211706 08/14/2012 - CITY OF CARMEL, INDIANA VENDOR: 00352042 Page 1 of 1
ONE CIVIC SQUARE DON HINDS FORD
CARMEL, INDIANA 46032 12610 FORD DRIVE CHECK AMOUNT: $3,761.65
FISHERS IN 46038
CHECK NUMBER: 211706
CHECK DATE: 8114/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 254110 1, 440 . 65 TRANSPORTATION EXPENS
102 4467099 24361 TRUCCK 2, 321 . 00
a-f{nd
To Be Be Titled City of Carmel INVOICE
City Date
Address No. TBD 7/31/2012
1 Civic Square Miles 35 Del. TBD
City/State Zip Date
Carmel, IN 46032 Serial No.
Telephone 571-2417 1 F B F 1 E T 31C F D 0 1181 1 7
Home Work
Year 2012 Make Ford Model F150 Type SUPER CREW color WHITE
Purchase_ 24320 Federal ID# 35-60000972
Order#
Factory Installed Equipment
Trade Ins:
Insurance Co.Name Price 29,319.75
Agent's Name Trade In $ 27,000.00
Agent's Address
Agent's Phone
Policy# Trading Difference $ 2,319.75
Year Make Model Color 7%Sales Tax EXEMPT
® 2-DR ❑ 4-DR Tire Tax #of tires 5 1.25
Delivery Cost
Serial No. A/C Auto Cyls Total Cash Difference 2,321.00
Mileage Balance Owed on Used Vehicle $ -
Total Balance Due $ 2,321.00
Balance Lein Date Less Cash Rec
Owed Holder Unpaid Balance of Cash Price $ 2,321.00
Salesman Joi�wCoiAla�ier Aproved Customer Date
by
DON HINDS FORD, INC. 12610 Ford Drive Phone (317)849-9000x1290
Fishers, IN 46038 Toll Free (800)644-4637 x1290
a ohn@donhindsford.com Direct Phone&Fax 317-813-1319
3rescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
4n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
✓vhom, 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))
$2,321.00
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
VOUCHER NO. WARRANT NO.
Don Hinds Ford ALLOWED 20
IN SUM OF $
12610 Ford Drive
Fishers, IN 46038
$2,321.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
24361 I 1 102-670.99 j $2,321.00 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
bo
017
d t
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
CUSTOMER #: CA2:634 2 5 4 1 1 0
CARNIEL WAS'T'EWATER UTILITIES INVOICE
JOE FAUCETT 12610 Ford Drive Fishers, IN 46038
760 3RD AVE SW Phone (317) 849-9000 * Fax (317) 849-0020
CARMEL, IN 46032 PAGE 1 1-800-64HINDS (1-800-644-4637)
HOME: CONT:N/A www.donhinds.com
BUS: 317=571-263.4 CELL:317-716-3905 SERVICE ADVISOR: 7563 CHUCK CALLAHAN
COLOR YEAR MAKEIMODEL VIN''; LICENSE MILEAGE IN/;OUT TAG::::::
06. FORD F250 PKUP 1FTNF21586EAO4948 67372 67372 T750G
DEL DATE. PROD DATE WARR X P. PRQMISED'' POi N0- RATE REIYMENT' INU`DATE
01JAN06`D 17: 00%. S13169 0. 00 1 CHG L3JUL12
R o ;oPE14EID READY; OPTIONS: W-COMP:G DLR:47J034 ENG:5 .4 Liter EFI
16:43 18JUL12 07:39 23JUL12
LINE OPCODE`:TECH TYPE. HOURS LIST NET TOTAL
A *REPLACE,RIGHT. SIDE TIE ROD END
M REPLACED.::TIE "ROD
809..MARTY MOON LIC#.: 0:
CPC 80. 00 80 .00
,l: BC3Z*3Al31*F END - SPINDLE ROD CONNECTING 154 .67 142.30 142.30
67372 REPLACED LOOSE RIGHT OUTER TIE ROD END.
B 4X4 SERVICE:'.BOTH, SIDES.
4X4 ..SUPER DUTY 4X4 SERVICE: PACK SPINDLE
BEARINGS
809 MARTY MOON LIC#: 0
CPB 210. 00 210. 00
Z,;5C3Z*4A322*AA SEAL 9.48 8.72 17.44
2 "AC3Z*1S175*A SEAL 27.62 25 .41 50. 82
2 . 5.C3Z*3254*A SEAL ASY - OIL 48.77 44.87 89.74
1. 5C3.Z*1012*AA NUT - WHEEL . ;. 2 .66 2.45 2.45
67372 PERFORMED 4X4 .8ERVICE ON BOTH SIDES.
C REPLACE RIGHT .SIDE-BALL JOINTS
M REPLACED 'RIGHT SIDE BALL. JOINTS
:,.:8:09. .MARTY MOON LIC#: 0
CPC . 120. 00 120. 00
1 ,BC3Z*3049*B JOINT ASY .:- BALL 67 .47 62 . 07 62. 07
1' BC3Z*3050*B JOINT ASY. BALL 88.00 80. 96 80. 96
67372 REPLACED LOOSE RIGHT SIDE BALL JOINTS.
D ALIGN FRONT END .
CH107SD: FRONT END ALIGNMENT"SUPER DUTY TRUCKS
83..33.. GRIFFIN,DENNIS' .E LIC#: DENNIS
CP 89. 95 89. 95
67372. PERFORMED ALIGNMENT
E SERVICE `TRANSMISSION WITH BOTH FILTERS
FM162TSDP `TOR UESHIFT TRANSMISSION DROP PAN
OUR NIGHT:.OWL DROP BOX, LOCATED AT:THE DISCLAIMER OF WARRANTIES DESCRIPTION TOTALS
ANY WARRANTY ON THE PROOUCTS
SERVICE...ENTRANCE, IS AVAILABLE DURING SOLD HEREBY ARE THOSE MADE BY LABOR AMOUNT
NON-BUSINESS.HOURS. THE MANUFACTURER. THE HEELER, PARTS AMOUNT
DON HINDS FORD,. INC., HEREBY
EXPRESSLY DISCLAIMS . ALL GAS,OIL, LUBE
SERVICE HDQRS: MON -,FRI 7:30 AM 5:30 .PM WARRANTIES, EITHER EXPRESSED OR
IMPLIED, INCLUDING ANY IMPLIED SUBLET AMOUNT
SAT 7:30 AM - ,3:30 PM WARRANTY OF MERCHANTABILITY OR
FITNESS FOR A PARTICULAR PURPOSE, MISC.CHARGES
AND DON HINDS FORD,.INC. NEITHER
ASSUMES NOR AUTHORIZES- ANY TOTAL CHARGES
OTHER PERSON TO ASSUME FOR IT
.. ANY LIABILITY IN CONNECTION WITH LESS DEDUCTIONS
' THE SALE OF SAID PRODUCTS. SALES TAX
CUSTOMER SIGNATURE PLEASE PAY
THIS AMOUNT
CUSTOMER COPY
0
CUSTOMER°#:: CA2634 2 5 4 1 1 0
CARMEL WASTEWATER UTILITIES INVOICE
JOE FAUCETT•:,` 12610 Ford Drive * Fishers, IN 46038
760 3RD:AVE SW Phone (317) 849-9000 * Fax (317) 849-0020
CARMEL, IN 4°6032 PAGE 2 1-800-64HINDS (1-800-644-4637)
HOME: CONT:N/A www.donhinds.com
BUS: 317=571-2634 CELL:317-716=3905 SERVICE ADVISOR: 7563 CHUCK CALLAHAN
COLQR X:EAR MAKE/MO;DEL UIN';; LICENSE MILEAGE..IN/'LOUT TAG ::
06 . .FORD F250 PKUP 1FTNF21586EA04948 . 67372/67372 T750G
DEL DATE.. ;PROD DATE WARR. EX,,P PROMISED::;;' RO. NQ, ;RATE PAYMENT::: IM/. DATE .
01JAN06 D 17: 00 19JUL12 S13169 0. 00 CHG 23JUL12
ROOPENEQ READIC : OPTIONS: W-COMP:G DLR::47J034 ENG:5.4 Liter EFI
16:43 18JUL12 07:39 -23JUL12
LINE OPCODE TECH- TYPE' HOURS LIST NET TOTAL
SERVICE CHANGE EXTERNAL AND INTERNAL
-FILTER
809 .MARTY MOON LIC#: 0
CPK 100. 00 100 .00
16 ,XT*.10*.QLVC OIL - AUTOMATIC TRANSMISSION 6.49 5. 97 95.52
1` -3C3.Z*78155*BA ELEMENT 44 .71 41.13 41. 13
1..3`C3Z*7A098*AA SCREEN"ASY 43 .49 40. 01 40. 01
67372 . PERFORMED TRANSMISSION r FLUSH WITH REPLACING INTERNAL AND EXTERNAL
FILTERS
F** REPLACE`ABS WHEEL SENSOR
Ll LEVEL '1 DIAG
8333"...GRIFFIN,DENNIS.,E' LIC#: DENNIS
CP 72. 00 72. 00
1:`AC3Z*2C204*A SENSOR ASY; ` 78 . 60 72.31 72 .31
M REPLACED.'RIGHT FRONT WHEEL' SPEED SENSOR
p.
r. 8333 GRIFFIN,DENNIS, E .LIC#: DENNIS
CPK 54. 00 54 . 00
67372 LEVEL '1 .DIAG.C1150 R FRONT.;:WHEEL SPEED SENSOR.REPLACED SENSOR AND
CLEARD_ CODES.AND.'.TEST DROVE TO."VERIFIE REPAIR.
ENVIRONMENTAL & SUPPLY FEES 19. 95
OUR NIGHT 'OV1/L DROP BOX, LOCATED AT THE DISCLAIMER OF WARRANTIES :. DESCRIPTIQN TOTA...
ANY WARRANTY ON THE PRODUCTS - "
SERVICE ENTRANCE, IS. AVAILABLE . DURING SOLD HEREBY ARE THOSE MADE By LABOR AMOUNT 725.95
THE MANUFACTURER. THE SELLER, PARTS AMOUNT
NON-BUSINESS HOURS. DON HINDS FORD, INC., HEREBY 694.75
EXPRESSLY DISCLAIMS ALL
WARRANTIES, EITHER EXPRESSED OR GAS,OIL,LURE. 0.00
SERVICE.HOURS: MON - FFiI 7:30 AM -'5:30 PM IMPLIED, INCLUDING ANY IMPLIED
SAT 7:30 AM.- 3:30 PM WARRANTY OF MERCHANTABILITY OR SUBLET AMOUNT 0. 00
FITNESS FOR A PARTICULAR PURPOSE, MISC.CHARGES 19.95
AND DON HINDS FORD, INC.E NEITHER
ASSUMES NOR AUTHORIZES ANY TOTAL CHARGES 1440.65
OTHER PERSON TO ASSUME FOR IT
ANY LIABILITY IN CONNECTION WITH LESS DEDUCTIONS 0. 00
THE SALE OF SAID PRODUCTS. SALES TAX 0. 00
(f - CUSTOMER SIGNATURE
O PLEASE PAY
THIS AMOUNT
CUSTOMER COPY