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2015 Police pay request 24 request 7 051915 Lease 2015 — Sch # 24 (Police Dept.) Payment Request # 7 EXHIBIT A PAYMENT REQUEST FORM/ACCEPTANCE CERTIFICATE The Escrow Agent is hereby requested to pay from the Acquisition Fund established by the Escrow Agreement dated as of February 5, 2015 by and among the Escrow Agent, the Lessee and Lessor, to the person or corporation designated below as Payee, the sum set forth below in payment (of all/of a portion) of the Acquisition Costs described below. The amount shown below is due and payable under a purchase order or contract with respect to the Equipment described below and has not formed the basis of any prior request for payment. In addition, the undersigned acknowledges delivery, installation and receipt in good condition, and hereby accepts the Equipment described on the attached invoices. Payee: Don Hinds Ford,Inc. Amount: $486,299.00 Description of Equipment hem Cost: New Police Vehicles Dated: 05/15/2015 LESSEE: City of Carmel One Civic Square Carmel, IN •6032 By: Name: Diana Cordray Title: Clerk Treasurer (Attached duplicate original of Payee's statement) Wire transfer: Huntington National Bank Columbus,OH Routing#044000024 Account#01400653878 PAGE I DOI as Orie-oo-a-Kihd Wire Transfer Instructions Bank Name: Huntington National Bank City, State: Columbus, OH Routing Number: 044000024 Account Number: 01400653878 For further information please contact: Alicia Robinson Michelle Paquette Office Manager Sr. Account Associate Don Hinds Ford, inc Huntington National Bank 317.849.9000 317.229.4041 • , '•poN,HINDsTovi;INc42610:Fd/d,p.riv.e1Fishers,IN,,469381,A31 U495001 u wy.4cntindsford.con, , - • .;. s4...,"; AR CERTIFICATE OF LIABILITY INSURANCE 1/13/2015 DIYYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). NTACT PRODUCER NAME: Marianne Uban Hylant Group (PA HOC.NNE E>di:317-817-5136 FAX Ne):317-817 5151 301 Pennsylvania Parkway,#201 E-MAIL Indianapolis IN 46280 E ss:marianne.uban h lant.com INSURER(S)AFFORDING COVERAGE NAIC INSURER A:Charter Oak Fire Insurance Co 25.615 INSURED CARME80 INSURER B: City of Carmel INSURER C: One Civic Square INSURER D: Carmel, IN 46032 INSURER E E. INSURER F: COVERAGES CERTIFICATE NUMBER:682333440 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR L TYPE OF INSURANCE ADO SUER POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER (MMIDDIYYYY) (MM!DD/YYYY) A GENERAL LIABILITY Y ZLP14T62033 1/1/2015 111/2016 EACH OCCURRENCE $2,000,000 X DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $50,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) $0 PERSONAL&ADV INJURY $2,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 -I POLICY PRO- JECT $ JECT A AUTOMOBILE LIABILITY H8103036P64ACOF15 1/1/2015 1/1/2016 COMBINED SINGLE LIMIT (Ea accident) $2,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per accident) X Comp X Coll Comp/Coll Ded $2,500 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY YIN I TORY LIMITS ER , ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? N!A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES (Attach ACORD 101,Additional Remarks Schedule,it more space is required) ADDITIONAL NAMED INSUREDS:CARMEL CLAY PARKS BUILDING CORPORATION; CARMEL CLAY BOARD OF PARKS& RECREATION; CARMEL REDEVELOPMENT COMMISSION; CARMEL REDEVELOPMENT AUTHORITY; CARMEL CITY CENTER COMMUNITY DEVELOPMENT CORPORATION Certificate Holder is an Additional Insured re:Various Police EquipmentNehicles CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN The Huntington National Bank& It's Assignors&Assignees ACCORDANCE WITH THE POLICY PROVISIONS. do American Lease Insurance 654 Amherst Rd., Ste. 335 AUTHORIZED REPRESENTATIVE Sunderland MA 01375 /fk(. ,9t ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD X11 DOfi�i #BINDS FORD, INC ; 1.°x�a' RETAIL BUYERS ORDER 12610 Ford Drive — Fishers, IN 46038 JRN: 10 11 20 22 23 317-849-9000 5 Ten PA X Z RCL ���_ #d www.donhindsford.com 866-906-7712 00 Purchaser Name: CITY OF CARMEL CUST# CA2600 Deal 90799 1 CIVIC SQ CARMEL, IN 46032-2584 Home Telephone#: 317-571-2417 Work Telephone#: 317-571-2417 Delivery Date: 04/13/2015 Cell Telephone#: In-Sery Date: Year: 2015 Make: FORD Model: EXPLORER Type: UT Color: OXFORD WHITE Vin: 1FM5K8AR1FGC41170 Stock #: FT5885 Mileage: 13 Trade 1 Description: t Year: Make: Model: Vin: Owed to: Balance Owed $ N/A Trade 2 Description: Year: Make: Model: Vin: Owed to: Balance Owed $ N/A Financed by: Term: Beginning Payment: days Affidavit for Trade-In Selling Price 26917.75 By signing below I state that I am the sole true and lawful Trade Allowance N/A owner of the used car described in this contract for trade-in or Trading Difference 26917.75 replacement on sale in accordance with the terms thereof; Title Fee N/A there is no lien, mortgage, unpaid balance on any conditional Document Fee N/A sales agreement, or other encumbrances of any kind or Sales Tax N/A character, including lien of any judgment or execution except Luxury Tax N/A which has previously been stated and given in writing to Don Tire Tax Iv !-I C c6, 1.25 Hinds Ford, Inc. I further agree that this statement is made for Quantum N/A the purpose of guaranteeing title to the above mentioned used Maintenance Q±,->-,,A a` b N/A car to be as aforesaid and that all statements made herein are Service Contract N/A true and correct, and that all statements are made of my own Credit Guard N/A free will, ID Guarantee N/A Anti Theft Tire & Wheel 5\ \ \-5 N/A Trade-in Certification � N/A The undersigned certifies that the trade-in vehicle has never Ownerguard Gap N/A been titled under a state or federal brand such as "defective", Total 26919.00 "rebuilt", "salvage", "flood", etc. Balance on Trade _ V' '.�' N/A Total Balance Due 26919.00 Air Bag Certification Less Cash Rcvd N/A The undersigned certifies that to the best of their knowledge Less Gust 'ebate N/A the air bags in the trade-in vehicle have never been Unpa'-. : . .rice 26919.00 disconnected and are operable. N/A Fi# .rice Amount ■ mo ' Due 26919.00 �1 JOHN COLGLAZIER BRADLEY A i : • 30, 04/13/2015 Salesperson Dealer Representa V- 1 Purchaser Signature CITY OF CARMEL Date ORDER NOT VALID UNTIL SIGNED AND ACC PT'D Y DEALER OR AUTHORIZED REPRESENTATIVE / DON,HINDS FORD, INC 6 J RETAIL BUYERS ORDER 12610 Ford Drive Fishers, IN 46038 . JRN: 10 11 20 22 23 4riiiefas 317-849-9000 5 7,014 P A X Z RCL 866 906 7712 l/ 01-4— 4 www.donhindsford.com Purchaser Name: CITY OF CARMEL CUST# CA2600 Deal 90802 1 CIVIC SQ CARMEL, IN 46032-2584 Home Telephone#: 317-571-2417 Work Telephone#: 317-571-2417 Delivery Date: 04/13/2015 Cell Telephone#: In-Sery Date: Year: 2015 Make: FORD Model: EXPLORER Type: UT Color: OXFORD WHITE Vin: 1 FM5K8AR 1 FGC41167 Stock #: FT5895 1 Mileage: 13 Trade 1 Description: Year: Make: Model: Vin: Owed to: Balance Owed $ N/A Trade 2 Description: Year: Make: Model: Vin: Owed to: Balance Owed $ N/A Financed by: Term: Beginning Payment: days Affidavit for Trade-In Selling Price 26917.75 By signing below I state that I am the sole true and lawful Trade Allowance N/A owner of the used car described in this contract for trade-in or Trading Difference 26917.75 replacement on sale in accordance with the terms thereof; Title Fee N/A there is no lien, mortgage, unpaid balance on any conditional Document Fee N/A sales agreement, or other encumbrances of any kind or Sales Tax N/A character, including lien of any judgment or execution except Luxury Tax N/A which has previously been stated and given in writing to Don Tire Tax 1.25 Hinds Ford, Inc. I further agree that this statement is made for Quantum N/A the purpose of guaranteeing title to the above mentioned used Maintenance N/A car to be as aforesaid and that all statements made herein are Service Contract N/A true and correct, and that all statements are made of my own Credit Guard N/A free will. ID Guarantee N/A Anti Theft N/A Trade-in Certification Tire & Wheel N/4 The undersigned certifies that the trade-in vehicle has never Ownerguard Gap N/A been titled under a state or federal brand such as "defective", Total 26919.00 "rebuilt", "salvage", "flood", etc. Balance on Trade N/A Total Balance Due 26919.00 Air Bag Certification L: s ash Rcvd N/A The undersigned certifies that to the best of their knowledge es Cust. Rebate N/A the air bags in the trade-in vehicle have ne i fr been r,aid Balance 26919.00 disconnected and are operable. / Fi anted Amount N/A AA, ount Due 26919.00 1 JOHN COLGLAZIER BRADLEY '! LEY L=RIG 04/13/2015 Salesperson Dealer Represent Live r Purchaser Signature CITY OF CARMEL Date 1 g ORDER NOT VALID UNTIL SIGNED AND ACCE"I BY DEALER OR AUTHORIZED REPRESENTATIVE \ D \ DON-HINDS FORD, INC 6�) RETAIL BUYERS ORDER ' 12610 Ford Drive D Fishers, IN 46038 li JRN: 10 1 20 22 23 317-849-9000 PA X Z RCL 866-906-7712 nn -a_ Kd www.donhindsford.com (/K�� q Purchaser Name: CITY OF CARMEL CUST# CA2600 Deal 90804 1 CIVIC SQ CARMEL, IN 46032-2584 Home Telephone#: 317-571-2417 Work Telephone#: 317-571-2417 Delivery Date: 04/13/2015 Cell Telephone#: In-Sery Date: Year: 2015 Make: FORD Model: TAURUS Type: SD , Color: KODIAK BROWN Vin: 1FAHP2MK3FG153970 Stock #: FC3025 Mileage: 13 Trade 1 Description: Year: Make: Model: Vin: Owed to: Balance Owed $ N/A Trade 2 Description: Year: Make: Model: Vin: Owed to: Balance Owed $ N/A Financed by: Term: Beginning Payment: days it Affidavit for Trade-In Selling Price 25626.75 By signing below I state that I am the sole true and lawful Trade Allowance N/A owner of the used car described in this contract for trade-in or Trading Difference 25626.75 replacement on sale in accordance with the terms thereof; Title Fee N/A there is no lien, mortgage, unpaid balance on any conditional Document Fee N/A sales agreement, or other encumbrances of any kind or Sales Tax N/A character, including lien of any judgment or execution except Luxury Tax N/A which has previously been stated and given in writing to Don Tire Tax 1.25 Hinds Ford, Inc. I further agree that this statement is made for Quantum N/A the purpose of guaranteeing title to the above mentioned used Maintenance N/A car to be as aforesaid and that all statements made herein are Service Contract N/A true and correct, and that all statements are made of my own Credit Guard N/A free will. ID Guarantee N/A Anti Theft N/A Trade-in Certification Tire & Wheel N/A The undersigned certifies that the trade-in vehicle has never Ownerguard Gap N/A been titled under a state or federal brand such as "defective", Total 25628.00 "rebuilt", "salvage", "flood", etc. Balance on Trade N/A Total Balance Due 25628.06 Air Bag Certification Less Cash / d N/A The undersigned certifies that to the best of their kno dge Less sate N/A the air bags in the trade-in vehicle have nev r been UUz aid zalance 25628.00 disconnected and are operable. Finan•-d Amount N/A Am, nt Due 25628.00 JOHN COLGLAZIER BRADLEY 4 4L lErf GH ' 04/13/2015 Salesperson Dealer Represen+.ti•-- Purchaser Signature CITY OF CARMEL Date ORDER NOT VALID UNTIL SIGNED A+D • ' EP ED BY DEALER OR AUTHORIZED REPRESENTATIVE ' DON'HINDS FORD, INC 7 C.:� RETAIL BUYERS ORDER 12610 Ford Drive ( ,M JRN: 10 11 20 22 23 Fishers, IN 46038 l 31.7-849-9000 PA x Z RCL 866-906-7712 n www.donhindsford.com Purchaser Name: CITY OF CARMEL CUST# CA2600 Deal 90857 1 CIVIC SQ CARMEL, IN 46032-2584 Home Telephone#: 317-571-2417 Work Telephone#: 317-571-2417 Delivery Date: 04/16/2015 Cell Telephone#: In-Sery Date: Year: 2015 Make: FORD Model: EXPLORER Type: UT Color: OXFORD WHITE Vin: 1 FM5K8AR8FGC41 165 Stock #: FT5945 Mileage: 13 Trade 1 Description: Year: Make: Model: Vin: Owed to: Balance Owed $ N/A Trade 2 Description: Year: Make: Model: Vin: Owed to: Balance Owed $ N/A Financed by: Term: Beginning Payment: days Affidavit for Trade In Selling Price 27093.75 By signing below I state that I am the sole true and lawful Trade Allowance N/A owner of the used car described in this contract for trade-in or Trading Difference 27093.75 replacement on sale in accordance with the terms thereof; Title Fee N/A there is no lien, mortgage, unpaid balance on any conditional Document Fee N/A sales agreement, or other encumbrances of any kind or Sales Tax N/A character, including lien of any judgment or execution except Luxury Tax N/A which has previously been stated and given in writing to Don Tire Tax 1.25 Hinds Ford, Inc. I further agree that this statement is made for Quantum N/A the purpose of guaranteeing title to the above mentioned used Maintenance N/A car to be as aforesaid and that all statements made herein are Service Contract N/A true and correct, and that all statements are made of my own Credit Guard N/A free will. ID Guarantee N/A Anti Theft N/A Trade-in Certification Tire & Wheel N/A The undersigned certifies that the trade-in vehicle has never Ownerguard Gap N/A been titled under a state or federal brand such as "defective", Total 27095.00 "rebuilt", "salvage", "flood", etc. Balance on Trade N/A Total Balance Due 27095.00 Air Bag Certification Less Cash Rcvd N/A The undersigned certifies that to the best of their knowledge Less Cust. Rebate N/A the air bags in the trade-in vehicle have never been Unpaid Balance 27095.00 disconnected and are operable. Financed Amount N/A 4 Amount Due 27095.00 V II 7 JOHN COLGLAZIER •j,, T+ PH! a ER 04/16/2015 Salesperson Dealer Representative Purchaser Signature CITY OF CARMEL Date ORDER NOT VALID UNTIL SIGNED AND ACCEPTED BY DEALER OR AUTHORIZED REPRESENTATIVE DON HINDS FORD, INC 1.. b Cc F '' RETAIL BUYERS ORDER. ‘",\k 12610 Ford Drive Fishers, IN 46038 7, +1114111451: JON: 10 11 20 22 23 en 317-849-9000 906 771 2 PA X Z RCL 866 906 7712 �}#� �_ � www.donhindsford.com f V B Purchaser Name: CITY OF CARMEL CUST# CA2600 Deal 90801 1 CIVIC SQ CARMEL, IN 46032-2584 Home Telephone#: 317-571-2417 Work Telephone#: 317-571-2417 Delivery Date: 04/13/2015 Cell Telephone#: ln-Sery Date: Year: 2015 Make: FORD Model: EXPLORER Type: UT Color: OXFORD WHITE Vin: 1 FM5K8AR3FGC41168 Stock #: FT5875 Mileage: 13 Trade 1 Description: Year: Make: Model: Vin: Owed to: Balance Owed $ N/A Trade 2 Description: Year: Make: Model: Vin: Owed to: Balance Owed $ N/A Financed by: Term: Beginning Payment: days Affidavit for Trade In Selling Price 26917.75 By signing below I state that I am the sole true and lawful Trade Allowance N/A owner of the used car described in this contract for trade-in or Trading Difference 26917.75 replacement on sale in accordance with the terms thereof; Title Fee N/A there is no lien, mortgage, unpaid balance on any conditional Document Fee N/A sales agreement, or other encumbrances of any kind or Sales Tax N/A character, including lien of any judgment or execution except Luxury Tax N/A which has previously been stated and given in writing to Don Tire Tax 1.25 Hinds Ford, Inc. I further agree that this statement is made for Quantum N/A the purpose of guaranteeing title to the above mentioned used Maintenance N/A car to be as aforesaid and that all statements made herein are Service Contract N/A true and correct, and that all statements are made of my own Credit Guard N/A free will. ID Guarantee N/A Anti Theft N/A Trade-in Certification Tire & Wheel N/A The undersigned certifies that the trade-in vehicle has never Ownerguard Gap N/A been titled under a state or federal brand such as "defective", Total 26919.00 "rebuilt", "salvage", "flood", etc. Balance on Trade N/A Total Balance Due 26919.00 Air Bag Certification Less Cash Rcvd N/A The undersigned certifies that to the best of their knowledge Less Gust. Rebate N/A the air bags in the trade-in vehicle have never •een Unpaid Balance 26919.00 disconnected and are operable. Fi d mount Amou Due 26919.00 N/A JOHN COLGLAZIER BRADLE ,lG 04/13/2015 Salesperson Dealer Repre-entative / Purchaser Signature CITY OF CARMEL Date ' ORDER NOT VALID UNTIL SIG E(D AND ° .''+.' PTED BY DEALER OR AUTHORIZED REPRESENTATIVE i DON'HINDS FORD, INC )4A- 43 1) C4 RETAIL BUYERS ORDER (l1rQ,/ S 12610 Ford Drive Fishers, IN 46038 Ten +101,15j, JAN: 10 11 20 22 23 317-849-9000 P A X Z RCL 866 906 7712 V 0-0-4- W.d www.donhindsford.com Purchaser Name: CITY OF CARMEL CUST# CA2600 Deal 90800 1 CIVIC SQ CARMEL, IN 46032-2584 Home Telephone#: 317-571-2417 Work Telephone#: 317-571-2417 Delivery Date: 04/13/2015 Cell Telephone#: In-Sery Date: Year: 2015 Make: FORD Model: EXPLORER Type: UT Color: OXFORD WHITE Vin: 1 FM5K8AR5FGC41 169 Stock #: FT5865 Mileage: 13 Trade 1 Description: Year: Make: Model: Vin: Owed to: Balance Owed $ N/A Trade 2 Description: Year: Make: Model: Vin: Owed to: Balance Owed $ N/A Financed by: Term: Beginning Payment: days Affidavit for Trade-In Selling Price 26917.75 By signing below I state that I am the sole true and lawful Trade Allowance N/A owner of the used car described in this contract for trade-in or Trading Difference 26917.75 replacement on sale in accordance with the terms thereof; Title Fee N/A there is no lien, mortgage, unpaid balance on any conditional Document Fee N/A sales agreement, or other encumbrances of any kind or Sales Tax N/A character, including lien of any judgment or execution except Luxury Tax N/A which has previously been stated and given in writing to Don Tire Tax 1.25 Hinds Ford, Inc. I further agree that this statement is made for Quantum N/A the purpose of guaranteeing title to the above mentioned used Maintenance N/A car to be as aforesaid and that all statements made herein are Service Contract N/A true and correct, and that all statements are made of my own Credit Guard N/A free will. ID Guarantee N/A Anti Theft N/A Trade-in Certification Tire & Wheel N/A The undersigned certifies that the trade-in vehicle has never Ownerguard Gap N/A been titled under a state or federal brand such as "defective", Total 26919.00 "rebuilt", "salvage", "flood", etc. Balance on Trade N/A Total Balance Due 26919.00 Air Bag Certification Less Cash Revd N/A The undersigned certifies that to the best of their 1owledge Less Gust. Rebate N/A the air bags in the trade-in vehicle have n er been Unp.'or Balance 26919.00 disconnected and are operable. F a ed Amount N/4 Amount P3 ue 26919.00 1 JOHN COLGLAZIER BRADLE ' t. :(ea T 04/13/2015 Salesperson Dealer Repres:ntativ=�' Purchaser Signature CITY OF CARMEL Date ORDER NOT VALID UNTIL SIGNE' A ► •g,r ' ' D BY DEALER OR AUTHORIZED REPRESENTATIVE 3Z DON HINDS FORD, INC ,oxd RETAIL BUYERS ORDER 12610 Ford Drive ai I— Fishers, IN 46038 G U ( �y Tom JRN: 7 o t t 20 22 2 317-849-9000 I P A x Z RCL 866-906-7712 11K�1�_4#61 www.donhindsford.com Purchaser Name: CITY OF CARMEL l/ CUST# CA2600 Deal 90807 1 CIVIC SQ CARMEL, IN 46032-2584 Home Telephone#: 317-571-2417 Work Telephone#: 317-571-2417 Delivery Date: 04/13/2015 Cell Telephone#: In-Sery Date: Year: 2015 Make: FORD Model: EXPLORER Type: UT Color: OXFORD WHITE Vin: 1 FM5K8AR8FGC41 179 Stock #: FT5995 Mileage: 13 Trade 1 Description: Year: Make: Model: Vin: Owed to: Balance Owed $ N/A Trade 2 Description: Year: Make: Model: Vin: Owed to: Balance Owed $ N/A s Financed by: Term: Beginning Payment: days Affidavit for Trade In Selling Price 26917.75 By signing below I state that I am the sole true and lawful Trade Allowance N/A owner of the used car described in this contract for trade-in or Trading Difference 26917.75 replacement on sale in accordance with the terms thereof; Title Fee N/A there is no lien, mortgage, unpaid balance on any conditional Document Fee N/A sales agreement, or other encumbrances of any kind or Sales Tax N/A character, including lien of any judgment or execution except Luxury Tax N/A which has previously been stated and given in writing to Don Tire Tax 1.25 Hinds Ford, Inc. I further agree that this statement is made for Quantum N/A the purpose of guaranteeing title to the above mentioned used Maintenance N/A car to be as aforesaid and that all statements made herein are Service Contract N/A true and correct, and that all statements are made of my own Credit Guard N/A free will. ID Guarantee N/A Anti Theft N/A Trade-in Certification Tire & Wheel N/4 The undersigned certifies that the trade-in vehicle has never Ownerguard Gap N/A been titled under a state or federal brand such as "defective", Total 26919.00 "rebuilt", "salvage", "flood", etc. Balance on Trade N/A Total Balance Due 26919.00 Air Bag Certification Les .sh Rcvd N/A The undersigned certifies that to the best of their knowledge ess ► st. Rebate N/A the air bags in the trade-in vehicle have nev- been Unp. d Balance 26919.00 disconnected and are operable, Fin. ced Amount N/A A ount Due 26919.00 f JOHN COLGLAZ1ER BRADLEY A : ' e ; 04/13/2015 Salesperson Dealer Represe to / Purchaser Signature CITY OF CARMEL Date ORDER NOT VALID UNTIL SIGNED N ACC 'TED BY DEALER OR AUTHORIZED REPRESENTATIVE i cc�` DON•HINbS FORD, INC RETAIL BUYER ORDER uxd S 0 12610 Ford Drive / Fishers, IN 46038 /L14J1iSw JRN: 10 11 20 22 23 317-849-9000 \ PA X Z RCL 866-906-7712 nn k'd www.donhindsford.com Purchaser Name: CITY OF CARMEL CUST# CA260p Deal 90795 1 CIVIC SQ CARMEL, IN 46032-2584 Home Telephone#: 317-571-2417 Work Telephone#: 317-571-2417 Delivery Date: 04/13/2015 Cell Telephone#: In-Sery Date: Year: 2015 Make: FORD Model: EXPLORER Type: UT Color: OXFORD WHITE Vin: 1 FM5K8AR9FGC41 174 Stock #: FT5855 Mileage: 13 Trade 1 Description: Year: Make: Model: Vin: Owed to: Balance Owed $ N/A Trade 2 Description: Year: Make: • Model: Vin: Owed to: Balance Owed $ N/A Financed by: Term: Beginning Payment: days v Affidavit for Trade-In Selling Price 26917.75 By signing below I state that I am the sole true and lawful Trade Allowance N/A owner of the used car described in this contract for trade-in or Trading Difference 26917.75 replacement on sale in accordance with the terms thereof; Title Fee N/A there is no lien, mortgage, unpaid balance on any conditional Document Fee N/A sales agreement, or other encumbrances of any kind or Sales Tax N/A character, including lien of any judgment or execution except Luxury Tax N/A which has previously been stated and given in writing to Don Tire Tax 1.25 Hinds Ford, Inc. I further agree that this statement is made for Quantum N/A the purpose of guaranteeing title to the above mentioned used Maintenance N/A car to be as aforesaid and that all statements made herein are Service Contract N/A true and correct, and that all statements are made of my own Credit Guard N/A free will. ID Guarantee N/A Anti Theft N/A Trade-in Certification Tire & Wheel N/A The undersigned certifies that the trade-in vehicle has never Ownerguard Gap N/A been titled under a state or federal brand such as "defective", Total 26919.00 "rebuilt", "salvage", "flood", etc. Balance on Trade N/A Total Balance Due 26919.00 Air Bag Certification Less Cash Rcvd N/g The undersigned certifies that to the best of their knowledge Less Cust. Rebate N/A the air bags in the trade-in vehicle have nev• been U ,; • B. ance 26919.00 disconnected and are operable. inanc d Amount N/A Am• nt Due 26919.00 JOHN COLGLAZIER BRADLE • At V GH 04/13/2015 Salesperson Dealer Repres•ntativ.� Purchaser Signature CITY OF CARMEL Date ORDER NOT VALID UNTIL SIGN:* AN a •CCEPTED BY DEALER OR AUTHORIZED REPRESENTATIVE ' !I DON HINDS FORD, INC C- > RETAIL BUYERS ORDER 12610 Ford'•Drive ��� Fishers, IN 46038 4 `/"_• JRN: 10 11 20 22 23 317-849-9000 \ 7)011 r P A X Z RCL 866-906-7712 nK� �_ Kd www.donhindsford.com l/ Purchaser Name: CITY OF CARMEL CUST# CA2600 Deal 90792 1 CIVIC SQ CARMEL, IN 46032-2584 Home Telephone#: 317-571-2417 Work Telephone#: 317-571-2417 Delivery Date: 04/13/2015 Cell Telephone#: In-Sery Date: Year: 2015 Make: FORD Model: EXPLORER Type: UT Color: OXFORD WHITE Vin: 1FM5K8AR4FGC41177 Stock #: FT6055 Mileage: 13 Trade 1 Description: Year: Make: Model: Vin: Owed to: Balance Owed $ N/A Trade 2 Description: , Year: Make: Model: Vin: Owed to: Balance Owed $ N/A Financed by: Term: Beginning Payment: days Affidavit for Trade In Selling Price 26917.75 By signing below I state that I am the sole true and lawful Trade Allowance N/A owner of the used car described in this contract for trade-in or Trading Difference 26917.75 replacement on sale in accordance with the terms thereof; Title Fee N/A there is no lien, mortgage, unpaid balance on any conditional Document Fee N/A sales agreement, or other encumbrances of any kind or Sales Tax N/A character, including lien of any judgment or execution except Luxury Tax N/A which has previously been stated and given in writing to Don Tire Tax 1.25 Hinds Ford, Inc. I further agree that this statement is made for Quantum N/A the purpose of guaranteeing title to the above mentioned used Maintenance N/A car to be as aforesaid and that all statements made herein are Service Contract N/A true and correct, and that all statements are made of my own Credit Guard N/A free will. ID Guarantee N/A Anti Theft N/A Trade-in Certification Tire & Wheel N/A The undersigned certifies that the trade-in vehicle has never Ownerguard Gap N/A been titled under a state or federal brand such as "defective", Total 26919.00 "rebuilt", "salvage", "flood", etc. Balance on Trade N/A Total Balance Due 26919.00 Air Bag Certification Less Cash Rcvd N/A The undersigned certifies that to the best of their knowledge Less Cust. Rebate N/A the air bags in the trade-in vehicle have v er be Unpaid Balance 26919.00 disconnected and are operable. /Financed Amount N/A Amount Due 26919.00 /'f o JOHN COLGLAZIER BRADL A :: • GHT 04/13/2015 Salesperson Dealer Repr ent. is Purchaser Signature 9 CITY OF CARMEL Date ORDER NOT VALID UNTIL SIGNED AND ACCEPTED BY DEALER OR AUTHORIZED REPRESENTATIVE DONL:HIP'DS FORD, INC I 7 .o 1 RETAIL BUYERS ORDER • 12610 Ford Drive Fishers, IN 46038 JRN: 10 11 20 23 317-849-9000 Ton P A X z R22 866-906-7712 www.donhindsford.eom llx� -a-l/ad Purchaser Name: CITY OF CARMEL CUST# CA2600 Deal 90794 1 CIVIC SQ CARMEL, IN 46032-2584 es Home Telephone#: 317-571-2417 Work Telephone#: 317-571-2417 Delivery Date: 04/13/2015 Cell Telephone#: In-Sery Date: Year: 2015 Make: FORD Model: EXPLORER Type: UT Color: OXFORD WHITE Vin: 1FM5K8AROFGC41175 Stock #: FT6045 Mileage: 13 Trade 1 Description: Year: Make: Model: , Vin: Owed to: Balance Owed $ N/A Trade 2 Description: Year: Make: Model: Vin: Owed to: Balance Owed $ N/A Financed by: • Term: Beginning Payment: days Affidavit for Trade-In Selling Price 26917.75 By signing below I state that I am the sole true and lawful Trade Allowance N// owner of the used car described in this contract for trade-in or Trading Difference 26917.75 replacement on sale in accordance with the terms thereof; Title Fee N/A there is no lien, mortgage, unpaid balance on any conditional Document Fee N/A sales agreement, or other encumbrances of any kind or Sales Tax N/A character, including lien of any judgment or execution except Luxury Tax N/A which has previously been stated and given in writing to Don Tire Tax 1.25 Hinds Ford, Inc. I further agree that this statement is made for Quantum N/A the purpose of guaranteeing title to the above mentioned used Maintenance N/A car to be as aforesaid and that all statements made herein are Service Contract N/A true and correct, and that all statements are made of my own Credit Guard N/A free will. ID Guarantee N/A Anti Theft N/A Trade-in Certification Tire & Wheel N/A The undersigned certifies that the trade-in vehicle has never Ownerguard Gap N/A been titled under a state or federal brand such as "defective", Total 26919.00 "rebuilt", "salvage", "flood", etc. Balance on Trade N/A Total Balance Due 26919.00 Air Bag Certification Less Cash Rcvd N/A The undersigned certifies that to the best of their knowledge Less Cust Rebate N/A the air bags in the trade-in vehicle have never been I -i(alance 26919.00 disconnected and are operable. - anted Amount N/A / Amount Due 26919.00 JOHN COLGLAZIER BRADL_ 0 HT 04/13/2015 Salesperson Dealer R)pre. '- Purchaser Signature CITY OF CARIVIEL Date ORDER NOT VALID UNTIL OA • D •,• D ACCEPTED BY DEALER OR AUTHORIZED REPRESENTATIVE DON HINDS FORD, INC (----;, ) RETAIL BUYERS ORDER 12610 Ford Drive 1:311/ Fishers, IN 46038 • JRN: 10 11 20 22 23 317-849-9000 �� P A X Z RCL 866-906-7712 n�,���_�Kd www.donhindsford.com Purchaser Name: CITY OF CARMEL l/ CUST# CA2600 Deal 90798 1 CIVIC SQ CARMEL, IN 46032-2584 Home Telephone#: 317-571-2417 Work Telephone#: 317-571-2417 Delivery Date: 04/13/2015 Cell Telephone#: In-Sery Date: ' Year: 2015 Make: FORD Model: EXPLORER Type: UT Color: OXFORD WHITE Vin: 1 FM5K8AR3FGC41 171 Stock #: FT6035 Mileage: 13 Trade 1 Description: Year: Make: Model: Vin: Owed to: Balance Owed $ N/A Trade 2 Description: Year: Make: Model: Vin: Owed to: Balance Owed $ N/A Financed by: II Term: Beginning Payment: days Affidavit for Trade In Selling Price 26917.75 By signing below I state that I am the sole true and lawful Trade Allowance N/A owner of the used car described in this contract for trade-in or Trading Difference 26917.75 replacement on sale in accordance with the terms thereof; Title Fee N/A there is no lien, mortgage, unpaid balance on any conditional Document Fee N/A sales agreement, or other encumbrances of any kind or Sales Tax N/A character, including lien of any judgment or execution except Luxury Tax N/A which has previously been stated and given in writing to Don Tire Tax 1.25 Hinds Ford, Inc. I further agree that this statement is made for Quantum N/A the purpose of guaranteeing title to the above mentioned used Maintenance N/A car to be as aforesaid and that all statements made herein are Service Contract N/A true and correct, and that all statements are made of my own Credit Guard N/A free will. ID Guarantee N/A Anti Theft N/A Trade-in Certification Tire & Wheel N/A The undersigned certifies that the trade-in vehicle has never Ownerguard Gap N/ been titled under a state or federal brand such as "defective", Total 26919.0 "rebuilt", "salvage", "flood", etc. Balance on Trade N/A Total Balance Due 26919.00 Air Bag Certification Less C. Rcvd N/A The undersigned certifies that to the best of their know f ge Les st. Rebate N/A the air bags in the trade-in vehicle have never keen U pal, B.'lance 26919.00 disconnected and are operable. ina d Amount N/A i ■ m.rnt Due 26919.00 JOHN COLGLAZIER BRADLEY AL : "1 I i 04/13/2015 Salesperson Dealer Representati I- Purchaser Signature CITY OF CARMEL Date ORDER NOT VALID UNTIL SIGNED AND • - PIED BY DEALER OR AUTHORIZED REPRESENTATIVE ' DON HINDS FORD, INC b1 RETAIL BUYERS ORDER ,12610 Ford Drive Fishers, IN 46038 . JRN: 10 11 20 22 23 40.1. n2is 317-849-9000 e PA X Z RCL 866-906-7712 www.donhindsford.co,m Purchaser Name: CITY OF CARMEL CUST# CA2600 Deal 90793 1 CIVIC SQ CARMEL, IN 46032-2584 Home Telephone#: 317-571-2417 Work Telephone#: 317-571-2417 Delivery Date: 04/13/2015 Cell Telephone#: In-Sery Date: Year: 2015 Make: FORD Model: EXPLORER Type: UT Color: OXFORD WHITE Vin: 1FM5K8AR2FGC41176 Stock #: FT6015 Mileage: 13 Trade 1 Description: d Year: Make: Model: Vin: Owed to: Balance Owed $ N/A Trade 2 Description: Year: Make: Model: Vin: Owed to: Balance Owed $ N/A Financed by: Term: Beginning Payment: days Affidavit for Trade-In Selling Price 26917.75 By signing below I state that I am the sole true and lawful Trade Allowance N/A owner of the used car described in this contract for trade-in or Trading Difference 26917.75 replacement on sale in accordance with the terms thereof; Title Fee N/A there is no lien, mortgage, unpaid balance on any conditional Document Fee N/A sales agreement, or other encumbrances of any kind or Sales Tax N/A character, including lien of any judgment or execution except Luxury Tax N/A which has previously been stated and given in writing to Don Tire Tax 1.25 Hinds Ford, Inc. I further agree that this statement is made for Quantum N/A the purpose of guaranteeing title to the above mentioned used Maintenance N14 car to be as aforesaid and that all statements made herein are Service Contract N/A true and correct, and that all statements are made of my own Credit Guard N/A free will. ID Guarantee N/A Anti Theft N/A Trade-in Certification Tire & Wheel N/A The undersigned certifies that the trade-in vehicle has never Ownerguard Gap N/A been titled under a state or federal brand such as "defective", Total 26919.00 "rebuilt", "salvage", "flood", etc. Balance on Trade N/A Total Balance Due 26919.00 Air Bag Certification Less Cash Rcvd N/A The undersigned certifies that to the best of their knowledge Less Cust. Rebate N/A the air bags in the trade-in vehicle have never been Un.-': : .lance 26919.00 disconnected and are operable. inane:• Amount N/A /Am. .nt Due 26919.00 JOHN COLGLAZIER BR. + fArs LLBRIG 04/13/2015 Salesperson Dealer Repre/ntative Purchaser Signature CITY OF CARMEL Date ORDER NOT V•LID UNTIL SIG : •ND ACCEPTED BY DEALER OR AUTHORIZED REPRESENTATIVE DON MINDS \FORD, INC b ✓ RETAIL BUYERS ORDER 12610 Ford Drive I/ (' Fishers, IN 46038 317-849-9000 •�"r�. JRN: 10 11 20 22 23 Ten P A X Z RCL 866-906-7712 nX�0/(e/4"-a-47/(CI www.donhindsford.com Purchaser Name: CITY OF CARMEL V CUST# CA2600 Deal 90797 1 CIVIC SQ CARMEL, IN 46032-2584 Home Telephone#: 317-571-2417 Work Telephone#: 317-571-2417 Delivery Date: 04/1 3/2015 Cell Telephone#: ln-Sery Date: Year: 2015 Make: FORD Model: EXPLORER Type: UT Color: OXFORD WHITE Vin: 1 FM5K8AR5FGC41 172 Stock #: FT5985 Mileage: 13 ' Trade 1 Description: Year: Make: Model: Vin: Owed to: Balance Owed $ N/A Trade 2 Description: Year: Make: Model: Vin: Owed to: Balance Owed $ N/A Financed by: Term: Beginning Payment: days I Affidavit for Trade-In Selling Price 26917.75 By signing below I state that 1 am the sole true and lawful Trade Allowance N/A owner of the used car described in this contract for trade-in or Trading Difference 26917.75 replacement on sale in accordance with the terms thereof; Title Fee N/A there is no lien, mortgage, unpaid balance on any conditional Document Fee N/A sales agreement, or other encumbrances of any kind or Sales Tax N/A character, including lien of any judgment or execution except Luxury Tax N/A which has previously been stated and given in writing to Don Tire Tax 1.25 Hinds Ford, Inc. I further agree that this statement is made for Quantum N/A the purpose of guaranteeing title to the above mentioned used Maintenance N/A car to be as aforesaid and that all statements made herein are Service Contract N/A true and correct, and that all statements are made of my own Credit Guard N/A free will. ID Guarantee N/A Anti Theft N/A Trade-in Certification Tire & Wheel N/A The undersigned certifies that the trade-in vehicle has never Ownerguard Gap N/A been titled under a state or federal brand such as "defective", Total 26919.00 "rebuilt", "salvage", "flood", etc. Balance on Trade N/A Total Balance Due 26919.00 Air Bag Certification Less Cash Rcvd N/A The undersigned certifies that to the best of their knowledge Less Cust. Rebate N/A the air bags in the trade-in vehicle have -ver been Unp•'d Balance 26919.00 disconnected and are operable. anted Amount N/A mount Due 26919.00 I JOHN COLGI_AZIER BRA B L' Al: e T 04/13/2015 Salesperson Dealer R=.rese .. Purchaser Signature CITY OF CARMEL Date I ORDER NOT VALID UNTIL • GNED ,D ACCEPTED BY DEALER OR AUTHORIZED REPRESENTATIVE DON HINDS FORD, INC -2c.... 5 9 RETAIL BUYERS E �� � SORD ORDER 12610-Ford Drive Fishers, IN 46038 7,0" + JRN: 10 11 20 22 23 317-849-9000 P A X Z RCL 866 906 7712 nKe -a—�Kd www.donhindsford.com Purchaser Name: CITY OF CARMEL (/ Q CUST# CA2600 Deal 90796 1 CIVIC SQ CARMEL, IN 46032-2584 Home Telephone#: 317-571-2417 Work Telephone#: 317-571-2417 Delivery Date: 04/13/2015 Cell Telephone#: In-Sery Date: Year: 2015 Make: FORD Model: EXPLORER Type: UT Color: OXFORD WHITE Vin: 1 FM5K8AR7FGC41 173 Stock #: FT5965 Mileage: 13 Trade 1 Description: Year: Make: Model: Vin: Owed to: Balance Owed $ N/A ' Trade 2 Description: Year: Make: Model: Vin: Owed to: Balance Owed $ N/A Financed by: Term: Beginning Payment: days Affidavit for Trade-In Selling Price 26917.75 By signing below I state that I am the sole true and lawful Trade Allowance N/A owner of the used car described in this contract for trade-in or Trading Difference 26917.75 replacement on sale in accordance with the terms thereof; Title Fee N/A there is no lien, mortgage, unpaid balance on any conditional Document Fee N/A sales agreement, or other encumbrances of any kind or Sales Tax N/A character, including lien of any judgment or execution except Luxury Tax N/A which has previously been stated and given in writing to Don Tire Tax 1.25 Hinds Ford, Inc. I further agree that this statement is made for Quantum N/A the purpose of guaranteeing title to the above mentioned used Maintenance N/A car to be as aforesaid and that all statements made herein are Service Contract N/A true and correct, and that all statements are made of my own Credit Guard N/A free will. ID Guarantee N/A Anti Theft N/A Trade-in Certification Tire & Wheel N/A The undersigned certifies that the trade-in vehicle has never Ownerguard Gap N/A been titled under a state or federal brand such as "defective", Total 26919.00 "rebuilt", "salvage", "flood", etc. Balance on Trade N/A Total Balance Due 26919.00 Air Bag Certification Less Cash Rcvd N/A The undersigned certifies that to the best of their knowledge Less Cust. Rebate N/A the air bags in the trade-in vehicle have ne e been Unpaid Balance 26919.00 disconnected and are operable. Financed Amount N/A , to, , Amount Due 26919.09 JOHN COLGLAZIER BRADLEY A : -IT 04/13/2015 Salesperson Dealer Representa ive Purchaser Signature CITY OF CARMEL Date ORDER NOT VALID UNTIL SIGNED AND ACCEPTED BY DEALER OR AUTHORIZED REPRESENTATIVE DON HINDS FORD, INC .. A 1,..2-2 RETAI 12610 Ford Drive C4 �rxd RETAIL BUYERS ORDER 1 Fishers, IN 46038 11" JRN: 10 11 20 22 23 317-849-9000 PA X Z RCL 866-906-7712 00-01-1-470( www.donhindsford.com Purchaser Name: CITY OF CARMEL CUST# CA2600 Deal 90803 1 CIVIC SQ CARMEL, IN 46032-2584 Home Telephone#: 317-571-2417 Work Telephone#: 317-571-2417 Delivery Date: 04/13/2015 Cell Telephone/4'; ln-Sery Date: Year: 2015 Make: FORD Model: EXPLORER Type: UT Color: OXFORD WHITE Vin: 1FM5K8ARXFGC41166 Stock #: FT5955 Mileage: 13 Trade 1 Description: Year: Make: Model: Vin: Owed to: Balance Owed $ N/A Trade 2 Description: Year: Make: Model: It Vin: Owed to: Balance Owed $ N/A Financed by: Term: Beginning Payment: days Affidavit for Trade In Selling Price 26917.75 By signing below I state that I am the sole true and lawful Trade Allowance N/q owner of the used car described in this contract for trade-in or Trading Difference 26917.75 replacement on sale in accordance with the terms thereof; Title Fee N/A there is no lien, mortgage, unpaid balance on any conditional Document Fee N/A sales agreement, or other encumbrances of any kind or Sales Tax N/A character, including lien of any judgment or execution except Luxury Tax N/A which has previously been stated and given in writing to Don Tire Tax 1.25 Hinds Ford, Inc. I further agree that this statement is made for Quantum N/A the purpose of guaranteeing title to the above mentioned used Maintenance N/A car to be as aforesaid and that all statements made herein are Service Contract N/A true and correct, and that all statements are made of my own Credit Guard N/A free will. ID Guarantee N/A Anti Theft N/A Trade-in Certification Tire & Wheel N/A The undersigned certifies that the trade-in vehicle has never Ownerguard Gap N/A been titled under a state or federal brand such as "defective", Total 26919.00 "rebuilt", "salvage", "flood", etc. Balance on Trade N/A Total Balance Due 26919.00 Air Bag Certification Less Cash Rcvd N/A The undersigned certifies that to the best of their knowledge Less Cust. Rebate N/A the air bags in the trade-in vehicle have n,•ver been Unpaid`Balance 26919.00 disconnected and are operable. Fi nced Amount NIA oust Due 26919.00 JOHN COLGLAZIER BRADL AL = • e H 04/13/2015 Salesperson Dealer Repre ntativ: Purchaser Signature CITY OF CARMEL Date ORDER NOT VALID UNTIL SIGN • 'D Al TED BY DEALER OR AUTHORIZED REPRESENTATIVE 31---;DON KINDS FORD, INC j " r RETAIL BUYERS ORDER '12610 Ford Drive `��//�[ N Fishers, IN 46038 411114)41 JRN: 10 11 20 22 23' 317-849-9000 PA X Z RCL -- il\ -r°866-906-7712 n/(�� k4.1 www.donhindsford.com Purchaser Name: CITY OF CARMEL V CUST# CA2600 Deal 90791 1 CIVIC SQ CARMEL, IN 46032-2584 Home Telephone#: 317-571-2417 Work Telephone#: 317-571-2417 Delivery Date: 04/13/2015 Cell Telephone#: In-Sery Date: Year: 2015 Make: FORD Model: EXPLORER Type: UT Color: OXFORD WHITE Vin: 1 FM5K8AR6FGC41 178 Stock #: FT5905 It Mileage: 13 Trade 1 Description: Year: Make: Model: Vin: Owed to: Balance Owed $ N/A Trade 2 Description: Year: Make: Model: Vin: Owed to: Balance Owed $ N/A , Financed by: Term: Beginning Payment: days Affidavit for Trade-In Selling Price 26917.75 By signing below I state that I am the sole true and lawful Trade Allowance N/A owner of the used car described in this contract for trade-in or Trading Difference 26917.75 replacement on sale in accordance with the terms thereof; Title Fee N/A there is no lien, mortgage, unpaid balance on any conditional Document Fee N/A sales agreement, or other encumbrances of any kind or Sales Tax N/A character, including lien of any judgment or execution except Luxury Tax N/A which has previously been stated and given in writing to Don Tire Tax 1.25 Hinds Ford, Inc. I further agree that this statement is made for Quantum N/A the purpose of guaranteeing title to the above mentioned used Maintenance N/A car to be as aforesaid and that all statements made herein are Service Contract N/A true and correct, and that all statements are made of my own Credit Guard N/A free will. ID Guarantee N/A Anti Theft N/A Trade-in Certification Tire & Wheel N/A The undersigned certifies that the trade-in vehicle has never Ownerguard Gap N/A been titled under a state or federal brand such as "defective", Total 26919.00 "rebuilt", "salvage", "flood", etc, Balance on Trade N/A Total Balance Due 26919.00 Air Bag Certification Less Cash Rcvd N/A The undersigned certifies that to the best of their knowledge Less Cust. Rebate N/A the air bags in the trade-in vehicle have never beep Unpaid Balance 26919.00 disconnected and are operable. Financed Amount N/A Amount,Due 26919.00 JOHN COLGLAZIER BRADLE , ),11:11,1"T 04/13/2015 Salesperson Dealer Repre•en•a.I Purchaser Signature CITY OF CARMEL Date li ORDER NOT VALID UNTIL SIGN D AND ACCEPTED BY DEALER OR AUTHORIZED REPRESENTATIVE . '2, DON HINDS FORD, INC ) Camp RETAIL BUYERS ORDER 12610 Ford Drive Fishers, IN 46038 V �� JRN: 10 11 20 22 23 r 1 P A X Z RCL 317-849-9000 866-906-7712 l/0/4-12_ Kd www.donhindsford.com Purchaser Name: CITY OF CARMEL CUST# CA2600 Deal 90808 1 CIVIC SQ @ CARMEL, IN 46032-2584 Home Telephone#: 317-571-2417 Work Telephone#: 317-571-2417 Delivery Date: 04/13/2015 Cell Telephone#: In-Sery Date: Year: 2015 Make: FORD Model: EXPLORER Type: UT Color: STERLING GRAY Vin: 1FM5K8AR9FGC26965 Stock #: FT5815 Mileage: 13 Trade 1 Description: Year: Make: Model: Vin: Owed to: Balance Owed $ N/A Trade 2 Description: Year: Make: Model: Vin: Owed to: Balance Owed $ N/A Financed by: Term: Beginning Payment: days Affidavit for Trade-In Selling Price 26917.7 By signing below I state that I am the sole true and lawful Trade Allowance N/A owner of the used car described in this contract for trade-in or Trading Difference 26917.75 replacement on sale in accordance with the terms thereof; Title Fee N/A there is no lien, mortgage, unpaid balance on any conditional Document Fee N/A sales agreement, or other encumbrances of any kind or Sales Tax N/A character, including lien of any judgment or execution except Luxury Tax N/A which has previously been stated and given in writing to Don Tire Tax 1.25 Hinds Ford, Inc. I further agree that this statement is made for Quantum N/A the purpose of guaranteeing title to the above mentioned used Maintenance N/A car to be as aforesaid and that all statements made herein are Service Contract N/A true and correct, and that all statements are made of my own Credit Guard N/A free will. ID Guarantee N/A Anti Theft N/A Trade-in Certification Tire & Wheel N/A The undersigned certifies that the trade-in vehicle has never Ownerguard Gap N/A been titled under a state or federal brand such as "defective", Total 26919.00 "rebuilt", "salvage", "flood", etc. /Balance on Trade N/A Total Balance Due 26919.00 Air Bag Certification Less Cash Rcvd N/A The undersigned certifies that to the best of their knowledg- Less Cust. Rebate N/A the air bags in the trade-in vehicle have never be n Unpaid Balance 26919.00 disconnected and are operable. Financed Amount N/A Amount Due 26919.00 JOHN COLGLAZIER B'A' 1 b ALL:RIGHT 04/13/2015 Salesperson D aler R•. r4 tati e Purchaser Signature-" 9 CITY OF CARMEL Date ORDER NOT VALID UNTIL IGNED • D ACCEPTED BY DEALER OR AUTHORIZED REPRESENTATIVE ; DON HINDS FORD, INC ( 7th k) RETAIL BUYERS ORDER 12610 Ford Drive 3'-\Fishers, IN 46038 �l�I/ ,way JRN: 10 11 20 22 23 317-849-9000 9 7, rif P A 1 Z R22 866-906-7712 K 9 —L—ki(.d www.donhindsford.com Purchaser Name: CITY OF CARMEL CUST# CA2600 Deal 90809 1 CIVIC SQ CARMEL, IN 46032-2584 Home Telephone#: 317-571-2417 Work Telephone#: 317-571-2417 Delivery Date: 04/13/2015 Cell Telephone#: In-Sery Date: Year: 2015 Make: FORD Model: EXPLORER Type: UT Color: OXFORD WHITE Vin: 1 FM5K8AR6FGC41 181 Stock #: FT6025 Mileage: 13 Trade 1 Description: , Year: Make: Model: Vin: Owed to: Balance Owed $ N/A Trade 2 Description: Year: Make: Model: Vin: Owed to: Balance Owed $ N/A Financed by: Term: Beginning Payment: days Affidavit for Trade In Selling Price 27479.7 By signing below I state that I am the sole true and lawful Trade Allowance N/A owner of the used car described in this contract for trade-in or Trading Difference 27479.75 replacement on sale in accordance with the terms thereof; Title Fee N/A there is no lien, mortgage, unpaid balance on any conditional Document Fee N/A sales agreement, or other encumbrances of any kind or Sales Tax N/A character, including lien of any judgment or execution except Luxury Tax N/A which has previously been stated and given in writing to Don Tire Tax 1.25 Hinds Ford, Inc. I further agree that this statement is made for Quantum N/A the purpose of guaranteeing title to the above mentioned used Maintenance N/A car to be as aforesaid and that all statements made herein are Service Contract N/A true and correct, and that all statements are made of my own Credit Guard N/A free will. ID Guarantee N/A Anti Theft N/A Trade-in Certification Tire & Wheel N/A The undersigned certifies that the trade-in vehicle has never Ownerguard Gap N/A been titled under a state or federal brand such as "defective", Total 27481.00 "rebuilt", "salvage", "flood", etc. Balance on Trade N/A Total Balance Due 27481.00 Air Bag Certification Less Cash Rcvd N/A The undersigned certifies that to the best of their knowledge Less Cust. Rebate N/A the air bags in the trade-in vehicle have never been Unpaid Balance 27481.09 disconnected and are operable. /Financed Amount N/A Amount Due 27481.00 ,••47 JOHN COLGLAZIER BRADL:i ,Arydri:RIGHT 04/13/2015 Salesperson Dealer Repre.;rya/ye Purchaser Signature CITY OF CARMEL Date ORDER NOT VALID UNTIL SIG)ED AND ACCEPTED BY DEALER OR AUTHORIZED REPRESENTATIVE ..■RON HINDS FORD, INC A4.2... c� ,� RETAIL BUYERS ORDER 12610 Ford Drive Fishers, IN 46038 1 • JRN: 10 11 20 22 23 317-849-9000 fJ\ l'� PA X Z RCL 866-906-7712 nee -a_fW www.donhindsford.com l/ Purchaser Name: CITY OF CARMEL CUST# CA2600 Deal 90810 1 CIVIC SQ CARMEL, IN 46032-2584 a Home Telephone#: 317-571-2417 Work Telephone#: 317-571-2417 Delivery Date: 04/13/2015 Cell Telephone#: In-Sery Date: Year: 2015 Make: FORD Model: EXPLORER Type: UT Color: OXFORD WHITE Vin: 1 FM5K8AR4FGC41 180 Stock #: FT6005 Mileage: 13 Trade 1 Description: Year: Make: Model: Vin: Owed to: Balance Owed $ N/A Trade 2 Description: Year: Make: Model: Vin: Owed to: Balance Owed $ N/A Financed by: Term: Beginning Payment: days Affidavit for Trade-In Selling Price 27479.75 By signing below I state that I am the sole true and lawful Trade Allowance N/A owner of the used car described in this contract for trade-in or Trading Difference 27479.75 replacement on sale in accordance with the terms thereof; Title Fee N/A there is no lien, mortgage, unpaid balance on any conditional Document Fee N/A sales agreement, or other encumbrances of any kind or Sales Tax N/A character, including lien of any judgment or execution except Luxury Tax N/A which has previously been stated and given in writing to Don Tire Tax 1.25 Hinds Ford, Inc. I further agree that this statement is made for Quantum N/A the purpose of guaranteeing title to the above mentioned used Maintenance N/A car to be as aforesaid and that all statements made herein are Service Contract N/A true and correct, and that all statements are made of my own Credit Guard N/A free will. ID Guarantee N/A Anti Theft N/A Trade-in Certification Tire & Wheel N/A The undersigned certifies that the trade-in vehicle has never Ownerguard Gap N/A been titled under a state or federal brand such as "defective", Total 27481.00 "rebuilt", "salvage", "flood", etc. Balance on Trade N/A Total Balance Due 27481.00 Air Bag Certification Less Cash Rcvd N/A The undersigned certifies that to the best of their knowled e / N/A Less Cust. Rebate the air bags in the trade-in vehicle have never b n Un•ajd/Balance 27481.00 ill disconnected and are operable. nced Amount N/4 ■ ount Due 27481.00 JOHN COLGLAZIER BRADLEY ALLB ICL 04/13/2015 Salesperson Dealer Representative / Purchaser Signature CITY OF CARMEL Date ORDER NOT VALID UNTIL SIGNED AND A C:•"D BY DEALER OR AUTHORIZED REPRESENTATIVE ,DON HINDS FORD, INC 9 1 ,... RETAIL BUYERS ORpER 12610 Ford Drive 9 Fishers, IN 46038 . JRN: 10 11 20 22 23 317-849-9000 73.011 P A X Z RCL 866-906-7712 U nK�i—a_�Kd www.donhindsford.com t'\ A Purchaser Name: CCIITY OF CARMEL l/ CUST# CA2600 Deal 90805 1 CIVIC SQ CARMEL, IN 46032-2584 Home Telephone#: 317-571-2417 Work Telephone#: 317-571-2417 Delivery Date: 04/13/2015 Cell Telephone#: ln-Sery Date: Year: 2015 Make: FORD Model: EXPLORER Type: UT Color: MED TITANIUM Vin: 1FM5K8AR8FGC41182 Stock #: FT5805 • Mileage: 13 Trade 1 Description: Year: Make: Model: Vin: Owed to: Balance Owed $ N/A Trade 2 Description: Year: Make: Model: g Vin: Owed to: Balance Owed $ N/A Financed by: Term: Beginning Payment: days Affidavit for Trade In Selling Price 27352.75 By signing below I state that I am the sole true and lawful Trade Allowance N/A owner of the used car described in this contract for trade-in or Trading Difference 27352.75 replacement on sale in accordance with the terms thereof; Title Fee N/A there is no lien, mortgage, unpaid balance on any conditional Document Fee N/A sales agreement, or other encumbrances of any kind or Sales Tax N/A character, including lien of any judgment or execution except Luxury Tax N/A which has previously been stated and given in writing to Don Tire Tax 1.25 Hinds Ford, Inc. I further agree that this statement is made for Quantum N/A the purpose of guaranteeing title to the above mentioned used Maintenance N/A car to be as aforesaid and that all statements made herein are Service Contract N/A true and correct, and that all statements are made of my own Credit Guard N/A free will. ID Guarantee N/A Anti Theft N/4 Trade-in Certification Tire & Wheel N/A The undersigned certifies that the trade-in vehicle has never Ownerguard Gap N/A been titled under a state or federal brand such as "defective", Total 27354.00 "rebuilt", "salvage", "flood", etc. Balance on Trade N/A Total : .lance Due 27354.00 Air Bag Certification •ss Cash Rcvd N/A The undersigned certifies that to the best of their knowledge Less Cust. Rebate N/A the air bags in the trade-in vehicle have ver been U paid Balance 27354.00 disconnected and are operable. inanced Amount N/A Amount Due 27354.00 JOHN COLGLAZIER BRADL . iii el , T 04/13/2015 Salesperson Dealer Repre - Purchaser Signature CITY OF CARMEL Date ORDER NOT VALID UNTIL SIGNE AND •v EPTED BY DEALER OR AUTHORIZED O ZED REPRESENTATIVE