HomeMy WebLinkAbout219516 04/24/2013 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: $723.23
INDPLS IN 46240
CHECK NUMBER: 219516
CHECK DATE: 4/24/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4232100 29531 356978 253 . 58 REPLACEMENT PARTS
2200 4351000 FOCS321697 469 . 65 AUTO REPAIR & MAINTEN
TOM WOOD GENUINE
PARTS & SERVICE
FOR ®
3130 E. 96th Street o Indianapolis, IN 46240
(800) 423-4646 - (317) 846-4241
www.tomwoodford.com
CUST:NUMBER ADVISOR TAG NO. INVOICE DATE INVOICE NO.
1162SR3 PHILLIP �. �
LICENSE NO. ODOMETER
?7 COLOR sTO CK O.
CITY, OF CARMEL ENGINEERING YEAR/MAKE/MODEL �" �� DELIVERY DATE DELIVERY ODOMETER
CIVIC SQ _
ARMEL, IN 46032-2584 VIN SELLIN DEALS NO. MANUFACTURED DATE
H 7 Z6 0 9 0
F.T.E.NO. I PO_NO, R.O.DATE
0 -
HOME PHONE BUSINESS PHONE INSTRUCTIONS
ORIG DEL DATE ] 08/17/05 [ ORIG DEL MILES ] 9 Disclaimer of Warranties Any warranties on
OB# 1 CHARGES--------------------------------------------------------------------------------- the products sold hereby are those made by
the manufacturer. The Seller, TOM WOOD
OR---------------------------------------------------------------------------------- FORD, Inc. hereby expressly disclaims all
1.-45FOZ ' ..:::_, ,:.'* STEERING/SUSP,ENSIO_.; TECH(S):7288 `--,: _,:169:95. warranties,either express or implied,including
TEST DRIVE CUST STATES NOISE IN REAR WHEN DRIVING INCREASES any implied warranty of merchantability or
AND DECREASES WITH SPEED fitness for a particular purpose.TOM WOOD
REPLACE REAR PADS AND ROTORS FORD, Inc., neither assumes nor authorizes
any other person to assume for it any liability
ARTS------QTY---FP-NUMBER---------------DESCRIPTION---------LIST PRICE-UNIT PRICE- I hereby agree to sale Tom Wood
1 6L8Z-2200-B KIT • BRAKE 117.45 83.30 83.30 I hereby agree to pay Tom wood Ford
attorney's fees if collection hereof becomes
2 5L8Z-2CO26-BA ROTOR ASY - 91.63 91.63 183.26
necessary.
TOTAL - PARTS 266.56 Not responsible for car or contents in case of
fire or theft or freezing or any other cause.
OB# 1 TOTALS Storage will be charged 48 hours after repairs
LABOR 169.95 are completed.
PARTS 266.56
JOB# 1 JOURNAL PREFIX FOCS JOB# 1 TOTAL 436.51
ISC------CODE•-------DESCRIPTION-------------------------------CONTROL NO---------
OB # A Al SHOP SUPPLIES 33.14 X
TOTAL - MISC 33.14
OMMENTS----------------------------------------------------------------------------
ORK AUTHORIZED BY KAIE NEVELLE
ELETED OPERATION(S)----------------------------------------------------------------
9FOZ99P WORLD CLASS INSPECT
OTALS------------------------------------------------------------------------------------------
e ************** ******************************* TOTAL LABOR.... 169.95
W * TOTAL PARTS.... 266.56
[ ] CASH [ ] CHECK CK NO. [ ] * TOTAL SUBLET... 0.00
* TOTAL G.O.G.... 0.00
[ ] VISA [ ] MAST RCARD * TOTAL MISC CHG. 33.14
* TOTAL MISC DISC 0.00
`° [ ] OTHER CHARGE TOTAL TAX...... 0.00
************* ********************************* TOTAL INVOICE $ 469.65
THANK YOU FOR YOUR BUSINESS!
Z E WANT YOU COMPLETELY SATISFIED, NOT VERY SATISFIED. IF YOU
E NOT "COMPLETELY" SATISFIED, PLEASE CALL TOM AT TOM WOOD
L ORD. THERE'S NOTHING WE WON'T DO TO INSURE YOUR HAPPINESS!
o TOM
CUSTOMER SIGNATURE
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PAGE 1 OF 1 CUSTOMER COPY [ END OF INVOICE ] 08:39am
TWF-4020
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
4/12/2013 focs321697 service for E5; brakes/rotors $ 469.65
Total,;$ 469.65
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
$ 469.65
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITL AMOUNT
DEPT# I hereby certify that the attached invoice(s),
0 focs321697 2200-4351000 $ 469.65 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
/22/2013
Signature
City Engineer
Cost Distribution ledger classification if Title
claim paid motor vehicle highway fund
wi) TOM WOOD
FORS PAkRTS
3130 E.96th Street•Indianapolis, IN 46240 Darts Dept: (317) 8464251
(800)423-4646•(317)846-4241
www.tomwoodford.com
APR 10 2013
BY:
E
THANK YOU FOR YOUR BUSINESS!!
CELL: 710-5671
• • �. e
138195 0031201550-020 M00931 CHARGE DANIEL DAY 04/101/13 356 0,78
c FOW
571-4144
e s
CARMEL CLAY PARKS DEPARTMENT H
L 1411 E 116TH ST P
T CARMEL, IN 46032-7611 T
0 0
•
DESCRIPTION ITEM • 749.28
SHIP
1 0 5C3Z-1130-JB COVER-WHEE 207 66.67 . 60.00 00 1 0 YL3Z-1130-AA COVER-WHEE 39.08 35.17 17 1 0 BUZ-13405-B LAMP ASY 251 115.95 109.13 13 A 0
1 0 BC3Z-13404-ACP LAMP ASY-R 247 x4.76 48,28
N M
urchase V � a
s Description �.
.0.# a95�1 P F
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In
Etudget ®
Line Descr
Purchaser Date
Approval Date
co
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TOM WOOD FORD,INC.hereby expressly dgd.ima all warranties,either ex ess or im lied,including any SUBTOTAL 253.58
imDRed warranty of merchantaoiuty or Atness for a pamcutar pu prose,end TOi woo FORD,iNG,neither
w assumea nor authorizes any other person to assume for it any hab lity in connection with the sale,Customer
a raes to pay reisonablo attorney's fees if collection hereof Is necessary.
U
S NO CREDIT ALLOWED UNLESS ACCOMPANIED BY INVOICE AND
AFTER 15 DAYS 10%HANDLING CHARGE WILL BE MADE, TAX O.00
NO RETURN OF SPECIAL ORDERED PARTS OR ELECTRICAL PARTS.
1 NO REFUND WITHOUT THIS NOTICE.
's I hereby aree to pay Tom wood Ford,Inc.attorney's fees if
g collection hereof becomes necessary.
RECEIVED BY:
/� FREIGHT 0.00
a` "910&lotllt PAYTHISAMOUNT 2553,58
10'44'43 CUSTOMER COPY NET512 PAGE 1 OF 1
2/T:a6ej 92Tt TLSS:D1 SidlJdGd0J:wOJ 9t7:Bti 2T02-0T-6dd
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
305700 Tom Wood Ford Terms
3130 E 96th Street
Indianapolis, IN 46240
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
4/10/13 356978 Vehicle replacement parts 29531 $ 253.58
Total $ 253.58
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 No. Warrant No.
305700 Tom Wood Ford Allowed 20
3130 E 96th Street
Indianapolis, IN 46240
In Sum of$
$ 253.58
ON ACCOUNT OF APPROPRIATION FOR
101 - General Fund
Board Members
PO#or INVOICE NO. kCCT#/TITLE AMOUNT
Dept#
29531 F 356978 4232100 $ 253.58 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
18-Apr 2013
Signature
$ 253.58 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund