207630 03/26/2012 *f CITY OF CARMEL, INDIANA VENDOR: 305700 Page 1 of 1
ONE CIVIC SQUARE TOM WOOD FORD INC
CARMEL, INDIANA 46032 3130 E 96TH ST CHECK AMOUNT: $871.50
INDPLS IN 46240
CHECK NUMBER: 207630
CHECK DATE: 3/26/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4351000 FONS295739 871.50 AUTO REPAIR MAINTEN
TOM MOOD E
FORD
3130 E. 96th Street o Indianapolis, IN 46240
(800) 423 -4646 (317) 846 -4241
www.tomwoodford.com
COST. NUMBER 162 583 ATCLIP CALDWELL 7203 TAG NO 1059 INV0 P'6W95739
CITY OF CARMEL ENGINEERING LICENSE NO. ODOMETER 42,901 R WHT CLRC STOCK NO.
1 CIVIC SQ %FORD D TRUCK /ESCAPE /4DR 4WD HYBRID DELI
y�� /D /05 DELIVERY ODOMETER 9
CARMEL, IN 46032 -2584 T M C U 9 6 H 0 6 K A 2 6 0 8 9 ib6 UUG DEALER NO. MANUFACTURED DATE
F.T.E. 6 031201550 -020 P.O. NO. R.O.UY11 -4/12
HOME PHONE 1 1 S S 5 Y E -2441 INSTRUCTIONS Us
M0: 42901
OB# 1 CHARGES--------------------------------- Disclaimer of Warranties Any warranties on
the products sold hereby are those made by
LA BOR
the manufacturer. The Seller, TOM WOOD
D Inc. hereby expressly disclaims all
1 99FOZ99P. "WORLD CLASS INSP..ECT„ :TECH(S):7193.
0.00' FOR warranties, either express or implied, including
CUSTOMER REQUESTING WORLD CLASS INSPECTION AND any implied warranty of merchantability or
PUT INSPECTION REPORT IN CUSTOMER VEHICLE fitness for a particular purpose. TOM WOOD
MAINT SERVICE FORD, Inc., neither assumes nor authorizes
PERFORMED WORLD CLASS INSPECTION AND INSPECTION REPORT any other person to assume for it any liability
IN CUSTOMER VEHICLE. in connection with the sale of said products.
I hereby agree to pay Tom Wood Ford
OB# 1 TOTALS attorney fees if collection hereof becomes
necessary.
JOB# 1 JOURNAL PREFIX FONS JOB# 1 TOTAL 0.00 Not responsible for car or contents in case of
OB# 2 CHARGES--------------------------------------------------------------------------- fire or theft or freezing or any other cause.
Storage will be charged 48 hours after repairs
BOR are completed.
2 41FOZ
ABS,BRAKES ,.TECH(S);7I93 264:39;:'
ABS LIGHT "SERVICE BRAKE SYSTEM" WARNING MESSAGE, AND 4X4
LIGHT FLASH WHEN DRIVING
ABS DIAG, REPLACE LEFT FRONT AXLE TONE RING RETEST OK
ARTS QTY FP- NUMBER DESCRIPTION LIST PRICE -UNIT PRICE- X
1 AL8Z- 2C182 -A RING ABS S 16.85 16.85 16.85
TOTAL PARTS 16.85
OB# 2 TOTALS------------------------------------------------------------
LABOR 264.39
PARTS 16.85
JOB# 2 JOURNAL PREFIX FONS JOB# 2 TOTAL 281.24
JOB# 3 CHARGES
ABOR
3 +OIFOZLBWF..> FRONT LIFE PADS ;r w <TEGH(S):7193 149'.95
dded Operation (8PHILC 03/14/2012 14:09)
LIMITED LIFETIME PAD /SHOE AGREEMENT REPLACE FRONT PADS
.PER CUSTOMER ESTIMATE.
BRAKE PAD REPLACEMENT -WEAR
REPLACE FRONT PADS PER PARTS LIST
AND REPLACE FRONT ROTORS
RTS QTY FP- NUMBER DESCRIPTION LIST PRICE -UNIT PRICE
1 8M6Z- 2001 -A KIT BRAKE 74.95 74.95 74.95
2 AL8Z- 1125 -A ROTOR ASY 88.63 88.63 177.26
TOTAL PARTS 252.21
iC CODE DESCRIPTION ------CONTROL NO
LBF LIFETIME BRAKE FUND 29.95
TOTAL MISC 29.95
CONTINUED 0% NEXT PAGES 10.19am TWF -4020
C�S�OMERCOPY w
TOM WOOD R��
FORD
3130 E. 96th Street Indianapolis, IN 46240
(800) 423 -4646 (317) 846 -4241
www.tomwoodford.com
CUST. NUMBER 162583 OWELIP CALDWELL 7203 TAG NO 1059 INVC615 6 /12 POKSY95739
CITY OF CARMEL ENGINEERING
LICENSE NO. ODOMETER 42, J Q V F W HT CLRC STOCK NO.
1 CIVIC SQ N79&6' TRUCK /ESCAPE /4DR 4WD HYBRID DELItrgl/ f /05 DELIVERY ODOMETER 9
CARMEL, IN 46032 -2584 w l/
1 F M C U 9 6 H 0 6 K A 2 6 0 8 9 SbOG DEALER NO. MANUFACTURED DATE
F. T. E. 6031201550 -020 P.O. NO. R.O. ff /14/12
HOMEPHONE t3j1,�If.SS 2441 INSTRUCTIONS M0: 42901
LABOR 1'49.95 Disclaimer of Warranties Any warranties on
PARTS 252.21 the products sold hereby are those made by
MISC 29.95 the manufacturer. The Seller, TOM WOOD
FORD, Inc. hereby expressly disclaims all
JOB# 3 JOURNAL PREFIX FONS JOB# 3 TOTAL 432.11 any implied either express or implied, including
OB# 4 CHARGES any implied warranty u merchantability or
fitness for a particular purpose. TOM WOOD
FORD, Inc., neither assumes nor authorizes
BOR.. u ,TECH($) ..7,193 0 any other person to assume for it any liability
4 ±85FOZ *,,::ACCESSORIES. 3.. 00 in connection with the sale of said products.
dded Operation (8PHILC 03/14/2012 14:09) 1 hereby agree to pay Tom Wood Ford
REPLACE FRONT WIPERS AND ENGINE AIR FILTER attorney's fees if collection hereof becomes
necessary.
ARTS QTY FP- NUMBER DESCRIPTION LIST PRICE -UNIT PRICE- Not responsible for car or contents in case of
1 2U2Z- 17528•EA BLADE ASY 19.95 19.95 19.95 fire or theft or freezing or any other cause.
1 2U2Z- 17528 -JA BLADE ASY 19.95 19.95 19.95 Storage will be charged 48 hours after repairs
1 3L8Z- 17528 -AA BLADE ASY 19.95 19.95 19.95 are completed.
1 FA -1772 ELEMENT ASY 29.95 29.95 29.95
TOTAL PARTS 89.80
OB# 4 TOTALS------------------------------------------------------------
PARTS 89.80
JOB# 4 JOURNAL PREFIX FONS JOB# 4 TOTAL 89.80 X
OB# 5 CHARGES
BOR
5 +OOFOZDLOF *ENGINE ;OIL FIETER....'h, TECH(S):7193 zt: 14:60..'
dded Operation (8PHILC 03/14/2012 14:10)
CUSTOMER REQUESTS ENGINE OIL AND FILTER CHANGE. CHASSIS
LUBRICATION, CHECK AND TOP OFF FLUIDS, CHECK AND ADJUST TIRE
PRESSURES.
REPLACED ENGINE OIL FILTER ENGINE OIL.
)ARTS QTY FP- NUMBER DESCRIPTION LIST PRICE -UNIT PRICE
1 FL- 2017 -B FILTER ASY 5.95 5.95 5.95
6 OIL 1.80 1.80 10.80
TOTAL PARTS 16.75
ISC CODE DESCRIPTION CONTROL NO
EF ENVIRONMENTAL FEE 2.00
TOTAL MISC 2.00
)6#k 5 TOTALS
LABOR 14.60
PARTS 16.75
MISC 2.00
JOB# 5 JOURNAL PREFIX FONS JOB# 5 TOTAL 33.35
6 CHARGES---
BOR .0
a +o2FozC,BATr.. 6REEN:BATTERY
TECH(S):80; 0, 0°
ded Operation (8PHILC 03/16/2012 10:18)
BATTERY TEST OK -COLD CRANKING AMPS.TERMINALS CLEAN -OK
[CONTINUED ON NEXT PAGE] 1o:19am
AGE 2OF4 CUSTOMER COPY TwFaozo
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n
TOM WOOD A go
FOR®
3130 E. 96th Street o Indianapolis, IN 46240
(800) 423 -4646 (317) 846 -4241
www.tomwoodford.com
CUST. NUMBER 58 MffiLLIP CALDWELL 7203 TAG N01059 1 INVC6§5 PORS'295739
CITY OF CARMEL ENGINEERING
v LICENSE NO. ODOMETER 42, 70 I CLRC STOCK NO.
1 CIVIC SQ &7P8kb"TRUCK /ESCAPE /4DR 4WD HYBRID DELI� Yp/{TE, /0 DELIVERY ODOMETER 9
W
CARMEL, IN 46032- 2584
1 F M C u 9 6 H 0 6 K A 2 6 0 8 9 1b j V G D DEAA LER N0. MANUFACTURED DATE
F. T. E. 6 031201550 -020 P.O. NO. R.O.ff/14/12
HOME PHONE $I�.I�SS�F 7„'E 2441 INSTRUCTIONS
�J MC)� 42701
GOOD BATTERY 1 Disclaimer of Warranties Any warranties on
the products sold hereby are those made by
the manufacturer. The Seller, TOM WOOD
OB# 6 TOTALS FORD Inc. hereby expressly disclaims all
JOB# 6 JOURNAL PREFIX FONS JOB# 6 TOTAL 0.00 `^�arranties, either express or implied including
any implied warranty of merchantability or
OB# 7 CHARGES
fitness for a particular purpose. TOM WOOD
FORD, Inc., neither assumes nor authorizes
BOR any other person to assume for it any liability
7 +02FOZGBK `GREEN „BRAKES.,, TECH(S)`:80 "'0.00 in connection with the sale of said products.
dded Operation (8PHILC 03/16/2012 10:19) l.hereby agree to pay Tom Wood Ford
BRAKES CHECK -OK (DISC OVER 5MM,DRUM OVER2MM) attorney's fees if collection hereof becomes
ATW BRAKE CHECK -OK necessary.
BRAKES OK Not responsible for car or contents in case of
fire or theft or freezing or any other cause.
OB# 7 TOTALS Storage will be charged 48 hours after repairs
are completed.
JOB# 7 JOURNAL PREFIX FONS JOB# 7 TOTAL 0.00
OB# 8 CHARGES
BOR
8 +02FOZGTIRE GREEN TIRES f TEGH(S)'80 -0.ddf”
dded Operation (8PHILC 03/16/2012 10:19)
TIRES CHECKED OK -ATW INSPECTION
TIRES OK
GREEN (OK) TIRE INSPECTION
OB# 8 TOTALS
JOB# 8 JOURNAL PREFIX FONS JOB# 8 TOTAL 0.00
ISC CODE DESCRIPTION CONTROL NO---
OB A Al SHOP SUPPLIES 35.00
TOTAL MISC 35.00
m OMMENTS
ORK OK'D BY LISA SCOTT
ELETED OPERATION(S)
1FOZ RECOMMENDED MAINT
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Q PAGE 3 OF 4 CUSTOMER COPY [CONTINUED ON NEXT PAGE] 10:19am
TWF -4020
G ENUI NE
TO WO OD PARTS SERVICE
FOR®
3130 E. 96th Street o Indianapolis, IN 46240
(800) 423 -4646 (317) 846 -4241
www.tomwoodford.com
CUST. NUMBER 162 583 1'fI I ITLIP CALDWELL 7203 TAG NO 1059 INVOff/16/12 P60f 295739
CITY OF CARMEL ENGINEERING I LICENSE NO. ODOMETER 42,901 X CLRC STOCK NO.
1 CIVIC SQ u /FORD D TRUCK /ESCAPE /4DR 4WD HYBRID DELI yE§v qa�T� /05 DELIVERY ODOMETER 9
CARMEL, IN 46032 -2584 VIN NG DEALER NO. MANUFACTURED DATE
1 F M C U 9 6 H 0 6 K A 2 6 0 8 9�
F.T.E. 0031201550 -020 P.O. NO. R.O. US
6114/12
HOME PHONE U I SS H NE INSTRUCTIONS
1 -2441 MO: 42901
Disclaimer of Warranties Any warranties on
the products sold hereby are those made by
TOTAL LABOR.... 428.94 the manufacturer. The Seller, TOM WOOD
TOTAL PARTS.... 375.61 FORD, Inc. hereby expressly disclaims all
CASH CHECK CK NO. TOTAL SUBLET... 0.00 warranties, either express or implied, including
TOTAL G.O.G... 0.00 any implied warranty of merchantability or
VISA MA ERCARD TOTAL MISC CHG. 66.95 fitness for a particular purpose. TOM WOOD
TOTAL MISC DISC 0.00 FORD, Inc., neither assumes nor authorizes
OTHEN HARGE TOTAL TAX...... 0.00 any other person to assume for it any liability
in connection with the sale of said products.
TOTAL INVOICE 871.50 1 hereby agree to pay Tom Wood Ford
attorney's fees if collection hereof becomes
THANK YOU FOR YOUR BUSINESS! necessary.
E WANT YOU COMPLETELY SATISFIED, NOT VERY SATISFIED. IF YOU Not responsible for car or contents in case of
RE NOT "COMPLETELY" SATISFIED, PLEASE CALL TOM AT TOM WOOD fire or theft or freezing or any other cause.
ORD. THERE'S NOTHING WE WON'T DO TO INSURE YOUR HAPPINESS! Storage will be charged 48 hours after repairs
TOM are completed.
CUSTOMER SIGNATURE
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PAGE 4 OF 4 CUSTOMER COPY END OF INVOICE 10:19am
TWF-4020
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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.
Tom m r A l IN01 %A
Payee
3130 E. 96th Street
Purchase Order No.
I ndianapolis, IN 46240 Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4
Total
pot 1.UU
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.
Tom Wood Ford
ALLOWED 20
3130 E. 96th Street IN SUM OF
Indianapolis, IN 46240
$871.50
ON ACCOUNT OF APPROPRIATION FOR
Department of Engineering
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
n a FONS295739 2200- 435100 871.50 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
Z 2
Signatur
cinA^
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund