210993 07/17/2012 - 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: $145.46
ZIONSVILLE IN 46077 CHECK NUMBER: 210993
CHECK DATE: 7/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 45455 145 . 46 OTHER EXPENSES
III II 11111111111111111111111 11111111111111111111
000 OPEARSON PEARSON
AUTOMOTIVE
WHOLESALE PARTS DISCLAIMER OF WARRANTIES: Any warranties on the item/items sold hereby are those made by
the manufacturer.The seller, PEARSON WHOLESALE PARTS, LLC, hereby expressly disclaims all
10650 North Michigan Road • Zionsville, IN 46077 warranties either express or implied,including any implied warranty of merchantability or fitness for
a particular purpose, and PEARSON WHOLESALE PARTS,LLC, neither assumes nor authorizes any
Phone: 317.298.8450 • Toll Free: 1.800.382.3656 other person to assume for it any liability in connection with the sale of this item/items.
DATE ENTERED YOUR ORDER NO. 0 1 DATE SHIPPED INVOICE DATE INVOICE
NUMBER 45495
S ACCOUNT NO. 6205 H PAGE 1 OF 1
L CITY OF CARMEL WATER P Lpp07
3450 W 131ST ST 65 ,
T WESTFIELD, IN 46074-8267 T
SHIP VIA SLSM. B/L NO. TERMS F.O.B.
0 6L8Z*1015*C WHEEL A 181 . 82 145 .46 145 . 46
NO RETURNS
WITHOUT THIS
INVOICE.
1
NO RETURNS AFTER
10 DAYS.
/ A 15% HANDLING
CHARGE WILL BE
ADDED.
****** THANKS FROM ALL OF US ****** NO RETURNS ON
******* AT PEARSON WHOLESALE ******* ELECTRICAL OR
**** WE APPRECIATE YOUR BUSINESS **** SUBLET SPECIAL ORDER
FREIGHT PARTS
1 0 . 00
< 0��7 1 SALES TAX TOTAL 1 $1 45 - 4(;
20M CUSTOMER COPY 1111111111111111111111111111111111111111111111111111111
VOUCHER # 121479 WARRANT # ALLOWED
237560 IN SUM OF $
PEARSON FORD INC.
10650 N. MICHIGAN RD.
ZIONSVILLE, IN 46077
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
45455 01-6500-07 $145.46
Voucher Total $145.46
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
237560
PEARSON FORD INC. Purchase Order No.
10650 N. MICHIGAN RD. Terms
ZIONSVILLE, IN 46077 Due Date 7/9/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/9/2012 45455 $145.46
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
lis�L G g'
Date Officer