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Home My WebLink About222907 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 00352042 Page 1 of 1 ONE CIVIC SQUARE DON HINDS FORD o CARMEL, INDIANA 46032 12610 FORD DRIVE CHECK AMOUNT: $1,026.40 . 'tiy.oN�a FISHERS IN 46038 CHECK NUMBER: 222907 CHECK DATE: 8/1312013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 186508 108 . 00 OTHER EXPENSES 651 5023990 324161 121 . 75 OTHER EXPENSES 651 5023990 326222 498 . 57 OTHER EXPENSES 601 5023990 327418 39 . 45 OTHER EXPENSES 651 5023990 329291 91 . 10 OTHER EXPENSES 651 5023990 329622 167 . 53 OTHER EXPENSES 12610 Ford Drive * Fishers, IN 46038 Phone (317) 849-9000 * Fax (317) 813-1306 Parts Direct (317) 813-1301 www.donhinds.com ALL RETURNED PARTS MUST BE RECEIVED WITHIN 30 DAYS, BE IN THE ORIGINAL PACKAGE, AND ACCOMPANIED BY THIS INVOICE. WE ARE NOT ALLOWED TO ACCEPT RETURNS ON ELECTRICAL OR SPECIAL ORDER PARTS. PLEASE PREPAY WHEN ORDERING SPECIAL ORDER PARTS. DATE ENTERED YOUR ORDER NO. DATE SHIPPED INVOICE DATE INVOIPE --71 22 JUL 13 TRK112 23 JUL 13 I NUMBER 329622 o ACCOUNT NO. CA2634 H PAGE 1 OF 1 D CARMEL WASTEWATER UTILITIES P JOE FAUCETT 0 3450 W 131ST ST 0 CARMEL, IN 46074-8267 (317) 571-2634 SHIP VIA LbM. TERMS F.U.13 POINT 1 CHARGE FISHERS, IN ORD. 5HP PART NO. . PARTS HOURS 0 2L1Z*9E;715*BA VALVE ASY -,' .. 169 .30' 126 :;97 , 12.61::-:9-7: Mon - Fri 0 E83Z*9F670*A GASKET 1 . 82 1 . 36 1 . 36 7:30 - 5:30 0 F75Z*9D289*AA TUBE ASY . F 52 27 39 ..20 39 .20 Saturday 8:00 - 3:00 nj VU SERVICE HOURS Mon - Fri ,�� Zo13 7:30 - 5:30 Saturday 8:00 - 3:00 B CASHIER CLOSES Mon - Fri . AT 5:30 (,/ ' Saturday AT 3:00 BODY SHOP ..... ....... .......... .. ....-... .... Mon - Fri_ _ __ 8:00 5:00 PARTS 167 . 53 SUBLET FREIGHT 0 . 00 SALES TAX 0 . 00 J)'Off +&RAS CUSTOMER'S SIGNATURE 11300 Ix TOTAL 167 . 53 DISCLAIMERS OF WARRANTIES Any warranties on the product sold hereby are those made by the manufacturer.The seller hereby expressly disclaims all warranties, either expressed or implied,including any implied warranty of merchantability or fitness for a particular purpose, and the seller neither assumes nor authorizes any other person to assume for it any liability in connection with the sale of said products. Op CUSTOMER COPY 0 12610 Ford Drive * Fishers, IN 46038 Phone (317) 849-9000 * Fax (317) 813-1306 Parts Direct (317) 813-1301 www.donhinds.com ALL RETURNEDPARTS MUST BE RECEIVEDWITHIN 30 DAYS, BE IN THE ORIGINAL PACKAGE,AND ACCOMPANIED BY THIS INVOICE.WE ARE NOT ALLOWED TO ACCEPT RETURNS ON ELECTRICAL OR SPECIAL ORDER PARTS.PLEASE PREPAY WHEN ORDERING SPECIAL ORDER PARTS. r DATE ENTERED YOUR ORDER N04C DATE SHIPPED INVOICE DATE INVOICE ll APR 13 1 JEFF Ill APR 13 NUMBER 326222 o ACCOUNT NO. CA2634 H PAGE 1 OF 1 L CARMEL WASTEWATER UTILITIES P JOE FAUCETT 0 760 3RD AVE SW 0 CARMEL, IN 46032 (317) 571-2634 61-111'VIA SL6M. rIL NU. TERMS t-.03,PUIN I 507 CHARGE FISHERS IN o� PARTS HOURS _.MIRROR_ASY =r._ 192. 86 144 ;64 _: „14464 Mon - Fri 0 5C3Z*17D742*BAA COVER - MIRR 209 .27 156 . 95 156 .95 7:30-5:30 TO 5.C3Z*17,.682*EAACP , MIRRORwASY „- 262 6,4_.„196 ..98 __.__ 1.96. 9..8 Saturday a 8.00-3.00 SERVICE HOURS : ---- Mon -Fri 7'30 5'30 Saturday 8:00-3:00 T _ CASHIER CLOSE �.__..._ _._ Mon- Fri AT 5:30 — - Saturday AT 3:00 BODY SHOP _ _ __ Mon - Fri 8:00-5:00 PARTS 498 .57 SUBLET FREIGHT 0 . 00 SALES TAX 0 . 00 CUSTOMER'S SIGNATURE 11300 Ix TOTAL $498 .57 DISCLAIMERS OF WARRANTIES Any warranties on the product sold hereby are those made by the manufacturer.The seller hereby expressly disclaims all warranties,either expressed or implied,including any implied warranty of merchantability or fitness for a particular purpose,and the seller neither assumes nor authorizes any other person to assume for it any liability in connection with the sale of said products. """°°-' CUSTOMER COPY T'W 12610 Ford Drive * Fishers, IN 46038 Phone (317) 849-9000 * Fax (317) 813-1306 Parts Direct (317) 813-1301 www.donhinds.com ALL RETURNEDPARTS MUST BE RECEIVEDWITHIN 30 DAYS, BE IN THE ORIGINAL PACKAGE,AND ACCOMPANIED BY THIS INVOICE.WE ARE NOT ALLOWED TO ACCEPT RETURNS ON ELECTRICAL OR SPECIAL ORDER PARTS.PLEASE PREPAY WHEN ORDERING SPECIAL ORDER PARTS. DATE ENTERED YOUR ORDER NO. DATE SHIPPED INVOICE DATE JINVOICE 06 FEB 13 F T 106 FEB 13 NUMBER 324161 o ACCOUNT NO. CA6388 H PAGE 1 OF 1 L CITY OF CARMEL* D 1 CIVIC SQ P o CARMEL, IN 46032-2584 T 571-2634 13833 1 CHARGE FISHERS, IN PART NO ' �� s��P PARTS HOURS yz . ry0 LH7Z*°7823395*_B _�wMOTOR ASY 154 28° 115_-71_ _ 1_15 71 1 Mon -Fri CORE EXCHANGE 30. 00 30 .00 7:30-5:30 0 BL1Z*7823201*A REGULATOR AS 162 .33 121 . 75 121 .7 9 - - - Saturday 8:00-3:00 SERVICE HOURS r - - — 7 Mon -Fri 7:30-5:30 Saturday 8:00-3:00 A { C SHIER CLO SE Mon -Fri AT 5:30 n - Saturday AT 3:00 BODY SHOP - -f,— - - Mon-Fri 8:00 -5:00 PARTS 267 .49 0 SUBLET ?44" FREIGHT 0 .06 SALES TAX 0 . 00 CUSTOMER'S SIGNATURE AFf 11300 x TOTAL` 267 .46 DISCLAIMERS OF WARRANTIES Any warranties on the product sold hereby are those made by the manufacturer.The seller hereby expressly disclaims all warranties,either expressed or implied,including any implied warranty of merchantability or fitness for a particular purpose,and the seller neither assumes nor authorizes any other person to assume for it any liability in connection with the sale of said products. ap O 12610 Ford Drive * Fishers, IN 46038 Phone (317) 849-9000 * Fax (317) 813-1306 Parts Direct (317) 813-1301 www.donhinds.com ALL RETURNEDPARTS MUST BE RECEIVEDWITHIN 30 DAYS, BE IN THE ORIGINAL PACKAGE,AND ACCOMPANIED BY THIS INVOICE.WE ARE NOT ALLOWED TO ACCEPT RETURNS ON ELECTRICAL OR SPECIAL ORDER PARTS.PLEASE PREPAY WHEN ORDERING SPECIAL ORDER PARTS. 1DATE ENTERED YOUR ORDER NO. DATE SHIPPED INVOICE DATE INVOICE 07 FEB 13 FI T 107 FEB 13 NUMBER 324161 o ACCOUNT NO. CA6388 H PAGE 1 OF 1 L CITY OF CARMEL* I D 1 CIVIC SQ P o CARMEL, IN 46032-2584 T 571-2634 1507 1 CHARGE FISHERS, IN ORS ; SHIP 'aa .PART No. ;.. `. .. - T PARTS HOURS 0 L7Z*7 8:23395*B MOTOR ASY 15'4 28: 115 '71 115 71 1 ��Z =.-_a x_ _.,_,._v� _ Mon -Fri CORE EXCHANGE W 3 0 . 0 0 -3 0 . 0 0 7.30-5:30 , - —3 Saturday r 8:00-3:00 SERVICE HOURS -- - Mon -Fri 7:30-5:30 Saturday 8:00-3:00 k CASHIER CLOSE Mon - Fri AT 5:30 -- Saturday 'r AT 3:00 BODY SHOP m Mon - Fri ��.:. + 8:00-5:00 t5 PARTS -145 .71 ?" 1 SUBLET FREIGHT 0 . 00 ova SALES TAX 0 . 00 CUSTOMER'S SIGNATURE 11300 x ".70TAL" �.;` � -145 .7 **CREDIW-.t:LAIMERS OF WARRANTIES Any warranties on the product sold hereby are those made by the manufacturer.The seller hereby expressly disclaims all warranties,either expressed or implied,including any implied warranty of merchantability or fitness for a particular purpose,and the seller neither assumes nor authorizes any other person to assume for it any liability in connection with the sale of said products. iq X CUSTOMER #: CA2634 286508 CARMEL WASTEWATER UTILITIES INVOICE JOE FAUCETT 12610 Ford Drive * Fishers, IN 46038 3450 W 131ST ST Phone (317) 849-9000 * Fax (317) 849-0020 0 CARMEL, IN 46074 PAGE 1 1-800-64HINDS (1-800-644-4637) g HOME: CONT: 317-5 71-2 6 3 4 www.donhinds.com o BUS : 317-571-2634 CELL: 317-716-3905 SERVICE ADVISOR: 7563 CHUCK CALLAHAN o COLOR YEAR MAKE/MODEL: VIN' LICENSE MILEAGE IN/OUT >: TAG s 03 FORD F150 PKUP 2FTRF18W33CA47315 63494 74026/74026 T216G OEL DATE PROD. DATE: WARR. £XP PROMISED PO N0. RATE PAYMENT: INV DATE S 01JAN03 DEJ 17 : 00 11JUL13 JEFF 0 . 00 CHG 15JUL13 RQ OPENED READY. OPTIONS: W-COMP:G DLR:47J034 ENG:4 . 6 Liter EFI 08 :47 11JUL13 09 : 57 15JUL13 LINE OPCODE TECH TYPE HOURS LIST NET TOTAL A *AT TIMES BLOWER FAN STAYS ON WITH KEY OUT/TRUCK OFF. L2 LEVEL 1 DIAG 809 MARTY MOON LIC#: 0 CPK 74026 WAS UNABLE TO DUPLICATE CONCERN, NO TSB ' S OR SSM'S . CHECK A T 0 WINDSHIELD WITH COMPRESSED AIR AND WINDOW CLEANER FOR POSSIBLE KS, NOTHING FOUND. LOWERED GEM MODULE AND INSPECTED FOR SIGNS OF W R,J(JM 62013 SIGNS OF WATER PRESENT. ************************************************** * B HAS BEEN STALLING AT IDLE IN PARK AND DRIVE, SPUTTERS AT TIME Y Ll LEVEL 1 DIAG 809 MARTY MOON LIC#: 0 CPK 72 . 00 72 . 00 74026 VERIFIED VEHICLE STALLS AT IDLE, P1000 AND P1262 IN PCM. MONITORED PIDS, ALL PIDS APPEAR OK. INSTALLED FUEL PRESSURE GAUGE AND FOUND FUEL PRESSURE IS OK WHEN ENGINE STALLS . INSPECTED AIR FILTER HOUSING, NEWER FILTER INSTALLED. REASSEMBLED AND ENGINE IS NO LONGER STALLING. TEST DROVE AND COULD NOT GET CONCERN TO REAPPEAR. **************************************************** C MULTI POINT INSPECTION. 99P PERFORM COMPLEMENTARY QCM MULTI-POINT INSPECTION 809 MARTY MOON LIC#: 0 CPK 0 . 00 0 . 00 GBK BRAKE LINING WEAR CHECKED. BRAKES WEARING OK AT THIS TIME 809 MARTY MOON LIC#: 0 CPK 0 . 00 0 . 00 GTIRE CHECK TREAD DEPTH. TREAD IS WEARING PROPERLY AT THIS TIME. 809 MARTY MOON LIC# : 0 CPK 0 . 00 0 . 00 YDUE MAINTENANCE DUE. EXCEEDED THE FORD RECOMMENDED MILEAGE INTERVAL FOR SCHEDULED OUR NIGHT OWL DROP BOX, LOCATED AT THE DISCLAIMER OF WARRANTIES DESCRkPTION TOTALS SERVICE ENTRANCE, IS AVAILABLE DURING so o HEREBY ARE THOSE PMADEC BY LABOR AMOUNT NON-BUSINESS HOURS. DON HIINDSA FORD,R INCTH SELLER, ., HEREBY PARTS AMOUNT EXPRESSLY DISCLAIMS ALL GAS,OIL, LUBE SERVICE HOURS: MON - FRI 7:30 AM - 5:30 PM WARRANTIES, EITHER EXPRESSED OR IMPLIED, INCLUDING ANY IMPLIED SUBLET AMOUNT SAT 7:30 AM - 3:30 PM WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, MISC. CHARGES AND DON HINDS FORD, INC. NEITHER ASSUMES NOR AUTHORIZES ANY TOTAL CHARGES OTHER PERSON TO ASSUME FOR IT ANY LIABILITY IN CONNECTION WITH LESS DEDUCTIONS THE SALE OF SAID PRODUCTS. SALES TAX C TOMER SIG NAT RE PLEASE PAY THIS AMOUNT Let,_-, 0 CUSTOMER COPY • 3� CUSTOMER #: CA2 6 3 4 286508 a CARMEL WASTEWATER UTILITIES INVOICE Aom = JOE FAUCETT 12610 Ford Drive * Fishers, IN 46038 - 3450 W 131ST ST Phone (317) 849-9000 * Fax (317) 849 0020 CARMEL, IN 46074 PAGE 2 1-800-64HINDS (1-800-644-4637) 0 HOME: CONT: 317-5 71-2 6 3 4 www.donhinds.com BUS : 317-571-2634 CELL: 317-716-3905 SERVICE ADVISOR: 7563 CHUCK CALLAHAN COLOR EAR . E/MODEL VIN LICENSE TAG .. .... MILEAGE fN/OUT m 03 FORD F150 PKUP 2FTRF18W33CA47315 63494 74026 74026 T216G DEL DATE .PROD DATE WARR. EXP. PROMISED PO NO RATE PAYMENT: INV. DATE 01JAN03 Dj 17 : 00 11JUL13 JEFF 0 . 00 CHG 15JUL13 R.O; OPENE,p READY;;: OPTIONS: W-COMP:G DLR:47J034 ENG:4 . 6 Liter EFI 08 :47 11JUL13 09 : 57 15JUL13 LINE OPCODE TECH TYPE HOURS LIST NET TOTAL PREVENTIVE MAINTENANCE. PLEASE SEE YOUR SERVICE ADVISOR TO R 809 MARTY MOON LIC# : 0 CPK 0 . 00 0 . 00 GBATT BATTERY TEST. CRANK AMPS ARE FINE. NO PROBLEM FOUND. 809 MARTY MOON LIC#: 0 CPK 0 . 00 0 . 00 74026 GBK GTIRE YDUE OT 0T T**************************************************** JUL 2 6 2013 Z-c' O/ By OUR NIGHT OWL DROP BOX, LOCATED AT THE DISCLAIMER OF WARRANTIES PESCMPTION TOTPLS SERVICE ENTRANCE, IS AVAILABLE DURING ANY WARRANTY ON THE PRODUCTS 108 . 00 SOLD HEREBY ARE THOSE MADE BY LABOR AMOUNT NON-BUSINESS HOURS. THE MANUFACTURER. THE SELLER, PARTS AMOUNT DON HINDS FORD, INC., HEREBY 0 . 00 EXPRESSLY DISCLAIMS ALL GAS,OIL, LURE SERVICE HOURS: MON - FRI 7:30 AM - 5:30 PM WARRANTIES, EITHER EXPRESSED OR 0 . 00 IMPLIED, ANY I SAT 7:30 AM - 3:30 PM MERCHANTABILITMY FLIED ANTABILITYLIOR SUBLET AMOUNT 0 . 00 FITNESS FOR A PARTICULAR PURPOSE, MISC. CHARGES 0 . 00 AND DON HINDS FORD, INC. NEITHER ASSUMES NOR AUTHORIZES ANY TOTAL CHARGES 108 . 00 OTHER PERSON TO ASSUME FOR IT ANY LIABILITY IN CONNECTION WITH LESS DEDUCTIONS 0 . 00 THE SALE OF SAID PRODUCTS. SALES TAX CUKqMER SIGNATURE PLEASE PAY THIS AMOUNT CUSTOMER COPY - - dp 12610 Ford Drive * Fishers, IN 46038 Phone (317) 849-9000 * Fax (317) 813-' �--- Parts Direct (317) 813-1301 0 www.donhinds.com JUL 2 6 2013 BY ALL RETURNED PARTS MUST BE RECEIVED WITHIN 30 DAYS, BE IN THE ORIGINAL PACKAGE, AND ACC ED BY THIS INVOICE. WE ARE NOT ALLOWED TO ACCEPT RETURNS ON ELECTRICAL OR SPECIAL ORDER PARTS. PLEASE PREPAY WHEN ORDERING SPECIAL ORDER PARTS. DATE ENTERED YOUR ORDER NO. DATE SHIPPED INVOICE DATE INVOICE 12 JUL 13 JEFF COOPER 1 JUL 13 NUMBER 329291 o ACCOUNT NO. CA2634 H PAGE 1 OF 1 D CARMEL WASTEWATER UTILITIES P JOE FAUCETT 0 3450 W 131ST ST 0 4 flao4 CARMEL, IN 46074 (317) 571-2634 bH]P VIA SI-W. [/L NU. TERMS F.U.b HUIN I 1507 1 CHARGE FISHERS, IN OftD eftiP a:o. -PA;RT No * > > ;> PARTS HOURS 0 BR3Z 4676 A: _ :i S.EAL ASY.. - 'O _20 .:7:31 1$ E5:5- 15 . 55' Mon - Fri 0 XY*75W140*QL OIL - REAR A 22 . 03 18 . 17 54 . 51 7:30 - 5:30 0 XL*3* ADDITIVE O 6 23. 4 11 4:.J1 Saturday 0 TA*.::30* SE..ALANT - SI .........2 57 16 : 93 1.6::.:::9:3. .r 8.00 - 3.00 SERVICE HOURS Mon Fri __ 7:30 - 5:30 �', Saturday 8:00 - 3:00 CASHIER CLOSES .. .. .. Mon - Fri AT 5:30 Saturday AT 3:00 BODY SHOP _. Mon - Fri 8.00 5.00 PARTS 91 . 10 SUBLET FREIGHT 0 . 00 SALES TAX 0 . 00 +&"As CUSTOMER'S SIGNATURE iii 11300 Ix TOTAL 91. 10 DISCLAIMERS OF WARRANTIES Any warranties on the product sold hereby are those made by the manufacturer.The seller hereby expressly disclaims all warranties, either expressed or implied, including any implied warranty of merchantability or fitness for a particular purpose, and the seller neither assumes nor authorizes any other person to assume for it any liability in connection with the sale of said products. " �' CUSTOMER COPY VOUCHER # 136117 WARRANT # ALLOWED 00352042 IN SUM OF $ DON HINDS FORD 12610 FORD DRIVE FISHERS, IN 46038 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 326222 01-7502-06 $498.57 3ag6aa 0i --7Soo-- oa Ib-1 ,53 3,9q 16 I dj --1 Soo --oa )a l • -75 jg�SO$ al - -7SOa 0(.:, .10�.0(� 3jgacn oi -7soa -ol- (o.9 S Voucher Total Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form No.201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARREL 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 00352042 DON HINDS FORD Purchase Order No. 12610 FORD DRIVE Terms FISHERS, IN 46038 Due Date 8/5/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/5/2013 326222 $498.57 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 dam/?/2 Date Officer ,® CAMP 12610 Ford Drive * Fishers, IN 46038 Phone (317) 849-9000 * Fax (317) 813-1306 Parts Direct (317) 813-1301 www.donhinds.com ALL RETURNEDPARTS MUST BE RECEIVEDWITHIN 30 DAYS, BE IN THE ORIGINAL PACKAGE,AND ACCOMPANIED BY THIS INVOICE.WE ARE NOT ALLOWED TO ACCEPT RETURNS ON ELECTRICAL OR SPECIAL ORDER PARTS.PLEASE PREPAY WHEN ORDERING SPECIAL ORDER PARTS. 1DATE ENTERED OUR ORDE NO. DATE SHIPPED INVOICE DATE INVCE 15 MAY 13 T 115 MAY 13 NUMBEOI R 327418 S AC OUNT NO. CA2634 H PAGE 1 OF 1 L CARMEL STEWATER UTILITIES P JOE FAUCETT p 3450 W 131ST ST o CARMEL, IN 46074 (317) 571-2634 3833 CHARGE FISHERS IN °""TR" PART NO. oR°_ 5".P a° PARTS HOURS 0 7C3Z*2522405*AA HANDLE ASY - 52 . 60 39 .45 39 .45 Mon- Fri 7:30-5:30 Saturday 8:00-3:00 SERVICE HOURS Mon-Fri 7:30-5:30 Saturday 8:00-3:00 CASHIER CLOSE Mon-Fri AT 5:30 Saturday AT 3:00 BODY SHOP Mon-Fri 8:00-5:00 PARTS 39 .45 SUBLET FREIGHT 0 .00 SALES TAX 0. 00 CUSTOMER'S SIGNATURE 11300 Ix TOTAL 39 .45 DISCLAIMERS OF WARRANTIES Any warranties on the product sold hereby are those made by the manufacturer.The seller hereby expressly disclaims all warranties,either expressed or implied,including any implied warranty of merchantability or fitness for a particular purpose,and the seller neither assumes nor authorizes any other person to assume for it any liability in connection with the sale of said products. — . _ CUSTOMER--COPY - VOUCHER # 132340 WARRANT # ALLOWED 352042 IN SUM OF $ DON HINDS FORD 12610 Ford Drive Fishers, IN 46038 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 327418 01-6500-04 $39.45 I Voucher Total $39.45 Cost distribution ledger classification if claim paid under vehicle highway fund 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 352042 DON HINDS FORD Purchase Order No. 12610 Ford Drive Terms Fishers, IN 46038 Due Date 8/6/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/6/2013 327418 $39.45 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 Officer