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Home My WebLink About219516 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 N w U_ 2 a C7 c a _ m a m 0 0 c 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 '�232t 0 0 — In Etudget ® Line Descr Purchaser Date Approval Date co z 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