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Home My WebLink About173801 06/24/2009 CITY OF CARMEL, INDIANA VENDOR: 00352042 Page 1 of 1 ONE CIVIC SQUARE DON HINDS FORD CARMEL, INDIANA 46032 12610 FORD DRIVE CHECK AMOUNT: $2,028.46 FISHERS IN 46038 CHECK NUMBER: 173801 CHECK DATE: 6/24/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NU MBER AMO UNT DESCRIPTION 1110 4351000 21029 155436 2,028.46 TRANSMISSION CAR 38 CA2644 1 5 5 4 3 6 +ft" INVOICE CITY OF CARMEL POLICE DEPT 1 2610 Ford Drive Fishers, IN 46038 3 CIVIC SQ Phone (317) 849-9000 Fax (317) 849-0020 CARREL, IN 46032-2584 PAGE 2 1-800-64HINDS (1-800-644-4637) HOME :317-571-2644 BUS: www.donhinds.com SERVICE ADVISOR: 8756 STEVE HARRISON COLOR -Y TAG:: 05 i FORD CROWN VIC 2FAFP71W95X176111 179746/79746 T534 RAT T 0 D EL L*: .WA ROM PAYMENT DATE 01JAN0 17:00 02=09 21029 0.00 CHG 111 JUN09 R DYii�:�i�.*.*.* EA OPTIONS: DLR:47J034 ENG:4.6 Liter SOHO 06:52 27MAY09 14:42 11JUN09 LINE OPCODE TECH TYPE HOURS LIST NET TOTAL AUTH CODE: 79746 79746 E VERIFIED, PERFORMED SELF TEST, PASS, PERFORMED PINPOINT TESTD, REMOVED TRANS PAN FOUND METAL IN PAN, REPLACED TRANS, FLUSHED COOLE VERIFIED, PERFORMED SELF TEST, PASS, PERFORMED PINPOINT TESTD, REMOVED TRANS PAN FOUND METAL IM PAN, REPLACED TRANS, FLUSHED COOLER AND LINES, INSTALED INLINE FILTER, RETEST OK NOW B MULTI POINT 99P PERFORM COMPLEMENTARY QCM MULTI-POINT INSPECTION CP 0.00 0.00 79746 99P C** REMOVE INLINE FILTER SEE STEVE H 9155 FILTER �4831 CP 25.00 25.00 79746 REMOVED OLD INLINE FILTER AND INSTALED NEW FILTER CUSTOMER PAY DEDUCTIBLE FOR LINE A 2003.46 DISCLAIMER OF WARRANTIES OUR NIGHT OWL DROP BOX, LOCATED AT THE DESCRIPTION:::.: TOTALS ANY WARRANTY ON THE PRODUCTS SERVICE ENTRANCE, IS AVAILABLE DURING SOLD HEREBY ARE THOSE MADE BY LABOR AMOUNT 25.00 NON-BUSINESS HOURS. THE IN MANUFACTURER. THE SELLER, DON HDS FORD, INC., HEREBY PARTS AMOUNT 0.00 EXPRESSLY DISCLAIMS ALL &AS. OIL, LUBE SERVICE HOURS: MON FRI 7:30 AM 5:30 PM WARRANTIES, EITHER EXPRESSED OR 0.00 IMPLIED, INCLUDING ANY IMPLIED SAT 7:30 AM 3:30 PM WARRANTY OF MERCHANTABILITY OR SUBLET AMOUNT 0.00 FITNESS FOR A PARTICULAR PURPOSE, MISC. CHARGES AND DON HINDS FORD, INC. NEITHER 2003.46 ASSUMES NOR AUTHORIZES ANY TOTAL CHARGES OTHER PERSON TO ASSUME FOR IT 2028.46 ANY LIABILITY IN CONNECTION WITH LESS DEDUCTIONS 0.00 THE SALE OF SAID PRODUCTS. SALES TAX 0.00 2u� CUSTOMER SIGNATURE PLEASE PAY 0: &.A: THIS AMOUNT 2: 2: CUSTOMER COPY INDIANA RETAIL TAX EXEMPT PAGE Ci 11 1� r el CERTIFICATE NO. 003120155 002 0 f y.1� o 11 lys 1Llil�.11J1 PURCHASE ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 1 (19 Q 30NE: CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION June 15, 2009 transmission VENDOR Don Hinds Ford SHIP City of Carmel Police Department 12610 Ford Drive T O 3 Civic Square Fishers, IN 46038 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION replace transmission for car 38 Smith 2,928.46 a 10 4 N U Send Invoice To: PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1110 510 auto repairs and maintenance P AYMENT A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. I C.O.D. SHIPMENTS CANNOT BE ACCEPTED. II e j irpY_ PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. L THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. r I CLERK TREASURER DOCUMENT CONTROL NO. A"P•�. COPY- SIGN AND RETURN TO CLERK'S OFFICE VQUCHER NO. WARR NT NO._-- ALLOWED 20 IN THE SUM OF 7 ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. 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 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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, D Hinds Ford Purchase Order No. 21029F 1 2610 Ford Drive Terms F ishers, IN 46038 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 6/11/09 155436 payment for transmission for car 38 Smith 2,028.46 Total 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 Don Hinds Ford IN SUM OF 12610 Ford Drive Fishers, IN 46038 2,028.46 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 21029F 155436 510 2,028.46 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 June 17 20 -09 Signature Chief of Po ice Cost distribution ledger classification if Title claim paid motor vehicle highway fund