205959 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: 237560 Page 1 of 1
f ONE CIVIC SQUARE PEARSON FORD,INC CHECK AMOUNT: $182.60
CARMEL, INDIANA 46032 10650 N MICHIGAN RD
ZIONSVILLE IN 46077
«o CHECK NUMBER: 205959
CHECK DATE: 1/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 266528 182.60 OTHER EXPENSES
6205 Dealer No:06761
Invoice No 266528 Pearson Ford, Inc.
10650 North Michigan Road
Zionsville, IN 46077
CITY OF CARMEL WATER UTILITIES INVOICE 317.873.3333
3450 W 131ST ST PAGE 1 www.mylndyford.com
WESTFIELD, IN 46074 -8267 PARTS SERVICE HOURS
Monday Friday
Home:317- 733 -2855 Email: 7:00 am -6:00 pm
Bus:
SERVICE ADVISOR: 2100 SCOTT KROUSE
COLOR YEAR MAKE /MODEL VIN LICENSE MILEAGE IN POUT
BLUE 08 FORD F250 1 1FTNF2158BEA62447 1 49327 49327 T168
!DEL. DATE ?ROD. DATE UVARR. EXP PROMISED PO! NO RATE PAYMENT:: INV..DATE.....;;
02FEB08 D 02JAN08 17:00 13JAN12 1 BILL 17JAN12
R OPEN Ep READY:;: OPTIONS: w COMP:G ENG:5.4 Liter SOHC
14:20 13JAN12 1 15:09 17JAN12
LINE OPCODE TECH TYPE HOURS LIST NET TOTAL
A CUST STATES THAT THERE ARE NO LOW•BEAM HEADLIGHTS CUST HAS REPLACED
SOME PARTS ALREADY SEE SCOTT FOR DETAILS
R5M OWNER INSPECTION
7342 CFL 166.00 166.00
,,,,49327 2.00 DIAG REPLACED AFTERMARKET JUMPER HARNESS X2 FOR
,,,,HEADLIGHT
CUSTOMER PAY SHOP SUPPLIES FOR REPAIR ORDER 16.60
ATTENTION CUSTOMER
DID YOU KNOW THAT WE HAVE A QUICK LANE THAT
CAN SERVICE THE CHEVY, DODGE, TOYOTA ETC IN
YOUR GARGAE AT MORE COMPETITIVE PRICES THAN
YOUR LOCAL DEALER? JUST CALL 733 -0410 OR
SEE YOUR SERVICE ADVISOR TODAY
DISCLAIMER OF WARRANTIES DESCRIPTION TOTALS
ON BEHALF OF SERVICING DEALER, I HEREBY CERTIFY THAT THE AND LIMITATIONS OF LIABILITY
INFORMATION CONTAINED HER EON- IS.A000RATE UNLESS OTHERWISE The r wr —amy, if any, Is t omy wuramy LABOR AMOUNT
SHOWN. SERVICES DESCRIBED WERE PERFORMED AT NO CHARGE TO 'id I-Pm w v� sie. SELLER':MAKES NO 166 00
OWNER. THERE WAS NO INDICATION FROM THE APPEARANCE OF THE WARRANTY WHATSOEVER AND EXPRESSLY PARTS AMOUNT n nn
VEHICLE OR OTHERWISE, THAT ANY PART REPAIRED OR REPLACED DISCLAIMS ALL WARRANTIES EITHER
EXPRESS OR IMPLIED, INCLUDING ANY GAS, OIL LUBE 0 00
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 n on
CLAIM ARE AVAILABLE FOR (1) YEAR FROM THE DATE OF PAYMENT SELLER'S MAXIMUM LI ABI LITYHFREUNDER MISC. CHARGES 16 60
NOTIFICATION AT THE SERVICING DEALER FOR INSPECTION BY IS LIMITED TO THE ORIGINAL SAL 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
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
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. l
Payee
237560
PEARSON FORD INC. Purchase Order No.
10650 N. MICHIGAN RD. Terms
ZIONSVILLE, IN 46077 Due Date 1/24/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/24/2012 266528 $182.60
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
/z- 7// c..
Date Officer
VOUCHER 113523 WARRANT ALLOWED
237560 IN SUM OF
PEARSON FORD INC.
10650 N. MICHIGAN RD. ppERA NS
ZIONSVILLE, IN 46077
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
266528 01- 6500 -04 $182.60
Voucher Total $182.60
Cost distribution ledger classification if
claim paid under vehicle highway fund