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Home My WebLink About211971 08/14/2012 CITY OF CARMEL, INDIANA VENDOR: 305700 Page 1 of 1 g ONE CIVIC SQUARE TOM WOOD FORD INC CHECK AMOUNT: $356.53 CARMEL, INDIANA 46032 3130 E 96TH ST INDPLS IN 46240 CHECK NUMBER: 211971 CHECK DATE: 8/14/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4351000 FONS305472 356 . 53 AUTO REPAIR & MAINTEN GENUINE ' WOOD PANTS &. SERVICE FORD 3130 E. 96th Street - Indianapolis, IN 46240 (800) 423-4646 - (317) 846-4241 vvww.tomwoodford.com CUST NUMBER ADVISOR TAG No INVOICE DATE INVOICE NO. 162583 PHILLIP CALDWELL 7203 671 07127112 0NS305472 LICENSE NO, ODOMETER COLOR STOCK NO. CITY OF CARMEL ENGINEERING 52,416 X WHT CLRC YEAR/MAKE I MODEL DELIVERY DATE DELIVERY ODOMETER 1 CIVIC SQ 6/FORD TRUCK/ESCAPE/4DR 4WD HYBRID 08/17/05 9 CARMEL, IN 46032-2584 VIN SELLING DEALER NO MANUFACTURED DATE 1 F M C U 9 6 H 7 6 K A 2 6 0 9 0 LOO F T E.NO PO NO. R.O.DATE 0031201550-020 1 07127112 HOME PHONE BUSINESS PHONE INSTRUCTIONS 317-571-2441 1 M0: 52416 ORIG DEL DATE ] 08/17/05 L ORIG DEL MILES 3 9 Disclaimer of Warranties Any warranties on OB# 1 CHARGES-------------------------------------------------------------------------------- the products sold hereby are those made by the manufacturer. The Seller, TOM WOOD BOR--,--------- ---.,---- FORD, Inc. hereby expressly disclaims all 1 50FOZ07 * BATTERY.. TECH(S):997148 , ': 149.44:_ warranties,either express or implied,including TOWED IN, CUST LEFT FLASHERS ON WHILE DOING A JOB WAS DEAD any implied warranty of merchantability or WHEN WENT BACK TO IT, POSS BATERY, CK STARTING CHARGING ETC fitness for a particular purpose.TOM WOOD AND ADVISE FORD, Inc., neither assumes nor authorizes HYBRID DIAGNOSIS, REPLACE BATTERY, RETEST STARTING/CHARGING any other person to assume for it any liability OK AT THIS TIME in connection with the sale of said products. I hereby agree to pay Tom Wood Ford ARTS------QTY---FP-NUMBER---------------DESCRIPTION---------LIST PRICE-UNIT PRICE- attorney's fees if collection hereof becomes 1 BXL-96-RA BATTERY 117.95 117.95 117.95 necessary. Not responsible for car or contents in case of -1 BXL-96•RA CORE RETURN 18.00 18.00 -18.00 TOTAL - PARTS 99.95 fire or theft or freezing or any other cause. Storage will be charged 48 hours after repairs UBLET-----PO#--------VEND INV#-INV.DATE•DESCRIPTION------------------------------- are completed. 15872 16511 07/27/12 TOW 78.00 TOTAL - SUBLET 78.00 OB# 1 TOTALS------------------------------------------------------------ LABOR 149.44 PARTS 99.95 X SUBLET 78.00 JOB# 1 JOURNAL PREFIX FONS JOB# 1 TOTAL 327.39 OB# 2 CHARGES--------------------------------------------------------------------------------- BOR------------------------------------------------------------------------------- 2 99FOZ99P WORLD;CLASS:.INSPECT;;:;:'': TECH(S).:SIM48_:: :.. 0:00 ' CUSTOMER REQUESTING WORLD CLASS INSPECTION AND PUT INSPECTION REPORT IN CUSTOMER VEHICLE ----••------- ------------------------- CK OVER GOOD FOR MAINT — MAINT SERVICE PERFORMED WORLD CLASS INSPECTION AND INSPECTION REPORT IN CUSTOMER VEHICLE. OB# 2 TOTALS------------------------------------------------------------ JOB# 2 JOURNAL PREFIX FONS JOB# 2 TOTAL 0.00 OB# 3 CHARGES---------•------------------------------------------------------- U Z _______________________________________-------------- ______ ___ N dded Operation (8PHIILLCE@ 07/2712012 18:2 w TECH(S):'86,,:,:.:..' : 0.00;:' BATTERY TEST OK-COLD CRANKING AMPS,TERMINALS CLEAN-OK TEST BATTERY GOOD BATTERY a OB# 3 TOTALS------------------------------------------------------------ a JOB# 3 JOURNAL PREFIX FONS JOB# 3 TOTAL 0.00 r 0 PAGE 1 OF 2 CUSTOMER COPY [CONTINUED ON NEXT PAGE] 66:24pm TWF-4020 o GENUINE TOM M W PARTS S. SERVICE Val FOR D 3130 E. 96th Street • Indianapolis, IN 46240 (800) 423-4646 ® (317) 846-4241 www.tomwoodford.com CUST NUMBER ADVISOR TAG NO. INVOICE DATE INVOICE NO. 162583 PHILLIP CALDWELL 7203 1671 07127112 FONS305472 LICENSE NO. ODOMETER COLOR STOCK NO. CITY OF CARMEL ENGINEERING 52,416 X WHT CLRC YEAR/MAKE/MODEL DELIVERY DATE DELIVERY ODOMETER 1 CIVIC SQ 06/FORD TRUCK/ESCAPE/4DR 4WD HYBRID 08/17/05 9 CARMEL, IN 46032-2584 VIN SELLING DEALER NO. MANUFACTURED DATE 1 F M C U 9 6 H 7 6 K A 2 6 0 9 0 Loo F.T.E.NO. P.O.NO. R.O.DATE 0031201550-020 07127112 HOME PHONE BUSINESS PHONE INSTRUCTIONS 317-571-2441 1 M0: 52416 OB# 4 CHARGES--------------------------------------------------------------------------------- Disclaimer of Warranties Any warranties on the products sold hereby are those made by LABOR------------------------------------- ----:.------------------ --.---.- . the manufacturer. The Seller, TOM WOOD 4+02FOZGBK GREEN BRAKES. TECH(S):80, 0.00 FORD, Inc. hereby expressly disclaims all Added Operation (8PHILC @ 07/27/2012 18:23) warranties,either express or implied,including BRAKES CHECK -OK (DISC OVER 5MM,DRUM OVER2MM) any implied warranty of merchantability or ATW BRAKE CHECK-OK fitness for a particular purpose. TOM WOOD BRAKES OK FORD, Inc., neither assumes nor authorizes any other person to assume for it any liability OB# 4 TOTALS ----------------------------------------------------------- in connection with the sale of said products. I hereby agree to pay Tom Wood Ford JOB# 4 JOURNAL PREFIX FONS JOB# 4 TOTAL 0.00 attorney's fees if collection hereof becomes OB# 5 CHARGES necessary. Not responsible for car or contents in case of LABOR fire or theft or freezing or an'S other cause. --••----------• ---• ----------------------------------------- 5+02FOZGTIRE GREEN TIRES TECH(S):80;. 0.00 Storage well be charged 48 hours after repairs are completed. dded Operation (8PHILC @ 07/27/2012 18:24) TIRES CHECKED OK-ATW INSPECTION TIRES OK GREEN (OK) TIRE INSPECTION OB# 5 TOTALS------------------------------------------------------------ X JOB# 5 JOURNAL PREFIX FONS JOB# 5 TOTAL 0.00 ISC------CODE--------DESCRIPTION-------------------------------CONTROL NO-------=-- OB # A Al SHOP SUPPLIES 29.14 TOTAL - MISC 29.14 TOTALS------------------------------------------------------------------------------------------ *********************************************** TOTAL LABOR.... 149.44 * TOTAL PARTS.... 99.95 [ ] CASH [ ] CHECK CK NO. [ ] * TOTAL SUBLET... 78.00 * TOTAL G.O.G.... 0.00 [ ] VISA [ ] MASTERCARD * TOTAL MISC CHG. 29.14 * TOTAL MISC DISC 0.00 [ ] OTHER [ ] CHARGE TOTAL TAX...... 0.00 TOTAL INVOICE $ 356.53 THANK YOU FOR YOUR BUSINESS! E WANT YOU COMPLETELY SATISFIED, NOT VERY SATISFIED. IF YOU E NOT "COMPLETELY" SATISFIED, PLEASE CALL TOM AT TOM WOOD w 7ORD. THERE'S NOTHING WE WON'T DO TO INSURE YOUR HAPPINESS! TOM 0 CUS10MER SIGNATURE m w U_ S a O c U D Q C PAGE.2 OF 2 CUSTOMER COPY [ END OF INVOICE ] 06:24pm TWF-4020 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 Tom Wood Ford Purchase Order No. 3130 E. 96th Street Terms Indianapolis, IN 46240 Date Due Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s) Amount 7/27/2012 FONS305472 E5 Repair $ 356.53 Total $ 356.53 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. Tom Wood Ford ALLOWED 20 3130 E. 96th Street IN SUM OF $ Indianapolis, IN 46240 $ 356.53 ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT# I hereby certify that the attached invoice(s), or 0 FONS305472 2200-4351000 356.53 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 8/13/2012 Signature City Engineer Cost Distribution ledger classification if Title claim paid motor vehicle highway fund