176956 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 305700 Page 1 of 1
ONE CIVIC SQUARE TOM WOOD FORD INC
Fi CHECK AMOUNT: $768.98
CARMEL, INDIANA 46032 3130E 96TH ST
INDPLS IN 46240 CHECK NUMBER: 176956
CHECK DATE: 9/2/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION
601 5023990 FONS236483 768.98 OTHER EXPENSES
FONS236483 -O
0-
N
3130 E. 96th Street Indianapolis, Ind. 46240 rn
(317) 846 -4241 00
w
1 111111 11111111111 IIIII 111111111111111111 IIIII 11111 III IIIII IIIII 1111111111111111111 1111
08011FONS236483
CUSTOMER NO. ADVISOR I TAG NO. INVOICE DATE INVOICE NO.
162 58 P HIL 9972 1482 07/30/ FONS236483
LABOR R.A'TE LICENSE N0. MILEAGE COLOR STOCK NO,
CITY OF CARMEL 70613 48,645 WHITE/
1 CIVIC SQ YEAR r MAKE MODE:. DELIVERY DATE DELIVERY MILES
CARMEL, IN 46032 -2584 06 /FORD TRUCK/
VEHICLE I.D. N0, SELLING DEALER NO. PRODUCTION DATE
1 F M Y U 9 5 H 2 6 K D 4 8 8 0 6
F. T. E. NO. P. O. NO. R. 0. DATE
003120155 -02 0_ 07/23/09
RESIDENCE PHONE BUSINESS PHONE COMMENTS
317- 571- 2463 MO: 4864y
JOB# 1 CHARGES Disclaimer of Warranties Any warranties
on the products sold hereby are those
LABOR
J# 1 lOFOZ DRIVEABILITY TECH(S) :997353 997920 439.02 made by the manufacturer. The Seller,
TOM WOOD FORD, Inc., hereby expressly
CUST STATES SEVERAL TIMES LATELY THE ENGINE WILL STALL
WHEN ACCEL FROM STOP. WHEN THIS HAPPENS THE MESSAGE disclaims all warranties, either express or
WILL SAY ENGINE TEMP HIGH, CARMEL GARAGE REPLACED implied, including any implied warranty of
THE T STAT AND COOLANT. STILL DOES IT BUT NOW merchantability or fitness for a particular
MESSAGE JUST SAYS PULL TO SAFE LOCATION purpose. TOM WOOD FORD, Inc.. neither
DIAGNOS REPLACE ELECTRONICS COOLING MOTOR assumes nor authorizes any other person
to assume for it any liability in connection
PARTS QTY FP- NUMBER DESCRIPTION LIST PRICE -UNIT PRICE- with the sale of said products.
1 5M6Z- 8C419-A KIT WATER 281.98 281.98 281.98 1 hereby agree to pay Tom Wood Ford
1 VC -7 -B ANTI FREEZE 17.98 17.98 17.98 attorney's fees if collection hereof becomes
TOTAL PARTS 299.96 necessary.
Not responsible for car or contents in case
JOB# 1 TOTALS------------------------------------------------------ of fire or theft or freezing or any other
LABOR 439.02 cause. Storage will be charged 48 hours
PARTS 299.96 after repairs are completed.
JOB# 1 JOURNAL PREFIX FONS JOB# 1 TOTAL 738.98
MISC CODE DESCRIPTION CONTROL NO--- X
JOB A Al SHOP SUPPLIES 30.00
TOTAL MISC 30.00
TOTALS
TOTAL LABOR.... 439.02
TOTAL PARTS.... 299.96
CASH CHECK CK NO. TOTAL SUBLET... 0.00
[OTAL G.O.G.... 0.00
VISA MASTERCARD TOTAL MISC CHG. 30.00
TOTAL MISC DISC 0.00
OTHER CHARGE TOTAL TAX...... 0.00
TOTAL INVOICE 768.98
THANK YOU FOR YOUR BUSINESS!!
CUSTOMER SIGNATURE
D U P L I C A T E I N V O I C E
PAGE 1 OF 1 ACCOUNTING COPY
END OF INVOICE 10:33am
Qlr.yrighl ¢J tgOH'1'I:.• Il:•r:.:l:l -,:n.l li.. n..l.l- t:..,;,i:.::.
ERAINTINVE SF60 76 2 1 1061021
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) 4
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
305700
TOM WOOD FORD Purchase Order No.
3130 E. 96th Street Terms
Indianapolis, IN 46240 Due Date 8/11/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/11/2009 FONS23648: $768.98
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 1�
//o g 0--AA j
Date Officer
VOUCHER 092704 WARRANT ALLOWED
305700 IN SUM OF
TOM WOOD FORD
3130 E. 96th Street
Indianapolis, IN 46240
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
jf O INV ACCT AMOUNT Audit Trail Code
FONS236483 01- 6500 -07 $768.98
P 6
Voucher Total $768.98
Cf istribution ledger classification if
cl paid u nder vehicle highway fund