215306 12/11/2012 CITY OF CARMEL, INDIANA VENDOR: 00352042 Page 1 of 1
ONE CIVIC SQUARE DON HINDS FORD
�.?o CARMEL, INDIANA 46032 12610 FORD DRIVE CHECK AMOUNT: $84.84
o� FISHERS IN 46038 CHECK NUMBER: 215306
CHECK DATE: 12/11/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 322124 58 . 16 322124
651 5023990 322134 26 . 68 TRANSPORTATION EXPENS
Air
12610 Ford Drive Fishers, IN 46038
Phone (317) 849-9000 * Fax (317) 813-1306
Parts Direct (317) 813-1301
www.donhinds.com
ALL RETURNED PARTS MUST BE RECEIVED WITHIN 30 DAYS, BE IN THE ORIGINAL PACKAGE, AND ACCOMPANIED BY THIS INVOICE. WE ARE NOT
ALLOWED TO ACCEPT RETURNS ON ELECTRICAL OR SPECIAL ORDER PARTS. PLEASE PREPAY WHEN ORDERING SPECIAL ORDER PARTS.
DATE'ENTERED YOUR ORDER NO. DATE SHIPPED INVOICE DATE INVOICE
9 NOV 12 T-25 9 NOV 12 29 NOV 4
o ACCOUNT NO. CA2 634 H D P 1 OF ORIGINAL^
L CARMEL WASTEWATER UTILITIES P NOV 3 o 20I2
FAUCETT,JOE
0 760 3RD AVE SW o
CARMEL, IN 46032 gY
317 " 571-2634
1710 CHARGE I FISHERS IN
.ORD.::. .. swa. R.o. PART N0. AMOUNT
;0 6L3Z*1522886*AA CHECK ASY.::- 44 .22 . 3 3.16 .:'`..;:: : ' 33 . 16
PARTS HOURS
0 6L3Z*1522810*AA HINGE ASY 33 .33 25 . 00 25. 00 Mon - Fri
7:30 - 5:30
Saturday
8 00 3 00
SERVICE HOURS
Fri
Mon
;;:.' 7.30 5.30
Saturday
8:00 - 3:00
CASHIER CLOSE
Mon - Fri
AT 5:30
Saturday
AT 3:00
BODY SHOP
Mon - Fri
8:00
5 00
.....:::.:.
PARTS 58.16
SUBLET
FREIGHT 0. 00
SALES TAX 0. 00 agora
CUSTOMER'S SIGNATURE
TOTAL ii
TOM
58.16
DISCLAIMERS OF WARRANTIES
Any warranties on the product sold hereby are those made by the manufacturer.The seller hereby expressly disclaims all warranties,either expressed or implied,including
any implied warranty of merchantability or fitness for a particular purpose,and the seller neither assumes nor authorizes any other person to assume for it any liability in
connection with the sale of said products. CUSTOMER COPY
O
12610 Ford Drive Fishers, IN 46038
Phone (317) 849-9000 * Fax (317) 813-1306
Parts Direct (317) 813-1301
www.donhinds.com Z S�Pe>rate
i Avo, 6 eS
ORIGINAL
ALL RETURNED PARTS MUST BE RECEIVED WITHIN 30 DAYS, BE IN THE ORIGINAL PACKAGE, AND ACCOMPANIED BY THIS INVOICE. WE ARE NOT
ALLOWED TO ACCEPT RETURNS ON ELECTRICAL OR SPECIAL ORDER PARTS. PLEASE PREPAY WHEN ORDERING SPECIAL ORDER PARTS.,
DATE ENTERED YOUR ORDER NO. DATE SHIPPED INVOICE DATE INVOICE
0 NOV 12 T-25 13 0 NOV 12 30 NOV 12 NUMBER 322134 (fin
S ACCOUNT NO. CA2634 H D Q 'IF
�. . CARMEL WASTEWATER UTILITIES P
FAUCETT,JOE NOV U 2012
0 . 760 3RD AVE SW o
CARMEL, IN 46032
317 571-2634 ,__--
9697 CHARGE FISHERS 'IN
:.. .ounenm
..Qao. SHIP ::.e PART NQ «:. >.. ... .. :::.-: ..
0, 6L3Z*15.2..2800:.:*:.AA :;.: ;.HINGE. ASY 635'.58 2:6:;;:68::...;;;.:'':2:6:.`68 PARTS HOURS
Mon - Fri
Saturday
4b 50A .
::>:.. : 8:00 3:00
�0 13
SERVICE HOURS
Mon
Fri
<.; 7:30 5:30
Saturday
8:00 - 3:00
CASHIER CLOSES
Mon - Fri
AT, 5:30
Saturday
AT 3:00
BODY SHOP
on Fn
;.:. . .. : ::.. 800 - 500
PARTS 26. 68
SUBLET 74"
FREIGHT 0. 00
SALES TAX 0 . 00
CUSTOMER'S SIGNATURE
Dot
44 1300 _ - x-- -
TOTAL >::.:,:.— — 26: 68- _ — --- - - -
DISCLAIMERS OF WARRANTIES
Any warranties on the product sold hereby are those made by the manufacturer.The seller hereby expressly disclaims all warranties,either expressed or implied,including
any implied,warranty of merchantability or fitness for a particular purpose,and the seller neither assumes nor authorizes any other person to assume for it any liability in
connection with the sale of said products. CUSTOMER COPY
VOUCHER # 126262 WARRANT # ALLOWED
00352042 IN SUM OF $
DON HINDS FORD
12610 FORD DRIVE
FISHERS, IN 46038
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
322124 01-7500-02 ; $58.16
3aa)3y
Voucher Total
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
00352042
DON HINDS FORD Purchase Order No.
12610 FORD DRIVE Terms
FISHERS, IN 46038 Due Date 12/4/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/4/2012 322124 $58.16
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
L -71.,-V c V,'-
Date Officer