175974 08/07/2009 CITY OF CARMEL, INDIANA VENDOR: 305700 Page 1 of 1
t` ONE CIVIC SQUARE TOM WOOD FORD INC
CHECK AMOUNT: $768.98
CARMEL, INDIANA 46032 3130E 96TH ST
INDPLS IN 46240 CHECK NUMBER: 175974
CHECK DATE: 8/7/2009
DEPARTMENT ACCOUN PO NUMBER INVOICE N UMBER AMOUNT DESCRIPTION
601 5023990 FONS236483 768.98 OTHER EXPENSES
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T GENUINE
s M i OD PARTS SERVICE
3130 E. 96th Street Indianapolis, Ind. 46240 (3�
(800) 423 -4646 (317) 846 -4241
WWWAomw oodford cbm
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CUST. NUMBER ADVISOR TAG NO. INVOICE DATE INVOICE NO
162 583 PHIL 997203 1482 07/30/09 FONS236483
LICENSE NO ODOMETER COLOR STOCK NO.
CITY OF CARMEL 70613 48,645 WHITE/
1 CI V I C SQ YEAR! MAKE l MODEL DELIVERY DATE DELIVERY ODOMETER
CARMEL, IN 46032 -25$4 06 FORD TRUCK
VIN SELLING DEALER NO. MANUFACTURED DATE
1 F M Y U 9 5 H 2 6 K D 4 8 8 0 6
F T E. NO. P.O. NO. R.O. DATE
0031201550 -020 07/23/09
HOME PHONE BUSINESS PHONE INSTRUCTIONS
1 317-57 M0: 48649
JOB# I CHARGES Disclaimer of Warranties Any warranties on
the products sold hereby are those made by
LABOR
the manufacturer. The Seller, TOM WOOD
J# 3 IOFOZ DRIVEABILITY TECH(S)997353 997920 439.02 FORD, Inc. hereby expressly disclaims all
CUST STATES SEVERAL TIMES LATELY THE ENGINE WILL STALL warranties, either express or implied including
WHEN ACCEL FROM STOP, WHEN THIS HAPPENS THE MESSAGE any implied warranty of merchantability or
WILL SAY .ENGINE TEMP HIGH CARMEL GARAGE REPLACED fitness for a particular purpose. TOM WOOD
THE T STAT AND COOLANT- STILL DOES IT BUT NOW FORD, Inc., neither assumes nor authorizes
MESSAGE JUST SAYS PULL TO SAFE LOCATION any other person to assume for it any liability
DIAGNOS REPLACE ELECTRONICS COOLING MOTOR in connection with the sale of said products.
hereby agree to pay Tom Wood Ford
PARTS QTY FP- NUMBER DESCRIPTION LIST PRICE -UNIT PRICE- attorney's fees if collection hereof becomes
I 5M6Z- BC419 -A KIT WATER 281.98 281.98 281,98 necessary.
1 VC -7 -B ANTI FREEZE 17.98 17.98 17,98 Not responsible for car or contents in case of
TOTAL PARTS 299.96 fire or theft or freezing or any other cause.
Storage will be charged 48 hours after repairs
JOB# I TOTALS are completed.
LABOR 439.02
PARTS 299.96
JOB# 1 JOURNAL PREFIX FONS JOB# 1 TOTAL 738.98
MISC CODE DE SCRIPTION CONTROL NO--- X
JOB A Al SHOP SUPPLIES 30.00
TOTAL MISC 30.00
TOTALS
TOTAL LABOR.... 439.02
TOTAL PARTS.... 299.96
CASH E CHECK CK NO. E TOTAL SUBLET 0.00
TOTAL G.O.G.... 0.00
a E VISA MASTERCARD 'ti, ICJ TOTAL MISC CHG. 30.00
TOTAL MISC DISC 0.00
OTHER E CHARGE TOTAL TAX.....- 0.00
m TOTAL INVOICE 76$.98
THANK YOU FOR YOUR BUSINESS!!
CUSTOMER SIGNATURE
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END OF INVOICE 09:40am
TW F -4020
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) .r
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL r
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 7/30/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/30/2009 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
7/3//! C,
Date Officer
VOUCHER 092 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
PO INV ACCT AMOUNT Audit Trail Code
FONS236483 01- 6500 -07 $768.98
l
P
I
Voucher Total $768.98
Cost distribution ledger classification if
claim paid under vehicle highway fund