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211417 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