212727 09/12/2012 CITY OF CARMEL, INDIANA VENDOR: 237560 Page 1 of 1
0 ONE CIVIC SQUARE PEARSON FORD,INC CHECK AMOUNT: $107.29
ra CARMEL, INDIANA 46032 10650 N MICHIGAN RD
ZIONSVILLE IN 46077 CHECK NUMBER: 212727
CHECK DATE: 9112/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 50781 44 .41 OTHER EXPENSES
2201 4237000 51789 62 . 88 REPAIR PARTS
. . . ( (a-il �� u111 IIalnlunlnnnnlllnnonl011me1m
0 PEARSON 00 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 t4drth Michigan Road • Zionsville, IN 46077 warranties either express or implied,including any implied warranty of merchantability or fitness for
Phone: 317.298.8450 Toll Free: 1.800.382.3656 a particular purpose, and PEARSON WHOLESALE PARTS,LLC, neither assumes nor authorizes any
other person to assume for it any liability in connection with the sale of this item/items.
DATE ENTERED YOUR ORDER NO. DATE SHIPPED INVOICE DATE INVOICE
NUMBER
S ACCOUNT NO. 6205 H PAGE 1 OF 1
L CITY OF CARMEL WATER
T 3450 W 131ST ST T
0 WESTFIELD, IN 46074-8267 0
SHIP VIA SLSM. B/L NO. TERMS F.0.6.
nRn SHIP R Q PART NUMBER nFqC'.RIPTinlj I IST NET AMOUNT
1 1 0 5C3Z*6068*BB INSULAT 55 . 51 44 .41 44 . 41
NO RETURNS
WITHOUT THIS
INVOICE.
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 0 , 00. PARTS
SAI FS TAX 0 - 00
TOTAL $44 -411
opyogei20 A° . CUSTOMER COPY IIIIIIII11111111111111111111111111111111A111olllllll111
VOUCHER # 122002 WARRANT # ALLOWED
237560 IN SUM OF $
PEARSON FORD INC.
10650 N. MICHIGAN RD.
ZIONSVILLE, IN 46077
i
Carmel Water Utility I
ON ACCOUNT OF APPROPRIATION FOR
r
ti
Board members
PO# INV# ACCT# AMOUNT 1 Audit Trail Code
50781 01-6500-04 $44.41
i
II
Voucher Total $44.41
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 8/31/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/31/2012 50781 $44.41
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
Date fficer
lil II 11111IIIUnnnnnnn it n9n111nunlll
0 PEAR"SON 00 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.
105 SEP 12 TPTTC'K :4 DATE ENTERED YOUR ORDER NO. 7 DATE SHIPPED 1 2 INVOICE DATE INVOICE
NUMBER
S ACCOUNT NO. 6200 H PAGE 1 OF 1
L CITY OF CARMEL STREET DEPARTMEI
D 3400 W 131ST ST P
T WESTFIELD, IN 46074-8267 T
SHIP VIA SLSM. B/L N0. TERMS F,0.8.
1 1 0 AC3Z*2C204*A SENSOR 4 78 . 60 62 . 88 62 . 88
NO RETURNS
WITHOUT THIS
INVOICE.
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
SALES TAX o . off
CUSTOMER COPY 111111111119111111111111111 1111111111111111111111111111
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pearson Wholesale Parts
IN SUM OF $
10650 N. Michigan Road
Zionsville, In 46077
$62.88
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 1 51789 1 42-370.001 $62.88 1 hereby certify that the attached invoice(s), or
I 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
Frida�, September 07, 2012
Street Commissp er
vucct U TmtjTlS8foner
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))
09/05/12 51789 $62.88
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