 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 237560 Page 1 of 1
t ONE CIVIC SQUARE PEARSON FORD,INC CHECK AMOUNT: $232.14
CARMEL, INDIANA 46032 10650 N MICHIGAN RD
ZIONSVILLE IN 46077 CHECK NUMBER: 171039
CHECK DATE: 4/16/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AM OUNT DESCRIPTION
1120 4237000 106755 232.14 REPAIR PARTS
CY�
04/0 13:31 7330819 PEASON FORD PAGE 01
NO RETURNS WITHOUT THIS INVOICE,
M ON Pearson Ford, Inc. NO RETURNS AFTER 10 DAYS. A 1S% HANDLING CHARGE WILL BE ADDED.
.�seruW 10650 North Michigan Road RETURNS ON ELECTRICAL OR SPECIAL ORDER PARTS
Zionsville, IN 46077 DISCLAIMER OF WARRANTIES
Any warranties on the item /items sold hereby aro those made by the manufacturer.
317.873.3333 The seller, PEARSON FORD, Inc hereby expressly disclaims all warranties either
FOR A LIFETIME. WWW.pearsonfotd.net express or Implied. including any Implied warranty of merchantability or fitness for a
particular purpose. and PEARSON FORD, Inc., neither assume.. nor authorizes any
other parson to assume for it any liability In connection with the sale of this
Item /items.
DATE YDUR ORDER NO. INVOICE DATE INVOICE
NUMBER
g *DUPLICATE *3
0 ACCOUNT N0. 6151 PAGE 7 OF 1
L CARMEL FIRE DEPARTMENTS'
T 2 CIVIC SQ P
0 CARMEL, Iry 46032 -7543 T
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1 0 5C3Z 8200 BAA GRILLE ASS 305.45 232 14 232.14 a Accept
r* E
D U P L I C A T E I N V O
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PARTS &.SERVICE
HOURS
Mon„ Wed., Thurs.
7:30 a.m, 7:00 p.m,
Tue. Frl,
GARX GRSG BOB TONY JEFF 7:30 a.m. 8:00 p.m.
AND 6uR DkIVERS WO LIKE TO THANX P 5 32 '1.�
YO F OR THE CHANCE TO SERVE YOU SU6LET
THANKS 1 1 1 1! I t t 1!! 1 1! FREIGHT
w* ,t,t Y'OU *xx* SALES
w **THAN TAX
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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
106755 Grill Assy BC $232.14
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. WARRANT NO.
ALLOWED 20
Pearson Ford
IN SUM OF
10650 North Michigan Road
Zionsville, IN 46077
$232.14
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 106755 42- 370.00 $232.14 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
APR 1 9 -7009
0
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund