214396 11/07/2012 CITY OF CARMEL, INDIANA VENDOR: 237560 Page 1 of 1
ONE CIVIC SQUARE PEARSON FORD,INC
CARMEL, INDIANA 46032 10650 N MICHIGAN RD CHECK AMOUNT: $388.18
ZIONSVILLE IN 46077 CHECK NUMBER: 214396
CHECK DATE: 11/712012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 274437 388 . 18 OTHER EXPENSES
Dealer No:06761
6205
Invoice No: 274437 Pearson Ford, Inc.
10650 North Michigan Road
Zionsville, IN 46077
CITY OF CARMEL WATER UTILITIES INVOICE 317.873.3333
3450 W 131ST ST PAGE 1 www.mylndyford.com
CARMEL, IN 46074-8267 PARTS&SERVICE HOURS
(—' Monday-Friday
Home317-733-2855 Email: ` ��W) p 7:00 am-6:00 pm
Bus: �
SERVICE ADVISOR: 2100 SCOTT KROUSE
:COLOR YEAR MAKE/MODEL VIN LICENSE MILEAGE IN /OUT TAG
06 FORD ESCAPE 1FMYU95H26KD48806 99373 99373 T887
DEL. DATE : PROD. DATE WARR. EXP. PROMISED PO NO: .. PAYMENT. INV. DATE
07MAR12 D 17:00 120CT12 7163923 RATE BILL 170CT12
R.O. OPENED READY OPTIONS:yr_COMP:G ENG:2.3_Liter_w/AC_Synchronous_motor
09 : 50 120CT12 06 : 53 170CT12
LINE OPCODE TECH TYPE HOURS LIST NET TOTAL
A CUST STATS' THAT AFTER ENG IS WARM ELEC MOTOR QUITS WORKING
_ WDS -COMPUTER ENGINE CONTROL DIAGNOSIS- _ _ _
760 CFL 323 . 00 323 . 00
1 8L8Z*19E616*E MULTIPLE SUPERCESSIONS 35 . 20 31 . 68 31 . 68
, , , , 99373 WORN 3 . 80 IDS CK OUT CODE B1239 . CK OUT REPLACE TRACTION
, , , ,BATTERY AUX MODE DOOR ACTUATOR. REPROGRAM PCM . RETEST OK ROAD TEST OK
****************************************************
CUSTOMER PAY SHOP SUPPLIES FOR REPAIR ORDER 33 . 50
*********** 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 racmry warranty, if ay, v.<the ,,Iy warranty LABOR AMOUNT 323 00
SHOWN. SERVICES DESCRIBED WERE PERFORMED AT NO CHARGE TO with re,pect a,thl., We. 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 WARRANTEES EITHER
EXPRESS A IMPLIED, INCLUDING
HANTA ANY GAS,OIL, LUBE
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
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 n no
OTHER INJURIES OR DAMAGES. SALES TAX
(SIGNED) DEALER,GENERAL MANAGER OR AUTHORIZED PERSON (DATE) CUSTOMER SIGNATURE PLEASE PAY
-THIS AMOUNT- - --
CUSTOMER COPY
cFa,nry iHVnirF e xar
VOUCHER # 122638 WARRANT # ALLOWED
237560 IN SUM OF $
PEARSON FORD INC.
10650 N. MICHIGAN RD.
ZIONSVILLE, IN 46077
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
274437 01-6500-07 $388.18
Voucher Total $388.18
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 10/29/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/29/201, 274437 $388.18
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 Officer