207191 03/13/2012 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: $968.80
ZIONSVILLE IN 46077
CHECK NUMBER: 207191
CHECK DATE: 3/13/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 267611 968.80 AUTO REPAIR MAINTEN
Dealer No:06761
5712500
Invoice No 267611 Pearson Ford, Inc.
10650 North Michigan Road
Zionsville, IN 46077
CITY OF CARMEL INVOICE 317.873.3333
1 CIVIC SQ PAGE 1 www.mylndyford.com
CARMEL, IN 46032 -2584 PARTS SERVICE HOURS
Monday Friday
Home 317 -571 -2500 Email 7:00 am -6:00 pm
Bus:317- 733 -2001
SERVICE ADVISOR: 21 on sc TT KgousE
COLOR REAR fVIAKElN1UllEL VIN LICENSE MILEAGE IN. /;!;OUT TAG
RED 06 FORD F250 1FTN "F21.576.EB72404 1 108362/108362 T828
DEL DATE PROD. DATE WARR. EXP. PROMISED PO N0. RATE is PAYMENT. INV. DATE
05MAY06 D 05APR06 17:00 23FEB12 BILL 29FEB12
R.00PENED READY OPTIONS:w COMP:G ENG:5.4 Liter EFI�
10:54 23FEB12 1 11:46 29 FEE
LINE OPCODE TECH TYPE HOURS LIST NET TOTAL
A CK FOR NOISE FROM REAR OF ENG
R5M OWNER INSPECTION
8016 CFL 664.00 664.00
1 4C3Z *6375 *AA FLYWHEEL ASY 251.82 229.34 229.34
8 FlAZ *6379 *A BOLT HEX.HEAD 2.14 1.93 15.44
6 *378941 *S441 NUT HEX. 1.58 1.42 8.52
4 *W705443 *S900 NUT 5.00 4.50 18.00
,,,,108362 FLYWHEEL 8.00 TRACED NOISE TO FLYWHEEL, R &R TRANSMISSION AND
,,,,REPLACED FLYWHEEL. REPLACED HARDWARE AS NEEDED
CUSTOMER PAY SHOP SUPPLIES FOR REPAIR ORDER 33.50
ATTENTION CUSTOMER
DID YOU KNOW THAT WE HAVE A QUICK LANE THAT
CAN SERVICE THE CHEVY; DODGE, TOYOTA ETC IN
YOUR GARGAE AT "RE ::OMPETITIVE PRICES THAN
YOUR LOCAL DEALER? JUST CALL 733 -0410 OR
SEE YOUR SERVICE ADVISOR TODAY
DISCLAIMER OF N�ARF..= NTIES- DESCRIPTkON TOTALS
ON BEHALF OF SERVICING DEALER, I. HEREBY CERTIFY THAT ThE AND LIMITATIONS OF LIABILITY
INFO RM.4TION HEREON IS ACCURATE UNLESS OTHERWISE The factory warr", if an Is t only waRaaly' LABOR AMOUNT 664 00
SHOWN. SERVICES DESCRIBED WERE PERFORMED AT NO CHARGE TO wlffi —pt,. to bis sale. SELLER MAKES NO
271 30
OWNER. THERE WAS NO INDICATION FROM THE APPEARANCE OF THE WARRANTY WHATSOEVER AND EXPRESSLY PARTS AMOUNT
VEHICLE OR OTHERWISE, THAT ANY PART REPAIRED OR REPLACED DISCLAIMS ALL WARRANTIES EITHER
EXPRESS OR IMPLIED, INCLUDING ANY GAS, OIL LUBE o on
UNDER THIS CLAIM HAD BEEN CONNECTED IN ANY WAY WITH ANY IMPLIED WARRANTY OF MERCH NTABILITY.
ACCIDENT, NEGLIGENCE OR MISUSE. RECORDS SUPPORTING THIS OR FITNESS FOR A PARTICULAI, PURPOSE. SUBLET AMOUNT
CLAIM ARE AVAILABLE FOR (1) YEAR FROM THE DATE OF PAYMENT SELLER MAXIMUM LIABILITY HERSUNDF.R MISC. CHARGES 33 50
NOTIFICATION AT THE SERVICING DEALER FOR INSPECTION BY A LIMITED ND SELLER To THE oRIA SHALL HAVVE NO O L L IA PRICE
ABILIiY TOTAL CHARGES
MANUFACTURER'S REPRESENTATIVE. FOR ANY INCIDENTAL OR CONSEQUENTIAL
DAMAGES FOR LOST SALES, LOST PROFITS. LESL INSURANCE
INJURIES TO PERSONS OR PROPERTY OR
OTHE3. INJURIES OR DAMAGES. TAX
(SIGNED) DEALER, GENERAL MANAGER OR AUTHORIZED PERSON (DATE) C:STOMER SIGNATURE PLEASE PAY
I THIS AMOUNT
CUSTOMER COPY
ScaVif.F iNVn[c xpiJf.
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))
02/29/12 267611 $968.80
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
$968.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 267611 43- 510.00 $968.80 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
`Thursday; March 08, 2012
Street Commissioner
Z)`reE;r the 1miSSlpi1 -e_
Cost distribution ledger classification if
claim paid motor vehicle highway fund