HomeMy WebLinkAbout217304 02/13/2013 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: $182.50
ZIONSVILLE IN 46077 CHECK NUMBER: 217304
CHECK DATE: 2/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4351000 277376 182 . 50 AUTO REPAIR & MAINTEN
6200 Dealer No:06761
Invoice No: 277376 Pearson Ford, Inc.
10650 North Michigan Road
CITY OF CARMEL STREET DEPARTMENT Zionsville, 46
INVOICE 317.873..3333 3
3400 W 131ST ST PAGE 1 www.mylndyford.com
CARMEL, IN 46074-8267 PARTS&SERVICE HOURS
Home: Email: Monday-Friday
Bus: 317-733-2001 7:00 am-6:00 pm
COLOR
SERVICE ADVISOR:
:.YEAR. MAKE/MODEL.';?
LICENSE
' ..MILEAGE.IN l;OUT `
;TAG
WHITE 06 FORD ESCAPE 1FMCU96H76KA26087 73045 73045 T038
DEL..D'ATE.' PROD.;pATE V1/ARR: EXP PROMISED, PO NO RATE"`i PAYMENT INV.:DATE'.:
02FEB06 D 02JAN06 17 : 00 24JAN13
BILL 01FEB13
R:O, OPENED READY:.' OPTIONS:
W-COMP:W ENG:2.3_Liter_w/AC_Synchronous motor
12 : 19 24JAN13 16 : 42 01FEB13
LINE OPCODE TECH TYPE HOURS LIST NET TOTAL
A CUST STATES THAT THE BRAKES ARE INOP POSS TONE RING ISSUE
R5M OWNER INSPECTION
5344 CP 94 . 75 94 . 75
SUBL TOW IN ZORES
PO#299459
CP 87 . 75 87 . 75
, , , , 73045 CUST 1 . 00 BRAKE INSPECTION, CHECKED FOR CODES USING IDS
****************************************************
*********** 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 HEREBY CERTIFY THAT THE DISCLA)MER OF WARRANTIES DESCRIPTION
INFORMATION CONTAINED HEREON IS ACCURATE UNLESS OTHERWISE rn�EDLIrnArylO NS OFLhcAD'YITY :TOTALS;
SHOWN. SERVICES DESCRIBED WERE PERFORMED AT NO CHARGE TO Th. mq "' mf.SELLER MAKES NO LABOR AMOUNT
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 WARRANTIES EITHER
UNDER THIS CLAIM HAD BEEN CONNECTED IN ANY WAY WITH ANY EXPRESS A IMTYOF-ME CHANTA ANY GAS,OIL, LURE IED
IMPLIED
ACCIDENT, NEGLIGENCE OR MISUSE. RECORDS SUPPORTING THIS R FITNESS FOR A PARTICULAR PURPOISE
CLAIM ARE AVAILABLE FOR (t) YEAR FROM THE DATE OF PAYMENT SELLER'S MAXIMUM LIABILITY HEREUNDER SUBLET AMOUNT
NOTIFICATION AT THE SERVICING DEALER FOR INSPECTION BY AND SELLER SHALL HAVE No LIABILITY.TO THE ORIGINAL SALES PRICE MISC. CHARGES
MANUFACTURER'S REPRESENTATIVE. A
FOR ANY INCIDENTAL OR CONSEQUENTIAL TOTAL CHARGES
DAMAGES FOR LOST SALES,LOST PROFITS, LESS INSURANCE
INJURIES TO PERSONS OR PROPERTY OR n nn
OTHER INJURIES OR DAMAGES. SALES TAX
(SIGNED) DEALER,GENERAL MANAGER OR AUTHORIZED PERSON (DATE) CUSTOMER SIGNATURE
PLEASE PAY
THIS AMOUNT
CUSTOMER COPY
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))
02/06/13 277376 Towing for brake repair $182.50
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
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pearson Ford
IN SUM OF $
10650 North Michigan Road
Zionsville, IN 46077
$182.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1192 I 277376 I 43-510.00 I $182.50 1 hereby certify that the attached invoice(s), or
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
Monday, February 11, 2013
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund