HomeMy WebLinkAbout211417 07/31/2012 ��. CITY OF CARMEL, INDIANA VENDOR: 237560 Page 1 of 1
ONE CIVIC SQUARE PEARSON FORD,INC
CHECK AMOUNT: $1,706.93
CARMEL, INDIANA 46032 10650 N MICHIGAN RD
ZIONSVILLE IN 46077 CHECK NUMBER: 211417
CHECK DATE: 7131/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 26212 271682 1, 706 . 93 REPAIRS
3177734600 ��Z � Dealer No:06761
Invoice No: 271682 Pearson Ford, Inc.
DUPLICATE 1 10650 North Michigan Road
Zionsville, IN 46077
CARMEL POLICE DEPT *INVOICE* 317.873.3333
3 CIVIC SQ PAGE 1 www.mylndyford.com
CARMEL, IN 46032-2584 PARTS&SERVICE HOURS
Monday-Friday
Home: Email: 7:00 am-6:00 pm
Bus: 317-733-4600
SERVICE ADVISOR:
COLOR YEAR MAKE/MODEL VIN LICENSE MILEAGE IN /OUT TAG
BLUE 06 FORD EXPEDITION 11FMPU14546LA28675 64797 64797 T1939
DEL..DATE PROD. DATE WARR. EXP. . PROMISED PO NO. RATE PAYMENT'.- INV. DATE
12SEP05 D 31AUG05 17 :00 11JUL12 CASH 19JUL12
R.O. OPENED READY OPTIONS:ENG:5.4 Liter SOHO
08 : 29 11JUL12 08 : 56 19JUL12
LINE OPCODE TECH TYPE HOURS LIST NET TOTAL
A CUSTOMER STATES AT ABOUT 15MPH OR ABOVE IT MAKES A ROARING NOISE
POSS . REAR DIFF. ISSUE CHECK AND ADVISE
R5M OWNER INSPECTION
8932 CDIM 855 . 00 855 . 00
1 8L3Z*4209*LA GEAR AND PINION ASY - DRIVING 662 . 98 596 . 68 596 . 68
1 BL3Z*4670*A SLINGER 2 . 78 2 . 51 2 . 51
1 9L3Z*4215*C PINION - DIFFERENTIAL 146 .45 131 . 81 131 . 81
2 2L1Z*43422*CA CIRCLIP - INNER 1 . 00 1 . 00 2 . 00
1 XL*3* ADDITIVE - OIL - FRICTION MODI 6 . 23 6 . 23 6 . 23
4 XY*75W140*QL OIL - REAR AXLE 22 . 03 19 . 80 79 . 20
, , , , 64797 BEARINGS. 9 . 00 OVERHAULED REAREND NEW
, , , , RING-PINION, BEARINGS, FLUID.
****************************************************
B PERFORM MULTI-POINT INSPECTION
99P PERFORM MULTI-POINT INSPECTION
8932ISPTS (N/C)
, , , , 64797 MAINT MULTIPOINT.
****************************************************
CUSTOMER PAY SHOP SUPPLIES FOR REPAIR ORDER 33 . 50
PO# 26212 GAVE BY ED ALVAREZ *********** ATTENTION CUSTOMER **************
DID YOU KNOW THAT WE HAVE A QUICK LANE THAT
CAN SERVICE THE CHEVY, DODGE, TOYOTA ETC IN
YOUR GARGAE AT MORE COMPETITIVE PRICES THAN
YOUR LOCAL DEALER? JUST CALL 733-0410 OR
******** SEE YOUR SERVICE ADVISOR TODAY******
DISCLAIMER OF WARRANTIES DESCRIPTION TOTALS
ON BEHALF OF SERVICING DEALER, I HEREBY CERTIFY THAT THE AND LIMITATIONS OF LIABILITY
INFORMATION CONTAINED HEREON IS ACCURATE UNLESS OTHERWISE The r kwy—apty, r any, mr„ply w rra,ry LABOR AMOUNT 855 00
SHOWN. SERVICES DESCRIBED WERE PERFORMED AT NO CHARGE TO with r F< t u,mi, sale. SELLER MAKES NO
OWNER. THERE WAS NO INDICATION FROM THE APPEARANCE OF THE WARRANTY WHATSOEVER AND EXPRESSLY PARTS AMOUNT
VEHICLE OR OTHERWISE, THAT ANY PART REPAIRED OR REPLACED DISCLAIMS ALL WARRANTIES EITHER
EXPRESS OR IMPLIED. INCLUDING ANY GAS,OIL, LUBE 0 00
UNDER THIS CLAIM HAD BEEN CONNECTED IN ANY WAY WITH ANY IMPLIED WARRANTY OF MERCHANTABILITY
ACCIDENT, NEGLIGENCE OR MISUSE. RECORDS SUPPORTING THIS OR FITNESS FOR A PARTICULAR PURPOSE. SUBLET AMOUNT o nn
CLAIM ARE AVAILABLE FOR (1) YEAR FROM THE DATE OF PAYMENT SELLER'S MAXIMUM LIABILITY HEREUNDER MISC. CHARGES
NOTIFICATION AT THE SERVICING DEALER FOR INSPECTION BY IS LIMITED TO THE ORIGINAL SALES PRICE 33 50
MANUFACTURER'S REPRESENTATIVE. AND SELLER SHALL HAVE NO LIABILITY TOTAL CHARGES
FOR ANY INCIDENTAL OR CONSEQUENTIAL
DAMAGES FOR LOST SALES,LOST PROFITS, LESS INSURANCE
INJURIES TO PERSONS OR PROPERTY OR
OTHER INJURIES OR DAMAGES, SALES TAX
(SIGNED) DEALER,GENERAL MANAGER OR AUTHORIZED PERSON (DATE) CUSTOMER SIGNATURE PLEASE PAY
THIS AMOUNT 1706 - 93
CUSTOMER COPY
ccavirc wvnir n xar
� ������ INDIANA RETAIL TAX EXEMPT PAGE
City ® CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 26242
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
7f2M12
Pomon Ford, Inc. Carmel Police Department
VENDOR SHIP 3 CIVIC square
IGM Noith Michigan Road TO CwmGl, IN 4
2l®nsvillo, IN 46077 (317)571
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
Account g UNIT RE OF MEASU DESCRIPTION UNIT PRICE EXTENSION
account 43.510.00
9 Each repairs to vehicle $1,706.03 $1,706.03
Scab Total: $1,706.93
rc
°.
Send Invoice To: ='i
Camel Police Department /
Attn:Torizaa Andorsmn
3 Civic squam
Col, IN 4 - PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Camel Police Dept. PAYMENT $1,706.03
l A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY HIpT THERE IS AN UNOBL•IGATED BALANCE IN
•SHIP REPAID.
THIS APPR210f fpollco •PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE /
AND ACTS AME NDATORY THEREOF AND SUPPLEMENT THERETO. y
CLERK-TREASURER
DOCUMENT CONTROL NO. 2 6 2 1 2 A.P.V. COPY-SIGN AND RETURN TO CLERIC'S OFFICE
VOUCHER VVARRANTND`_____
ALLOWED 20___
|N THE SUM OF$
�
/
ON ACCOUNT()F APPROPRIATION FOR
-
-
'
Board Members
PO#or
DEPT.# INVOICE NO. ACCT#/TITLE AMOUNT | hereby certify that the attached invoioe(o), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge io made were ordered and
received except _
'
20___'
.
........................ -----------............_
Signature
-
. Title �
�
�
Cost o|stouuUbn ledger classification V .
claim pa�mn�,vomo�mgh�oymnu �
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pearson Ford, Inc.
IN SUM OF $
10650 North Michigan Road
Zionsville, IN 46077
$1,706.93
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
26212 I 271682 I 43-510.00 I $1,706.93 1 hereby certify that the attached invoice(s), or
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
Thursday, July 26, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor 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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
07/19/12 271682 repairs to car 121 /Dietz $1,706.93
1 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