219066 04/09/2013 CITY OF CARMEL, INDIANA VENDOR: 305700 Page 1 of 1
ONE CIVIC SQUARE TOM WOOD FORD INC
CARMEL, INDIANA 46032 3130 E 96TH ST CHECK AMOUNT: $167.24
INDPLS IN 46240 CHECK NUMBER: 219066
CHECK DATE: 419/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2200 4351000 FONS320953 167 . 24 AUTO REPAIR & MAINTEN
TOM WOOD
C� PaaRvs s, sEravoCE
F ® R ®
3130 E. 96th Street - Indianapolis, IN 46240
(800) 423-4646 - (317) 846-4241
www.tomwoodford.com
CUST NUMBER ADVISOR TAG NO. INVOICE DATE INVOICE NO
162583 PHILLIP CALDWELL 7203 1220 03/28/13 oNS320953
LICENSE NO. ODOMETER COLOR STOCK NO
CITY OF CARMEL ENGINEERING 7 HITS
YEAR I MAKE I MODEL DELIVERY DATE DELIVERY ODOMETER
1 CIVIC SQ 10/EQRD TRUCK/ESCAPE/4DR 4WD HYBRID
CARME L, IN 46032-2584 VIN SELLING DEALER NO. MANUFACTURED DATE
F T.E.NO. P.O.NO, R.O.DATE
0031201550-020 03/27/13
HOME PHONE BUSINESS PHONE INSTRUCTIONS
Mo: 38770
JOB# 1 CHARGES-------- ------------------------------------------------------------------------ Disclaimer of Warranties Any warranties on
the products sold hereby are those made by
LABOR------,- -.- r.-.r-... ;w,.-,--r------------------------------------------
u %<°
* FORD, Inc.manufacturer,
expressly disclaims all
3#1 1, 51FOZ ... _ BODY ELECTRICAL TECH(S)<:-7243 >a..,.. >>. 139..95.:
TOWED IN, WILL NOT CRANK TO START warranties,either express or implied,including
HYBRID DIAGNOSIS, BATTERY COMPLETELY DEAD, CHARGE AND TEST any implied warranty merchantability or
OK, CK CHARGING AND FOR DRIANS-OK, FOUND ALLEY LIGHT SWITCH fitness fora particular puu merchantability
TOM WOOD
ON, TURN OFF, NO DRAINS, RETURN TO CUSTOMER FORD, Inc., neither assumes nor authorizes
E any other person to assume for it any liability
in connection with the sale of said products.
1 hereby agree to pay Tom Wood Ford
JOB# 1 TOTALS------------------------------------------------------------
attorney's fees if collection hereof becomes
LABOR 139.95 necessary.
Not responsible for Car or contents in case of
JOB# 1 JOURNAL PREFIX FONS JOB# 1 TOTAL 139.95 fire or theft or freezing or any other cause.
Storage will be charged 48 hours after repairs
MISC------CODE--------DESCRIPTION-------------------------------CONTROL NO--------- are completed.
JOB # A Al SHOP SUPPLIES 27.29
TOTAL - MISC 27.29
COMMENTS------------------------------------------------------------------------
DELETED OPERATION(S)----------------------------------------------------------------
99FOZ99P WORLD CLASS INSPECT X
OTALS------------------------------------------------------------------------------------------
***************************re******************* TOTAL LABOR.... 139.95
* TOTAL PARTS.... 0.00
[ ] CASH [ ] CHECK CK NO. [ ] * TOTAL SUBLET... 0.00
* TOTAL G.O.G.... 0.00
[ ] VISA [ ] MASTE * TOTAL MISC CHG. 27.29
* * TOTAL MISC DISC 0.00 _.
[ ] OTHER HARGE TOTAL TAX...... 0.00
************* ** ********* ****************** TOTAL INVOICE $ 167.24
THAN YOU FOR YOUR BUSINESS!
E WANT YOU COMPLETELY SATISFIED, NOT VERY SATISFIED. IF YOU
RE NOT "COMPLETELY" SATISFIED, PLEASE CALL TOM AT TOM WOOD
s ORD. THERE'S NOTHING WE WON'T DO TO INSURE YOUR HAPPINESS!
TOM
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CUSTOMER SIGNATURE
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PAGE 1 OF.1 _ CUSTOMER COPY- _ [-END OF_INVOICE-I_ 03 18pm -
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(| STATEMENT REMITTANCE
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Tu`:� M WOOD PLEASE DETACH AND MAIL
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WITH REMIT
TO:
F 0 R D
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313OE. Q6thStreet ° Indianapolis, !N46240 ! n "��nnn n�v�,v�x��
(317) 846-4241 pono
DATE 3130 E.96th Street " Indianapolis,
IN 46240 MAR 20I3 162583
(317)846-4241
CITY DFCARN1EL ENGINEERING
1 C|V|CSQ
CARW1EL.lN 48032'2584
317'571'2441
~~NEED INVOICE COPIES?QusGT0Ns??CONTACT JsGG|so~~
`~~DIRECT:(o17)D48-O7U2 EMAIL:JsSG|E_SCH|MMEL@TOMvVUOD.00M��
SOURCES:3 SERVICE SALE 4 PARTS SALE 5FAYMENT 11 ADJUSTMENT PLEASE CIRCLE INVOICES BEING PAID
03-30 S320953 167.24
1120 167.24
1120 167.24
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� 0.00�- -- -- -- 0�0O� -- -- �67��4`- 31 TA'�EMENT DATE
MAR 2013
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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
Tom Wood Ford Purchase Order No.
3130 E. 96th Street Terms
Indianapolis, IN 46240 Date Due
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s) Amount
3/28/2013 fons320953 vehicle repair E1 $ 167.24
Total $ 167.24
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
VOUCHER NC WARRANT NO.
Tom Wood Ford ALLOWED 20
3130 E. 96th Street IN SUM OF $
Indianapolis, IN 46240
$ 167.24
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or
DEPT# INVOICE NO. ACCT#/TITI- AMOUNT
DEPT# I hereby certify that the attached invoice(s),
0 fons320953 2200-4351000 $ 16724 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
2,�ZZ4/8/2013
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund