168148 01/21/2009 CITY OF CARMEL, INDIANA VENDOR: 237560 Page 1 of 1
ONE CIVIC SQUARE PEARSON FORD,INC
CARMEL, INDIANA 46032 10650 N MICHIGAN RD CHECK AMOUNT: $18,856.79
ZIONSVILLE IN 46077 CHECK NUMBER: 168148
CHECK DATE: 1/21/2009
DE PARTMENT ACCOUNT PO NUM INVOICE NUM AMOUNT DESCRIPTION
2201 4237000 105712 303.52 REPAIR PARTS
601 5023990. 106084 12.27 OTHER EXPENSES
1125 R4465000 19517 RANGER8907 18,541.00 SUPERCAB 4 X 4 FORD
r
I
NU HI
L E EEMENT Date: 1/5/2009
Pearson Ford, Inc. Name: Carmel Clay Parks Recreation
Attention: Todd Snyder
10650 North Michigan Road Address: 1427 E. 116 th street
INVOICE Zionsville, Indiana 46077 City: Carmel, IN 46032
317.873.3333
www.pearsonford.net Phone:
Fax:
rEHICLE ORDER'1NFORMATION MSRP /Sellin Price $23,820.00
New Used ❑Demo Optional Accessories:
ear: 2009 Make: Ford: 1. 0 0.00
lodes: Ranger 4X4 XL Super Color: White 2. 0 0.00
tock 15104 Salesperson: B. Sawyers 3. 0 0.00
IN 1 FTYR15E29PA28907 4 0 0.00
ILEAGE: 10 Actual /Not Actual 5 0 0.00
TOTES: 6 0.00
Sub -total 23,820.00
TRADE ALLOWANCE: 0.00
Fleet scoun
Disco 5279.00
JE INFORMATIONyYOU SEE ON THEtWINDOWFORMFORrTHIS VEHICLE IS PART OF
�ISCONTRACT INFORMATION ONTHFFzwNDOW ,FORMOVER Fleet Incentive: 0.00
)NTGRARYxPROVISIONS IN THE4VEHJCLE ORq%R AGREEMENT h
Other
0.00
RADE -IN VEHICLE INFORMATION TOTAL SELLING PRICE 18,541.00
)Year: Make: 7% Sales Tax: N 0.00
odel: I Color: TRADE PAYOFF H
IN Service Contract H
ilea e: Tire Tax H
mount of Lien: Luxury Tax H
enholder: Capped Acq Fee: H 0.00
ldress: Other Amounts Owed H
Total amount due 18,541.00
lone: Down payment Deposit 0.00
ock Rebate 0.00
Year: Make:
odel: Color: AMOUNT DUE AT DELIVERY 18,541.00
N
LEASE: Actual /Not Actual
nount of Lien: By signing this "Vehicle Order Agreement" I We
anholder: agree to the terms and conditions herein:
ldress: T 1 A Tl'r_:a°T
Company Name:
Jone: I 0 Purchase
Authorized Signai!Wfa�ri tion Y
P.O. P F
TRADE IN CERTIFICATION
>tomer agreesto deliver to Dealer good clear and marketable title(s) to the trade in G.L.
ncle(s) aspart�of the the�vehi cleorderedat thetime {deliry Customer Budget
rants ttiaithe trade in.xvehicle(s) are owned only by customer are free;and clear of all; Line DesCr
s'a`nd encumbrances except as.otherwlsestated in wnUng herein Customer certifies that
airbags, safety and: emissions equipment in the trade =in" vehicles) h "aglfiave never been I'urChaser Date
Cis /are not- requiredao be tilled iri.anystate as defective rebuild salvage flpod,
on or buy Approval Date
k'vehlcle and have never.
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
Pearson Ford, Inc. Terms
10650 North Michigan Road
Zionsville, IN 46077
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
115109 Ranger 8907 Maintenance Truck PO 19517 F 18,541.00
Total 18,541.00
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. Warrant No.
Pearson Ford, Inc. Allowed 20
10650 North Michigan Road
Zionsville, IN 46077
In Sum of
18,541.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO# or INVOICE NO. ACCT #[TITLE AMOUNT Board Members
Dept
19517 F Ranger 8907 4465000 18,541.00 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
12 -Jan 2009
Signature
18,541.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I
1
r
ti
NO RETURNS WITHOUT THIS INVOICE.
noUS ®ff Pearson Ford, Inc. NO RETURNS AFTER 10 DAYS. A 15% HANDLING CHARGE WILL BE ADDED.
—®f 10650 North Michigan Road NO RETURNS ON ELECTRICAL OR SPECIAL ORDER PARTS
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.
AT ENTERED YOUR ORDER N0. A E INVOICE DATE INVOICE 08 NUMBER 1 05712
S ACCOUNT NO. 6200 S
0 PAGE 1 OF 1
L CITY OF CARMEL STREET DEPARTME F
T 3400 W 131ST ST
0 WESTFIELD, IN 46074 -8267 T
0
H P VIA t Bra
ORD. SHIP B:O: PART:;NUMBER' DESCRIPTION?' LIST NET.::': AMOUNT W e Accep
1 0 8C3Z *2B120 *A CALIPER AS 119.72 101.76 101.76 p
CORE DEPOSIT 50.00 50.00
1 0<8C3Z *231:21 *A CALIPER AS 119.72 1Q1.76 101'7 5:0 .0 WS4
CORE ,DEPOSIT 0 €0 5,0 00
PARTS SERVICE
HOURS
Mon.. Wed., Thurs.
7:30 a.m.- 7:00 p.m.
Tue. Fri.
GARY, GREG, BOB, TONY, JEFF 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 l l l l l FREIGHT 0 2tiahk
THANK YOU SALES TAX
TOTAL
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))
12/24/08 105712 $303.52
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
$303.52
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 105712 42- 370.00 $303.52 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
o Saturdpy Jan 17, 2009
1 7
Street Commission
nx.
C t(IIisstoner
Cost distribution ledger classification if
claim paid motor vehicle highway fund
NO RETURNS WITHOUT THIS INVOICE.
1 Pearson Ford, Inc. NO RETURNS AFTER 10 DAYS. A 15 HANDLING CHARGE WILL BE ADDED.
30 N 10650 North Michigan Road NO RETURNS ON ELECTRICAL OR SPECIAL ORDER PARTS
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.
DA YOUR ORDER NO. A PP D INVOICE DATE INVOICE
NUMBER
0 ACCOUNT NO. 6205 H PAGE 1 OF 1
L CITY OF CARMEL WATER UTILITIES I
T 3450 W 131ST ST T
0 WESTFIELD, IN 46074 -8267 0
SHIP A SLSM. N
ORD. :::SHIP B:O. PART; NUMBER ::DESCRIPTION 11ST NET::..::::. AMOUNT W e Accept
0 E69Z *18D434 *B COUPLING 14.44 12.27 12.27 f1 p
M ME
PARTS SERVICE
HOURS
4�. Mon., Wed., Thurs.
7:30 a.m. 7:00 p.m.
Tue. Fri.
GARY, GREG, BOB, TONY, JEFF 7:30 a.m. 6:00 p.m.
AND OUR DRIVERS WOULD LIKE TO THANK PARTS 12 27
YOU FOR THE CHANCE TO SERVE YOU SUBLET
THANKS I!!!!!I I!!! FREIGHT 2tiay
*THAN YOU SALES TAX n o n R
jl
TGTAL::
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 of service rendered, by whom, rates per day, number of units, 0
price per unit, etc.
Payee
237560
PEARSON FORD INC. Purchase Order No.
10650 N. MICHIGAN RD. Terms
ZIONSVILLE, IN 46077 Due Date 1/12/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/12/2009 106084 $12.27
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 084134 WARRANT ALLOWED
237560 IN SUM OF
PEARSON FORD INC. -T
10650 N. MICHIGAN RD.
ZIONSVILLE, IN 46077 0 R N 0
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
106084 01- 6500 -04 $12.27
Voucher Total $12.27
Cost distribution ledger classification if
claim paid under vehicle highway fund