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171821 04/29/2009 CITY OF CARMEL, INDIANA VENDOR: 00352042 Page 1 of 1 ONE CIVIC SQUARE DON HINDS FORD CHECK AMOUNT: $26,782.15 CARMEL, INDIANA 46032 12610 FORD DRIVE FISHERS IN 46038 CHECK NUMBER: 171821 CHECK DATE: 4/29/2009 DEPARTMENT ACCOUNT PO NUMBER INV NU MBER AMOUNT DESCRIP 651 5023990 277387 85.29 OTHER EXPENSES 651 5023990 277461 46.86 OTHER EXPENSES 102 4465001 12642 TRUCK 26,650.00 2009 FORD F250 0 0 12610 Ford Drive Fishers, IN 46038 Phone (317) 849 -9000 Fax (317) 813 -1306 Parts Direct (317) 813 -1301 www.donhinds.com ALL RETURNED PARTS MUST BE RECEIVED WITHIN 30 DAYS, BE IN THE ORIGINAL PACKAGE, AND ACCOMPANIED BY THIS INVOICE. WE ARE NOT ALLOWED TO ACCEPT RETURNS ON ELECTRICAL OR SPECIAL ORDER PARTS. PLEASE PREPAY WHEN ORDERING SPECIAL ORDER PARTS. n DATE ENTERED YOUR ORDER NO. I DATE SHIPPED INVOICE DATE INVOICE 0 APR 09 C1 511667 0 APR 09 1 10 APR 09 NUMBER 277387 o ACCOUNT NO. CA2634 H PAGE 1 OF 1 L I D P CITY OF CARMEL WASTEWATER UTIL 0 760 THIRD AVENUE SW o CARMEL, IN 46032 9697 CHARGE FISHERS IN a A IN PART NO SHI 80: AD P 0. F1Z *8A0.$0 *AA TANK .AS R PARTS HOURS 73 45 55_ 55 3.1 Mon -Fri 1 0 9C3Z *8101 *A CAP ASY RA 9.06 6.34 6.34 7 :30 5:30 art number 9C3Z *810 *A. re lac s F6DZ *$1 0 F1Z 8D15 AA. HOSE OVERT 40 23; 64 2!3 64' Saturday 8.00 3. 0 a ur SERVICE HOURS Mon n 7.30 5 Saturday 7.7.5 8:00 3:00 A SE CASHIER CLOSES y M Fri V AT 5:30 Saturday AT 3.00 BODY SHOP Mon Fri 800 -500 PARTS 85.29 SUBLET FREIGHT 0.00 SALES TAX 0.00 CU R SIGNAT RE 1300 X $85.29 DISCLAIMERS OF WARRANTIES Any warranties on the product sold hereby are those made by the manufacturer. The seller hereby expressly disclaims all warranties, either expressed or implied, including any implied warranty of merchantability or fitness for a particular purpose, and the seller neither assumes nor authorizes any other person to assume for it any liability in connection with the sale of said products. CUSTOMER COPY +/Inc 12610 Ford Drive Fishers, IN 46038 Phone (317) .849 -9000 Fax (317) 813 -1306 Parts Direct (317) 813 -1301 www.donhinds.com ALL RETURNED PARTS MUST BE RECEIVED WITHIN 30 DAYS, BE IN THE ORIGINAL PACKAGE, AND ACCOMPANIED BY THIS INVOICE. WE ARE NOT ALLOWED TO ACCEPT RETURNS ON ELECTRICAL OR SPECIAL ORDER PARTS. PLEASE PREPAY WHEN ORDERING SPECIAL ORDER PARTS. DATE ENTERED YOUR ORDER NO. DATE SHIPPED INVOICE DATE INVOICE 3 APR 09 TRK -116 3 APR 09 1 13 APR 09 NUMBER 277461 o ACCOUNT NO. CA2634 H PAGE 1 OF 1 L I D P CITY OF CARMEL WASTEWATER UTIL 0 760 THIRD AVENUE SW o CARMEL, IN 46032 bHIP VIA Z>LZDM. 16/1 NU. TERMS F.O.S. POINT 1 3833 CHARGE FISHERS IN oeo �SHPIry Bo PART NO RS 0 4.T_Z *48..0:0 *A SUPPORT::;. 6.2 23'' 46... 86 4 6.:.8.6 P ARTS HOU Mon Fri 7:30 5:30 Saturday 8:00 3:00 SERVICE HOURS Fri Mon 7:30 5:30 Saturday 8:00 3:00 Mon -Fri AT 5:30 Saturday AT 3:00 BODY SHOP Mon Fri 8.00 5.00 PARTS 46.86 SUBLET FREIGHT 0.00 SALES TAX 0.00 CUS !R'S SIG URE �2 `j►V'�f�i v >TOT 1300 4 6. 8 6 ..A..- DISCLAIMERS OF WARRANTIES Any warranties on the product sold hereby are those made by the manufacturer. The seller hereby expressly disclaims all warranties, either expressed or implied, including any implied warranty of merchantability or fitness for a particular purpose, and the seller neither assumes nor authorizes any other person to assume for it any liability in connection with the sale of said products. 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, price per unit, etc. Payee 00352042 DON HINDS FORD Purchase Order No. 12610 FORD DRIVE Terms `p FISHERS, IN 46038 Due Date 4/20/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/20/2009 277461 $46.86 hereby certify that the attached invoice(s), or bill(s) is (are) true and :orrect and I have audited same in accordance with IC 5- 11- 10 -1.6 `113/ o Date Officer VOUCHER 095472 WARRANT ALLOWED 00352042 IN SUM OF DON HINDS FORD 12610 FORD DRIVE FISHERS, IN 46038 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 277461 01- 7502 -06 $46.86 27 -73$? o 75'o2, (32.15 Voucher Total Cost distribution ledger classification if claim paid under vehicle highway fund Tolle Titled n INVOICE 01 od y{ Clt ;y, ®f Cannel FIre� ®epartfrnent stork, Date No �FT21389 X4/22/2009 �f C� ,..lStafe -wd Zl Carmel I.N 46®32' 5p Color F Federal R,urcnase 126�4�2 Wrder Factory Installed Equipment NEW 41 "k••. a ti .s Price Insurance CoName Agent s Na e F T rade a a Trading Difference 26,648.75 Year Make Models Color' 7% Sales Tax 'vsk a F'•$. ++PTm '4. aA "'•�.L 3r �t2DR 4 DR Tire Tax of tires 5 1.25 Delivery Cost SenalllNo A/C «t fAuto j Total Cash Difference 26,650. 00 1 Mileage' m Balance Owed on Used Vehicle Total Balance Due 26,650.00 R» a* .n .r; a^., -;a �,��r%', a Lam •vim k: Balance Lein E Date Less Cash Rec Holder 26 Owetl Unpaid Balance of Cash Price M i ll bales man ti W e Dd DON HINDS FORD INC. 12610 Ford Drive Phone (317) 849 -9000 x1216 Fishers, IN 46038 Toll Free (800) 644 -4637 x1216 dmeadadonhindsford.com Direct Phone Fax 317 813 -3216 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. i Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Mtce. Chief Truck $26,650.00 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. ALLOWED 20 Don Hinds Ford IN SUM OF 12610 Ford Drive Fishers, IN 46038 $26,650.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 12642 102- 650.01 $26,650.00 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 APR 2 N09 V r 7 1.1-0- 9�-/ Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund