210816 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 00352042 Page 1 of 1
ONE CIVIC SQUARE DON HINDS FORD
�a CARMEL, INDIANA 46032 12610 FORD DRIVE CHECK AMOUNT: $391.13
FISHERS IN 46038 CHECK NUMBER: 210816
CHECK DATE: 7/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 251897 72 . 00 OTHER EXPENSES
651 5023990 317600 319 . 13 OTHER EXPENSES
12610 Ford Drive * Fishers, IN 46038
rJUN Phone (317) 849 9000 * Fax (317) 813-1306
Parts Direct (317) 813-1301 '9 2012 www.donhinds.com
ALL RETURNED PARTS MUST BE RECEIVED WITHIN 30 DAYS, BE IN THE ORIGINAL PACKAGE, AND ACCOMPANIED BY THIS INVOICE. WE ARE NOT
ALLOWED TO.ACCEPT RETURNS ON ELECTRICAL OR SPECIAL ORDER PARTS. PLEASE PREPAY WHEN ORDERING SPECIAL ORDER PARTS.
DATE ENTERED " ; YOUR ORDER N0. DATE SHIPPED INVOICE DATE INVOICE
9.. JUN 12 T137 9 JUN 12 29 JUN 12 NUMBER 317600
o: ACCOUNT' NO. CA2634 H PAGE 1 OF 1
CARMEL WASTEWATER UTILITIES P
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,.CARMEL, IN 46032
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Mon - Fri
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8:00 _ 300
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Mon
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319.13
PARTS
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EIGHT 0 .0 0
FR ��.
SALES TAX �•:
4. 319 .13
e ..............
S gIGNATUR \Ted.lncwd'm9
GUStDMERI / RS OF WARRANTIES either expressed or imp \\ab\\\tv In
dCLA1ME assume
tot
1t any
X cessly drsc\arms a\1 Wacot�ee Person TO
nd the seller°either assumes nor authorizes anY 3
e�anufacturer.She seller hereby exp
300
made bV th I CUSTOMER COPY
hereby a<e th°5e `. �rpose,a
rod��t So\d or,�\t�ess for a Partic��a ,
y wattjp�105��n veo merchantabo\tydu ots.
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CUSTOMER. #: CA2.600
41
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INVOICE
CITY OF CARMEL e 12610 Ford Drive " Fishers, IN 46038
1 CIVIC 'SQ.. Phone (317) 849=9000 " Fax (317) 849-0020
CARMEL, 3N. 4603.2-2584 PAGE 1 1-800-64HINDS (1-800-644-4637)
HOME• . CONT•N/A www.donhinds.com
BUS: 317-571=2417 CELL: SERVICE ADVISOR: 4808 ZAC FOUTZ
COLOR YEAR MAKE/MODEL VIN;; LICENSE MILEAGE IN/s;QUT TAG.:
.06 FORD F250 PKUP 1FTNF21586EAO4948 . 66736 66736 551G
_.
'DEL DATE f?RQD DATE W, ARR E.XP PROMISED PO NQ RATE__; PAYMENT; INS/ DATE
__
01JAN06 D 26JUN12= 0. 00 CHG 02JUL12
COMP:G DLR:47J034 ENG:5.4 Liter EFI R O OPENED EAD ; OPTIONS:
W
09:35 26JUN12 09:37 02JJL12 '
LINE OPCODE:.TECH TYPE HOURS LIST NET TOTAL
A CUSTOMER STATES ENGINE MAKES TICKING SOUND AT ALL TIMES. ADVISE
Ll LEVEL l DIAG
809 'MARTY MOON LIC# . 0
CP 72.00 72 . 00
66736 VERIFIED .:CONCERN, ENGINE..HAS SOME VALVETRAIN RATTLE ON STARTUP
THAT GOES AWAY WHEN OIL PRESSURE;"BUILDS UP. NOTICED EXHAUST LEAK TO BE
PRESENT ON `RIGHT :SIDE, PINPOINTED LEAK TO Y PIPE TO RIGHT SIDE MANIFOLD
CONNECTION:...LOOSENED NUTS AT Y"PIPE- AND RESEATED Y, PIPE. STARTED
VEHICLE AGAIN AND :VERIFIED EXHAUST LEAK IS NOW GONE.
B MULTI=POINT INSPECTION
9.9P.: PERFORM COMPLEMENTARY QCM MULTI-POINT
INSPECTION
809 MARTY MOON LIC#`.. .0.
Cp 0. 00 0.00
GTIRE .CHECK.`TR.EAD DEPTH. TREAD .IS WEARING
PROPERLY AT THIS TIME. .
809:: MARTY MOON LIC# 0
CP 0. 00 0 .00
GBK: BRAKE LINING WEAR CHECKED. - BRAKES WEARING..OK
AT..THIS. TIME
809'.MARTY MOON .LIC#: 0 :.
CP 0. 00 0. 00
YBATT .BATTERY WILL REQUIRE ATTENTION IN NEAR .
FUTURE -
809 MARTY MOON LIC# 0
CP
5736 GTIRE/GBRAKE/YBATTERY. _LOOKS ..LIKE MAY BE DUE FOR PLUGS (IF
�CTORY) %SLIGHT MOVEMENT IN TIE ROD END/BALL JOINTS (RIGHT SIDE O JUL 0.1 2012
BY
DISCLAIMER OF WARRANTIES pESCRIPT.IgN TOTALS
JR NIGHT OWL DROP BOX, LOCATED AT THE ANY WARRANTY ON THE PRODUCTS LABOR AMOUNT 72 . 00
RVICE ..ENT.RANCE, . IS AVAILABLE : DURING SOLD HEREBY ARE THOSE MADE BY
'THE MANUFACTURER. THE SELLER, PARTS AMOUNT 0. 00
)N-BUSINESS.HOURS:.: DON HINDS FORD, INC., HEREBY GAS,OIL,LUBE 0. 00
� ��� � EXPRESSLY DISCLAIMS. � ALL
RVICE HOURS: M,ON..--FR1 7:30 AM =.5:30 .PM WARRANTIES, EITHER EXPRESSED OR
IMPLIED, INCLUDING ANY IMPLIED SUBLET AMOUNT 0. 00
SAT 7:30 AM .m'3:30 PM WARRANTY OF MERCHANTABILITY OR
FITNESS FOR A PARTICULAR PURPOSE, MISC.CHARGES 0 .00
AND DON HINDS FORD,.INC. NEITHER 72.00
ASSUMES NOR AUTHORIZES ANY TOTAL CHARGES
OTHER PERSON TO ASSUME FOR IT'
ANY LIABILITY IN CONNECTION WITH LESS DEDUCTIONS 0 .00
THE SALE OF SAID PRODUCTS. SALES TAX 0. 00
t CUSTOMER SIGNATURE PLEASE PAY
` THIS AMOUNT
CUSTOMER COPY,
r
s� ry x
VOUCHER # 125293 WARRANT # ALLOWED
00352042 IN SUM OF $
DON HINDS FORD
12610 FORD DRIVE
FISHERS, IN 46038
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
317600 01-7502-06 $319.13
5 S��
-7 X6
� l
I .j3
Voucher Total .13
Cost distribution ledger classification if
claim paid under vehicle highway fund
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.
Payee
00352042,
DON HINDS FORD Purchase Order No.
12610 FORD DRIVE Terms
FISHERS, IN 46038 Due Date 7/12/2012
Invoice Invoice Description
Date Number (or mote attached invoice(s) or bill(s)) Amount
7/12/2012 317600 $319.13
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
211311
Date Officer