221655 07/02/2013 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: $22.04
ZIONSVILLE IN 46077
„o„ o CHECK NUMBER: 221655
CHECK DATE: 7/2/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 75578 22 . 04 OTHER EXPENSES
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I
OPEARSON PEARSON
00 AUTOMOTIVE
"�" H O L E S A L E PARTS DISCLAIMER OF WARRANTIES:Any warranties on the item/items sold hereby are those made by
the manufacturer.The seller, PEARSON WHOLESALE PARTS, LLC, hereby expressly disclaims all
10650 North c n Roa Zionsville, IN 46077 warranties either express or implied,including any implied warranty of merchantability or fitness for
a particular purpose, and PEARSON WHOLESALE PARTS,LLC, neither assumes nor authorizes any
Phone: 31 .8450 II ee: 1.800.382.3656 other person to assume for it any liability in connection with the sale of this item/items.
DATE ENTERED YOUR RIDER NO. DATE SHIPPED INVOICE DATE INVOICE Tt
NUMBER 75978 C;
S AC T NO. 6205 H PAGE 1 OF 1
L CITY OF CARMEL WATER I
D 3450 W 131ST ST P
0 WESTFIELD, IN 46074-8267 T
SHIP VIA SLSM. B/L NO. TERMS F.O.B.
1 0 F75Z*9278*CB SWITCH 31 44 . 08 22 . 04 22 . 04
NO RETURNS
WITHOUT THIS
INVOICE.
NO RETURNS AFTER
10 DAYS.
A 15% HANDLING
CHARGE WILL BE
ADDED.
****** THANKS FROM ALL OF US ****** NO RETURNS ON
******* AT PEARSON WHOLESALE PARTS 22 04 ELECTRICAL OR
**** WE APPRECIATE YOUR BUSINESS **** SUBLET SPECIAL ORDER
FR HT PARTS
SALES TAX 0 . 00
opvrjnt2000ADP. CUSTOMER COPY IIIIIIIIIIIYIIIIIIIIIIIIIIIIIIIIIIIIIIIIlIIIBIIIIIIIIII
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
i
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 6/25/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/25/2013 75578 $22.04
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 icer
VOUCHER # 131962 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
75578 01-6500-07 $22.04
Voucher Total $22.04
Cost distribution ledger classification if
claim paid under vehicle highway fund