HomeMy WebLinkAbout216831 01/29/2013 - CITY OF CARMEL, INDIANA VENDOR: 237560 Page 1 of 1
e ONE CIVIC SQUARE PEARSON FORD,INC CHECK AMOUNT: $29,362.00
CARMEL, INDIANA 46032 10650 N MICHIGAN RD
.o� ZIONSVILLE IN 46077 CHECK NUMBER: 216831
CHECK DATE: 1/29/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
652 5023990 8587 14 , 681 . 00 FIESTA
604 5023990 8588 14, 681 . 00 FIESTA
EHICLE ORDER,
`AGREEMENTm '`t; °''-- y` Date: 1/14/2013
Pearson Ford, Inc. Name: City of Carmel
Attention: Scott Campbell
10650 North Michigan Road Address: 1 Civic Square
Zionsville, Indiana 46077
INVOICE City: Carmel, IN 46032
317.873.3333
bsawyers @myindyford.com
Phone: -
Fax:
VEHICLE ORDERJNFO.RMATION _ MSRP/Selling Price $ $16,090.00
_.
New Used [—]Demo 0 tional Accessories:
Year: 2013 Make: Ford 1. 0 $ 0.00
Model: Fiesta Hatchback S Color: White 2. 0 $ 0.00
Stock#: 20134 Salesperson: B. Sawyers 3. 0 $ 0.00
VIN#: 3FADP4TJ2DM178588 4 0 $ 0.00
MILEAGE: 4 Actual/Not Actual 5 0 $ 0.00
'NOTES: 6 $ 0.00
Sub-total $ 16,090.00
TRADE ALLOWANCE: (-) $ 0.00
THE INFORMATION�YOU SEE ON THE WINDOW FORM FOR THIS VEHICLE IS PART OF- Fleet Discount (-) $ 1,409.00
THIS,QONTRACT�,INFORMATION ON THE:WINDOW'FORM OVER-RIDES,ANY: Fleet Incentive: {-) $ 0.00
'CONTGRARY PROVISIONS IN THE VEHICLE ORDER''AGREEMENT O $
0'00
_ F.M Other
TRADE-IN VEHICLE INFORMATION TOTAL SELLING PRICE $ 14,681.00
(1)Year: Make: 7% Sales Tax: (+) $ 0.00
Model: Color: TRADE PAYOFF (+) $
VIN#: Service Contract (+) $
Mileage: Tire Tax (+) $
Amount of Lien: Luxury Tax (+) $
Lienholder: Capped Acq Fee: (+) $ 0.00
Address: Other Amounts Owed (+) $
Total amount due {_) $ 14,681.00
Phone: Down payment/Deposit (-) $ 0.00
Stock#: Rebate (- $ 0.00
(2)Year: Make: $- - —
Model: Color: AMOUNT DUE AT DELIVERY $ 14,681.00
VIN#:
MILEAGE. Actual/Not Actual
Amount of Lien: By signing this "Vehicle Order Agreement" I /We
Lienholder: agree to the terms and conditions herein:
Address:
Company Name:
Phone:
Authorized Signature:
k
Customer agrees to deliver to".Dealer good clear`and,merketablettitle(s) to.the trade in �^
F.vehicle(s)`�as`.part`oftthe consideration.for,tthe:Vehicle?Fordered:;ai,-the" time Eof:,delivery;
Customer'warrants jhF a't:the trade imvehicle(s)are,owned only by customer and are free and
clear of.all liens and encumbFances.ezcept as.oth"ise�stated m;,.writing-herein.`;Custome
certifies.ttiat the airb'ag's,safety'and'emissions+'equipment"in,the'Arade-in vehiole(sj has/ha'ge'
never been and islare";not requi ed`fo,be titled'in any state`:as_defective;rebuild;salvage fldod,
lemon or buy,back Vehicle and have never been damaged
� v-
-
VOUCHER # 123431 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
8588 02-2308-00 $14,681.00
Depreciation
Voucher Total $14,681.00
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 1/23/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/23/2013 8588 $14,681.00
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
b<VEHIC'LE:ORDER,°AGREEME�NT==-.' '`-:` °j up'" Date: 1/14/2013
1,
r_
Pearson Ford, Inc. Name: City of Carmel
Attention: Scott Campbell
10650 North Michigan Road Address: 1 Civic Square
Zionsville, Indiana 46077
INVOICE City: Carmel, IN 46032
317°873.3333
bsawyers@myindyford.com
Phone: -
Fax: -
,VEHICLE ORDER INFORMATION �,, MSRP/Selling Price $ $16,090.00
New Used ❑Demo Optional Accessories:
Year: 2013 Make: Ford 1. 0 $ 0.00
Model: Fiesta Hatchback S Color: White 2. 0 $ 0.00
Stock#: 20136 Salesperson: B. Sawyers 3. 0 $ 0.00
VIN#: 3FADP4TJODM178587 4 0 $ 0.00
MILEAGE: 6 Actual/Not Actual 5 0 $ 0.00
-NOTES: 6 $ 0.00
Sub-total $ 16,090.00
TRADE ALLOWANCE: (-) $ 0.00
Fleet Discount
THE INFORMATION YOU SEE,ON THE WINDOW FORM FOR THIS VEHICLE IS PART'OF4 (-) $ 1,409.00
THIS CONTRACT 'INFORMATION ON:THE VtIINDOW FORM OVER-RIDES ANY- Fleet Incentive: (-) $ 0.00
CONTGRARY PROVISIONS IN,TkE VEHICLE ORDER AGREEMENT" (-) $ 0.00 Other
TRADE-IN VEHICLE INFORMATION TOTAL SELLING PRICE $ 14,681.00
(1)Year: Make: 7% Sales Tax: H $ 0.00
Model: Color: TRADE PAYOFF H $
VIN#: Service Contract H $
Mileage: Tire Tax H $
Amount of Lien: Luxury Tax H $
Lienholder: Capped Acq Fee: H $ 0.00
Address: Other Amounts Owed H $
Total amount due (=) $ 14,681.00
Phone: Down payment/Deposit (-) $ 0.00
Stock#: Rebate - $ 0.00
(2) Year: Make: $
Model: Color: AMOUNT DUE AT DELIVERY $ 14,681.00
VIN#:
MILEAGE: Actual/Not Actual
Amount of Lien: By signing this "Vehicle Order Agreement" 1 /We
Lienholder: agree to the terms and conditions herein:
Address:
Company Name:
Phone:
Authorized Signature:
TRADE IN CERTIFICATION' ]
Cus6rnJ�agrees to deliver,ta';Dealergood;clear`end,rnarketable title(s)'-to-the"trade-in.
vehiclei4..as part,of.the consideration;foci`afie Jeliicle.-orderedrj'at,the time of delivery.:
Customer`warrants that.the trade-it;vehicle(s).are.gwned°oniy,by,c astomer and,are free and
clear of 'all liens-and enoumbrarices except as othbrviigiA stated irii'writirig,h'erein'.Customer;
.certifies'thabthe airbags,.,safetyYand emissions equipment:in-the:{rade-in vehicles'haslha4'
never"been and is/are-not required fo be`titled iri,any"state:as defective,rebuild;,salvage flood,"
lemon or'buy back Vehicle and gi ve'nevir been damaged
VOUCHER # 126569 WARRANT # ALLOWED
237560 IN SUM OF $
PEARSON FORD INC
10650 NORTH MICHIGAN ROAD
ZIONSVILLE, IN 46077
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
8587 02-2308-00 $14,681.00
Depreciation
Voucher Total $14,681.00
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 NORTH MICHIGAN ROAD Terms
ZIONSVILLE, IN 46077 Due Date 1/23/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/23/2013 8587 $14,681.00
hereby certify that the attached invoice(s), or bill(s) is (are) true and
orrect and I have audited in accordance with IC 5-11-10-1.6
Date Officer