215737 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 237560 Page 1 of 1
ONE CIVIC SQUARE PEARSON FORD,INC CHECK AMOUNT: $2,496.61
CARMEL, INDIANA 46032 10650 N MICHIGAN RD
+«o� ZIONSVILLE IN 46077 CHECK NUMBER: 215737
CHECK DATE: 12/1812012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 275940 1, 964 . 33 REPAIR PARTS
2201 4237000 276168 532 . 28 REPAIR PARTS
Dealer No:06761
5712500
Invoice No: 276168 Pearson Ford, Inc.
10650 North Michigan Road
Zionsville, IN 46077
CITY OF CARMEL INVOICE 317.873.3333
1 CIVIC SQ PAGE 1 www.mylndyford.com
CARMEL, IN 46032-2584 PARTS&SERVICE HOURS
Monday-Friday
Home317-571-2500 Email: 7:00 am-6:00 pm
Bus: 317-733-2001
SERVICE ADVISOR: 2100 SCOTT KRnTTqp.
COLOR YEAR MAKE/MODEL VIN LICENSE MILEAGE IN/OUT TAG
RED CLEARC 08 FORD F550 1FDAF57R88EB43583 60444 60444 T205
DEL.DATE PROD.DATE WARR.EXP. PROMISED PO NO. RATE PAYMENT INV.DATE
19JUN07 D 17:00 11DEC12 BILL 13DEC12
R.O.OPENED READY OPTIONS:W-Comp:G STK:13796 ENG:6.4L_V8_DIESEL
TRN:TORQSHIFT_5-SPD
09:14 11DEC12 14 :44 13DEC12
LINE OPCODE TECH TYPE HOURS LIST NET TOTAL
A OUST STATES THAT SERP BELT HAS DAMAGE TO IT
DIESEL DIESEL PERFORMANCE / HARD START / NO-START
DIAGNOSIS
7342 CFL 297 . 50 297 . 50
1 AC3Z*8620*A V-BELT 62 . 13 55 . 92 55 . 92
1 7C3Z*63209*E TENSIONER 161 . 51 145 . 36 145 . 36
, , , , 60444 3 . 50 DIAG REPLACE FRONT BELT AND TENSIONER
****************************************************
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******
ON BEHALF OF SERVICING DEALER, I HERESY CERTIFY THAT THE DISCLAIMER OF WARRANTIES DESCRIPTION TOTALS
AND LIMITATIONS OF LIABILITY
INFORMATION CONTAINED HEREON IS ACCURATE UNLESS OTHERWISE LABOR AMOUNT 297 5
SHOWN. SERVICES DESCRIBEDWERE PERFORMEDAT NO CHARGE TO „,In. f, 1,,m,, �1, SILLER MAKES NO
OWNER.THERE WAS NO INDICATION FROM THE APPEARANCE OF THE µ'ARRAN'IY NkTIATSOIaVER AND I:xPRIassLY PARTS AMOUNT 201 2R
VEHICLE OR OTHERWISE,THAT ANY PART REPAIRED OR REPLACED EISCLAIMS ALL, WARRANTIES I:uANY
EXPRIititi OR IMI'I.II:D, INCLUDING ANY GAS,OIL,LOBE 0 00
UNDER THIS CLAIM HAD BEEN CONNECTED IN ANY WAY WITH ANY IMPLIED WARRANTY nF MERCUAN'I'Alan.nY SUBLET AMOUNT
ACCIDENT, NEGLIGENCE OR MISUSE. RECORDS SUPPORTING THIS OR FI'I'NISS FOR A PAR'I'ICIJLAR PURPOSE n no
CLAIM ARE AVAILABLE FOR(1) YEAR FROM THE DATE OF PAYMENT SELLERS MAXIMUM LIABILITY RREUNDER MISC.CHARGES
NOTIFICATION AT THE SERVICING DEALER FOR INSPECTION BY IS LIMrn,D'IO 111r,uwcINAL SALES PRICE 33 so
MANUFACTURER'S REPRESENTATIVE. AND SELLER SHALT, HAVE NO LIAMLrrY TOTAL CHARGES
FOR ANY INCIDENTAL OR CONSEQDIiNI'Inl.
DAMAGES FOR LOST SALES,LOST PROFI'rs, LESS INSU "Ay�Ej
I NIURII:ti 'IU PIiRSUNti uR PROPERTY OR
OIHRRIwuwr:1ORDAMnces SALESTAX(SIGNED) DEALER,GENERAL MANAGER OR AUTHORIZED PERSON (DATE) CUSTOMER SIGNATURE PLEASE P
THIS AMOUNT
CUSTOMER COPY
SERVICE IWOICEa2 XSIM
Dealer No:06761
5712500
Invoice No: 275940 Pearson Ford,Inc.
10650 North Michigan Road
Zionsville, IN 46077
CITY OF CARMEL INVOICE 317.873.3333
1 CIVIC SQ PAGE 1 www.mylndyford.com
CARMEL, IN 46032-2584 PARTS&SERVICE HOURS
Monday-Friday
Home317-571-2500 Email: 7:00 am-6:00 pm
Bus: 317-733-2001
SERVICE ADVISOR:
COLOR YEAR MAKE/MODEL VIN LICENSE MILEAGE IN/OUT TAG
RED 06 FORD F550 11FDAF57P56ED35491 64763/64763 T651
DEL.DATE PROD.DATE WARR.EXP. PROMISED PO NO. RATE PAYMENT INV.DATE
05MAY06 D 05APR06 17:00 04DEC12 BILL 11DEC12
R.O.OPENED I READY OPTIONS:w-cOMP:G ENG:6.0 Liter
09:18 04DEC12 1 10 :46 11DEC12
LINE OPCODE TECH TYPE HOURS LIST NET TOTAL
A CUST STATES THAT ON COLD SATRT UP AND AT 45MPH THE ENG IS LOW ON
POWER
DIESEL DIESEL PERFORMANCE / HARD START / NO-START
DIAGNOSIS
7342 CFL 935 . 00 935 . 00
3 4C3Z*9E527*BRM REMAN NOZZLE ASY 266 . 67 240 . 00 720. 00
1 5C3Z*9D930*A WIRE ASY 238 . 33 214 . 50 214 . 50
1 6C3Z*6C640*A CONNECTION - AIR INLET 68 . 15 61 . 33 61 .33
, , , , 64763 11 . 00 DIAG REPLACE CYL 1 2 5 INJECTORS AND REPLACE INJECTOR
, , , , HARNESS
****************************************************
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 LIABU.ITY
INFORMATION CONTAINED HEREON IS ACCURATE UNLESS OTHERWISE Tb,fa o,"a—, racy, ,m,onl)--t> LABOR AMOUNT 935 00
SHOWN. SERVICES DESCRIBEDWERE PERFORMEDAT NO CHARGE TO h SCSI" m mzs sale SELLER MAKES NO
OWNER.THERE WAS NO INDICATION FROM THE APPEARANCE OF THE wARRMY'A'HATSOEVER AND EXPRESSLY PARTS AMOUNT
VEHICLE OR OTHERWISE,THAT ANY PART REPAIRED OR REPLACED DISCLAIMS A,i, R'ARRAN FS EITHER
EXPRESS OR IMPLIED, INCLUDING ANY GAS,OIL,LUBE n on
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 n nn
CLAIM ARE AVAILABLE FOR(1) YEAR FROM THE DATE OF PAYMENT SELLER'S MAXIMUM LW31LITYHEREUNDER MISC.CHARGES 33 SO
NOTIFICATION AT THE SERVICING DEALER FOR INSPECTION BY IS LIMITED TO THE ORIGINAL SALES PRICE
AND SELLER SHALT. HAVE NO LIABILITY TOTAL CHARGES
MANUFACTURER'S REPRESENTATIVE. FOR ANY INCIDENTAI,OR CONSEQUENTIAL
DAMAGES FOR LOST SALES,LOST PROFITS, LESS INSURANC
INJURIES 10 PERSONS OR PROPERTY OR
OTHER INJURIES OR DAMAGES SALES TAX
(SIGNED) DEALER,GENERAL MANAGER OR AUTHORIZED PERSON (DATE) CUSTOMER SIGNATURE PLEASE PAY
THIS AMOUNT
CUSTOMER COPY
SERVICE INVOICE 97%512C
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pearson Ford
IN SUM OF $
10650 N. Michigan Road
Zionsville, IN 46077
$2,496.61
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 275940 42-370.00 $1,964.33 1 hereby certify that the attached invoice(s), or
2201 276168 42-370.00 $532.28 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
�^
Friday.-December 14,-2012
Street Commissioner
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))
12/11/12 275940 $1,964.33
12/13/12 276168 $532.28
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