227547 12/18/2013 CITY OF CARMEL, INDIANA VENDOR: 237560 Page 1 of 1
ONE CIVIC SQUARE PEARSON FORD,INC CHECK AMOUNT: $369.71
CARMEL, INDIANA 46032 10650 N MICHIGAN RD
`o ZIONSVILLE IN 46077 CHECK NUMBER: 227547
CHECK DATE: 12/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 286321 369 . 71 REPAIR PARTS
Dealer No:06761
5712500
Invoice No: 286321 Pearson Ford, Inc.
10650 North Michigan Road
Zionsville, IN 46077
CITY OF CARMEL INVOICE 317.873.3333
1 CIVIC SQ PAGE 1 www.mylndyford.com
C ARMEL, IN 46032-2584 PARTS&SERVICE HOURS
Monday•Friday
Home317-571-2500 Email: 7:00 am-6:00 pm
Bus: 317-733-2001
SERVICE ADVISOR:
MLEAGE N (OUT TAG COLOR LICENSE .'
RED 08 FORD F250 11FTNF21598EB435851 76447 76447 T419
DEL. DATE PROD. DATE WARR. EXP. PROMISED RATE PAYMENT:: WV. DATE
19JUN07 D 17:00 22NOV13 BILL 02DEC13
R.O'. OPENEp READY:: OPTIONS:w-COMP:G STK:13807 ENG:5.4L EFI V8
TRN:S-SPD_AUTOMATIC
10 : 07 22NOV13 108 : 15 02DEC13
LINE OPCODE TECH TYPE HOURS LIST NET TOTAL
A CUST STATES THAT THE CK ENG LIGHT IS ON AN D RUNNING ROUGH
WDS COMPUTER ENGINE CONTROL DIAGNOSIS
2139 CFL 243 . 60 243 . 60
1 3L3Z*12029*BA COIL ASY - IGNITION 83 . 64 75 . 28 75 . 28
1 PZH*14F* SPARK PLUG 19 . 16 19 . 16 19 . 16
,, , , 76447 CHECK ENG DIAG 2 . 80 P0302--FUEL PRESS AND
, , , , INJECTERS-OK--RELATIVE COMPRESSION-OK--KOER-PASS-NO MISFIRES ON ANY
, , , , OTHER CYLINDER IN MODE 6 DATA--REPLACE #2 PLUG AND COIL--BROKEN PLUG
, , , , EXTRACTION
****************************************************
CUSTOMER PAY SHOP SUPPLIES FOR REPAIR ORDER 31 . 67
*********** ATTENTION CUSTOMER **************
MAKE A SERVICE APPOINTMENT FROM THE COMFORT
OF YOUR HOME OR OFFICE ANYTIME, JUST GO TO
MYINDYFORD. COM AND CLICK ON THE SERVICE TAB
IT' S QUICK, EASY AND AVAILABLE 24 HOURS A DAY
DISCLAIMER OF WARRANTIES ::DESCRIPTION TOTALS
ON BEHALF OF SERVICING DEALER, I HEREBY CERTIFY THAT THE AND LIMITATIONS OF LIABILITY
INFORMATION CONTAINED HEREON IS ACCURATE UNLESS OTHERWISE Tnr ea I,ry wa«anry, racy,+s uK Amy wanamy LABOR AMOUNT
SHOWN. SERVICES DESCRIBED WERE PERFORMED AT NO CHARGE TO mIs sale. SELLER MAKES NO
OWNER. THERE WAS NO INDICATION FROM THE APPEARANCE OF THE WARRANTY WHATSOEVER AND EXPRESSLY PARTS AMOUNT
VEHICLE OR OTHERWISE, THAT ANY PART REPAIRED OR REPLACED DISCLAIMS ALL WARRANTIES EITHER
EXPRESS OR IMPLIED, INCLUDING ANY GAS, OIL, LUKE
UNDER THIS CLAIM HAD BEEN CONNECTED IN ANY WAY WITH ANY IMPLIED WARRANTY OF MERCHANTABILITY
ACCIDENT, NEGLIGENCE OR MISUSE. RECORDS SUPPORTING THIS OR FITNESS FOR A PARTICULAR PURPOSE. SUBLET AMOUNT
CLAIM ARE AVAILABLE FOR (1) YEAR FROM THE DATE OF PAYMENT SELLER'S MAXIMUM LIABILITY HEREUNDER MISC.CHARGES 31 67
NOTIFICATION AT THE SERVICING DEALER FOR INSPECTION BY IS LIMITED TO THE ORIGINAL SALES PRICE
MANUFACTURER'S REPRESENTATIVE. AND SELLER SHALL HAVE NO LIABILITY TOTAL CHARGES
FOR ANY INCIDENTAL OR CONSEQUENTIAL
DAMAGES FOR LOST SALES,LOST PROFITS, LESS INSURANCE
INJURIES TO PERSONS OR PROPERTY OR
OTHER INJURIES OR DAMAGES. SALES TAX
(SIGNED) DEALER,GENERAL MANAGER OR AUTHORIZED PERSON (DATE) CUSTOMER SIGNATURE PLEASE PAY
THIS AMOUNT
CUSTOMER COPY
scamcc iNVnro• xsi[
VOUCHER NO. WARRANT NO.
ALLOWED 20
Pearson Ford
IN SUM OF $
10650 N. Michigan Road
Zionsville, IN 46077
$369.71
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 I 286321 I 42-370.001 $36971 I 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
i l �f/ /
Frid �D g ib0i'' 3, 12
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor 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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/02/13 286321 $369.71
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
20
Clerk-Treasurer